Anthem Regulatory Compliance Consultant - US - #131100 in Louisville, Kentucky

/Your Talent. Our Vision./At Anthem, Inc.,it’s a powerful combination, and the foundation upon which we’re creating greater care for our members, greater value for our customers, and greater health for our communities. Join us and together we willdrive the future of health care.

This is an exceptional opportunity to do innovative work that means more to you and those we serve atone of America's leading health benefits companies and a Fortune Top 50 Company.

TheRegulatory Compliance Consultantwill be responsible for providing oversight and guidance of regulatory compliance functions for a major 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. * Is responsible for the subject matter expertise on regulatory matters generally about fraud, waste, and abuse. * 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.

  • Requires a BA/BS in a related field, 3-5 years of compliance, regulatory, and/or customer service experience; or any combination of education and experience, which would provide an equivalent background.
  • Previous healthcare, fraud, or policy interpretation experience preferred.

/Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2014 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at EOE. M/F/Disability/Veteran.__/

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Title: Regulatory Compliance Consultant - US - #131100

Location: KY-Louisville

Requisition ID: 131100