Job Details

ID #2729086
State California
City Westcovina
Full-time
Salary USD TBD TBD
Source Anthem
Showed 2019-09-24
Date 2019-09-25
Deadline 2019-11-23
Category Et cetera
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Clinical Quality/Compliance Admin Sr -Remote- PS27780

California, Westcovina 00000 Westcovina USA

Vacancy expired!

Clinical Quality/Compliance Admin Sr -Remote- PS27780Location: United StatesNewRequisition #: PS27780Your 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 healthcare .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.Clinical Quality Compliance Admin Sr -Remote- PS27780Summary: The Clinical Quality Compliance Admin Sr. is responsible for participating in Quality Management (QM) activities that ensure programs meet accreditation and regulatory standards.Primary duties may include, but are not limited to:

Prepares QM Department for oversight audits.

Prepares corrective action plans in response to oversight body's request. Conducts audits of QM processes and files.

Writes policies and procedures. Assists with development of provider manuals, audit tools, and guidelines.

Coordinates flow of information and documentation between associates responsible for day-to-day activities related to accreditation or regulatory reviews.

Develops and implements accreditation and regulatory review tracking system. Maintains accreditation and/or regulatory review compliance library.

Creates audit tools, reports, standardized policies and procedures, and provider manuals.

Facilitates implementation of survey or regulatory recommendations. Assesses and evaluates progress towards meeting standards.

Recommends new process.

Trains associates on new and revised standards.

Compiles documentation for presentation to accrediting/regulatory organization.

Qualifications:

Requires an AS in Nursing;

5 years of experience in a healthcare setting including 3 years of quality management experience and/or experiencing preparing for regulatory/accreditation audits; or any combination of education and experience, which would provide an equivalent background.

Current unrestricted RN license in applicable state(s) required.

Knowledge of regulatory/accreditation standards required.

BSN is preferred.

Ability to travel may be required.

Anthem, Inc. is ranked as one of America’s MostAdmired Companies among health insurers by Fortune magazine and is a 2018Diversity Inc magazine Top 50 Company for Diversity. To learn more about ourcompany and apply, please visit us at careers.antheminc.com. An EqualOpportunity Employer/Disability/Veteran.

Vacancy expired!

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