Anthem Inc. Virginia Jobs

Job Information

Anthem, Inc. Regulatory Compliance Consultant in Richmond, Virginia


SHIFT: Day Job

SCHEDULE: Full-time

  • Location and work at home options are available.

Responsible for providing oversight and guidance of regulatory compliance functions for the Medicaid business segment.

Primary duties may include, but are not limited to:

  • Develops, implements, and maintains formal compliance structure for compliance materials.

  • Creates the structure for general contractual compliance which would include setting up the processes and procedures that will ensure compliance and by which we confirm the business unit is complying as well as confirming the business unit has implemented any action plans.

  • Responsible for the subject matter expertise on regulatory matters generally about EAP/Behavioral Health.

  • May interact with legal department to review and evaluate required contractual, state and or Federal regulatory filings that may include policy and procedures, communications and policy language development.


Minimum requirements:

Requires a BA/BS in a related field and minimum of 3 years compliance, regulatory, and/or customer service experience; or any combination of education and experience, which would provide an equivalent background.

Preferred qualifications:

  • Previous healthcare and policy interpretation experience preferred.

  • Proficient in Excel

  • EAP/Behavioral Health experience is a plus

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Anthem, Inc. has been named as a Fortune 100 Best Companies to Work For®, is ranked as one of the 2020 World’s Most Admired Companies among health insurers by Fortune magazine, and a 2020 America’s Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at An Equal Opportunity Employer/Disability/Veteran. Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions.

REQNUMBER: PS62768-Richmond-Richmond