Regulatory Compliance Consult 127462 job in New York City
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|State:||New York (NY)|
|City:||New York City|
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 Consultant
*Location: 9 Pine Street, New York, NY
The Regulatory Compliance Consultant is responsible to perform compliance oversight and monitoring of the organization's Medicaid managed care and Long-Term Care programs as part of the health plan compliance team. Primary duties include active participation in the development, implementation, maintenance and completion of the compliance plan goals and responsibilities. The Consultant will oversee work plan auditing and monitoring to assure compliance with state and federal regulations and contract requirements. The Consultant will plan and conduct compliance monitoring reviews and make recommendations for remedial action based on review findings. The Consultant will review established policies and procedures as well as applicable regulations. The Consultant may interact with external customers such as contracted vendors and state agencies for the purpose of audit and reporting. The Consultant must have strong verbal and written communication skills and the ability to interact positively with a wide variety of individuals and business units.
Requires a BA/BS in a related field, 3-5 years of compliance auditing and monitoring, regulatory or legal experience; or any combination of education and experience, which would provide an equivalent background. Previous experience and focus within New York Medicaid and Medicare managed care programs is preferred.
Anthem, Inc. is ranked as one of America's Most Admired Companies among health insurers by Fortune magazine and is a 2016 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at antheminc.com/careers. EOE. M/F/Disability/Veteran.
|Employer:|| Anthem Inc.|
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