Anthem, Inc. Compliance Manager in Virginia Beach, Virginia
SHIFT: Day Job
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 care companies and a Fortune Top 50 Company
The Compliance Manager is responsible for managing foundational and strategic compliance responsibilities with consistent excellence that supports the team and management.
Primary duties for this managing level position, with moderate to advanced complexity and broad/enterprise scale, may include, but are not limited to:
Manage/oversee projects, 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.
Establish project plans, gap analysis, milestone dates, and other significant aspects, and leadership updates.
Maintain knowledge of laws, regulations, company strategies to assess impact, and consult with clients as subject matter experts.
Conducts complex investigations, document findings, and ensure corrective actions are made.
Interface with external clients, regulators, vendors, suppliers; internal stakeholders, high level of management.
Support State and customer audit engagement and deliverables
Coordinate and submit responses for external CAPs, penalties, and audit findings
Monitor contractual and regulatory performance metrics (conduct targeted compliance reviews of contractual requirements)
Support risk and issue program management (monitor internal CAP, evaluate the effectiveness of corrective action plans arising from prior performance deficiencies, etc.)
Leverage identified risks/trends and perform monitoring reviews of critical processes within various business areas in or supporting the health plan.
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 careers.antheminc.com. 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.
Requires a BA/BS and minimum of 6 years health care, regulatory, ethics, compliance or privacy experience; or any combination of education and experience, which would provide an equivalent background.
Ability to travel may be required.
MS/MBA/JD or professional designation preferred.
The Compliance Manager role is limited to the Chief Compliance Officer business unit. If you believe this to be the best match for your position, please consult with your Human Resources business partner prior to using this job (HRBP should work with Compensation).
Applicable to Colorado Applicants Only
Annual Salary Range*: $97,000-$116,400
Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
- The hourly or salary range is the range Anthem in good faith believes is the range of possible compensation for this role at the time of this posting. The Company may ultimately pay more or less than the posted range. This range is only applicable for jobs to be performed in Colorado. This range may be modified in the future. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.