Anthem, Inc. Regulatory Compliance Manager in Plantation, Florida
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 benefits companies and a Fortune Top 50 Company.
Regulatory Compliance Manager –
Responsible for managing regulatory compliance functions for a major business segment, including state regulatory compliance, communications compliance and policy language development.
Primary duties may include, but are not limited to:
Develops, implements and maintains formal compliance structure and computer and filing systems for compliance materials.
Create the structure and processes necessary to manage filings and related activities.
Manages process for drafting all policy language and reviews all written materials for compliance with state and federal regulations, as well as contractual requirements.
May interact with legal department to review and evaluate required state regulatory filings.
Responsible for navigating and maintaining strong knowledge of Medicare regulatory compliance requirements
Conducting Audit and Monitoring Oversight Activities to ensure compliance with regulations
Preparation of written audit reports and communications to Compliance Management Team
Requires a BA/BS in a related field and minimum of 5 years related regulatory or contract compliance; or any combination of education and experience, which would provide an equivalent background. Ability to analyze, write and integrate highly technical information into action plans strongly preferred.
Sales & Marketing Oversight experience preferred
Audit and Monitoring Oversight experience preferred