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Regulatory Compliance Director (Ethics) PS17943

Anthem, Inc
Knoxville, TN
4 days ago: Anthem, Inc

Job Description

Regulatory Compliance Director (Ethics) PS17943
Location: Cerritos, California, United States
Field: Fraud
Requisition #: PS17943
Post Date: Mar 20, 2019
_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.
Preferred Location: CareMore headquarters in Cerritos, California or our Aspire headquarters in Nashville, Tennessee.
This Regulatory Compliance Dir supports Anthem’s enterprise Ethics program, with a focus on our CareMore and Aspire entities.
This position is responsible for implementing Anthem’s Ethics programming. Those duties include but are not limited to the following:
+ Builds relationships with business partners, including medical staff at clinics.
+ Investigates associate misconduct.
+ Provides guidance and counsel on ethical matters such as conflicts of interest, screenings against governmental exclusion lists, reporting compliance concerns, Code of Conduct questions, policy interpretation, etc.
+ Advocates a speak up culture, and enforces a strong culture integrity.
Primary duties may include, but are not limited to:
Designs and implements programs, policies and practices to ensure compliance with specific laws and related compliance functions. Maintains compliance with federal, state and local regulatory requirements. In conjunction with management, formulates and establishes company policies, operating procedures, and goals. Monitors compliance standards and coordinates all aspects of implementation including training. Evaluates existing policies and procedures to coordinate internal practices and to ensure compliance with regulations.
Requires a BA/BS; 8-10 years of compliance or healthcare related experience; or any combination of education and experience, which would provide an equivalent background. The ideal candidate will have experience overseeing and implementing ethics programming in the health care delivery space, such as a large provider clinic or health system. A medical degree is preferred, but not required. Some travel may be required.
_Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at careers.antheminc.com_
Regulatory Compliance Director (Ethics) PS17943 Location: Cerritos, California, United States Field: Fraud Requisition #: PS17943 Post Date: Mar 20, 2019_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 Americas leading health benefits companies and a Fortune Top 50 Company. Preferred Location:...