Anthem Regulatory Compliance Director-Office Based in CA or NV (PS14458KT) in Las Vegas, Nevada

Regulatory Compliance Director-Office Based in CA or NV (PS14458KT)

Location: Fresno, California, United States

Field: Fraud

Requisition #: PS14458

Post Date: Nov 09, 2018

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 atone of America's leading health benefits companies and a Fortune Top 50 Company.

Regulatory Compliance Director

The successful candidate would be responsible for managing regulatory compliance functions including facilitating market conduct exams and ensuring timely implementation of new laws and regulations.Responsible for planning and directing policies, programs and initiatives related to regulatory compliance.

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.

  • Creates, implements, and maintains a formal compliance structure for an assigned state(s) which includes setting up the processes and procedures that will ensure compliance and by which it is confirmed that business units are in compliance with laws and regulations.

  • Establishes and maintains a program to prevent, detect and remediate actual or potential compliance risks and issues.

  • Provides subject matter expertise.

  • May interact with state and/or federal regulators.

Qualifications:

  • 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.

  • Proficient in Microsoft Office

  • Must be able to sit onsite in California or Nevada

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. An Equal Opportunity Employer/Disability/Veteran.