Compliance Director

Description

Be part of an extraordinary team
We are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact? 

We are hiring a Compliance Director. 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: 
•    Directs 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). 
•    Maintains the Anthem relationship with state and federal regulators through effective regulatory meeting management and written communication with regulators and internal business partners. 
•    Provides Joint Venture/Alliance support of regulatory reporting, compliance action follow up and disclosure management
•    Coordinates Compliance dashboard development, reporting, analysis and presentations 
•    Coordinate regulatory requests and business area response to regulator requests, ensuring that the responses are accurate, timely and responsive 
•    Responsible for Compliance Mailbox management and oversight
•    Performs Medicare Compliance Committee report preparation
•    Accountable for Compliance Investigation Data Base oversight and management, reporting and analysis 
•    Coordinates and assist in facilitating compliance investigations. 
•    Reviews and prepares operational performance data for regulatory dashboards for federal and state regulators monthly and ad hoc

Qualifications

Minimum Requirements
Requires a BA/BS and minimum of 8 years health care, regulatory, ethics, compliance or privacy experience; or any combination of education and experience, which would provide an equivalent background. 

Position will work primarily remote, but may require occasional travel to an Anthem office

Preferred Qualifications
Strong leadership/managerial skills and ability to motivate/coach other staff strongly preferred. Ability to travel may be required. MS/MBA/JD or professional designation preferred.
Strong organizational and communication skills
Strong data analysis skills

EST or CST locations preferred

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.

The health of our associates and communities is a top priority for Anthem. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide – and Anthem approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Anthem is able to reasonably accommodate. Anthem will also follow all relevant federal, state and local laws.

Anthem, Inc. has been named as a Fortune Great Place To Work in 2021, is ranked as one of the 2021 World’s Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To learn more about our company and apply, please visit us at careers.antheminc.com. Anthem is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ability@icareerhelp.com for assistance.