Your Talent. Our Vision. At Anthem, Inc., it's a powerful combination, and the foundation upon which we're creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care.
This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health benefits companies and a Fortune Top 50 Company.
Regulatory Oversight Consultant
Must be able to sit onsite in Tampa, FL-5600 Mariner St.
Responsible for providing enterprise-wide reporting and oversight of federal and state regulatory implementation, compliance and exam activities. This is an experienced associate with knowledge specific to the company who can handle complex assignments or projects.
Primary duties may include, but are not limited to:
Ensures ongoing communication and distribution of federal rules, regulations and requirements throughout the organization.
Partners with business owners in order to ensure and obtain evidence to support all necessary actions are taken by regulatory due dates.
Oversight and management of repository that houses all organizational policies and procedures
Responsible for conducting regulatory research
Assists with Compliance Investigations
Conducts audit and monitoring compliance activities
Assigned compliance projects as required to meet departmental and organizational deadlines.
This position provides critical support to the Compliance Department
Communicates state and federal laws and regulations throughout the company; assists with the identification of business owners to lead implementation efforts and subject matter experts to participate on project teams; and provides enterprise-wide reporting on implementation status and compliance concerns.
Provides guidance to and works collaboratively with area leaders to identify and implement improvements in the company's regulatory process.
Obtains and maintains an awareness of industry regulatory trends, organizational developments, and company strategies that could impact the success of regulatory projects.
Extracts, analyzes, and reports regulatory data develops and produces standard, customized and ad-hoc reports.
Performs administrative duties related to the company's regulatory database.
Maintains knowledge of database design, data definitions, system capabilities, and data integrity issues. Develops and/or modifies requirements, business design specifications, user training and documentation.
Requires a BA/BS degree, 3-5 years of responsible and effective regulatory or compliance related experience in healthcare or managed care industry that includes data analysis, reporting, research, problem-solving and project management experience; or any combination of education and experience, which would provide an equivalent background.
Medicare experience is required
Experience with compliance and regulatory duties is an asset
Coding experience is required
Claims processing background is required
Detailed oriented organizational skills is required
Investigative skills is an asset
Must be able to sit onsite in Tampa, FL (5600 Mariner St.)
Anthem, Inc. is ranked as one of America's Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran.