Vacancy caducado!
Description SHIFT: Day JobSCHEDULE: Full-timeCompliance DirectorOpen to work from any Anthem office or from home Responsible for directing foundational and strategic compliance responsibilities with consistent excellence that support the team and management. Primary duties with expert skill level and tasks with the most advanced complexity and broad/enterprise scale may include, but are not limited to:
Direct and manage projects, initiatives, regulatory sanctions, executive-sponsored initiatives, regulatory audits or exams, internal audits, accreditations, on-site reviews, risk assessments; audit planning, conducting mock audits, conducting audit training, managing audit evidence preparation, assessing audit preparedness.
Leads compliance monitoring to identify process gaps, validate compliance levels, map processes, draft corrective actions/remediation plans, oversee implementation of corrective actions, prepare reports/presentations.
Leads complex investigations and documents findings.
Develops strategic plans, makes recommendations to leadership; designs/implements annual compliance plan.
Develop strong relationships with key leaders to identify and address compliance risks and failures and manage action plans designed to fully mitigate risk(s).
Qualifications Qualifications:
Requires a BA/BS; MS/MBA/JD or professional designation preferred; 8-10 years of health care, regulatory, ethics, compliance or privacy experience; or any combination of education and experience, which would provide an equivalent background, including strong leadership/managerial skills and ability to motivate/coach other staff.
Experience in Risk Adjustment processes, claims and/or encounter data submission processes, preferred.
Ability to travel may be required
REQNUMBER: PS35237
Vacancy caducado!