Vacancy expired!
Staff VP Compliance, Medicare Risk Adjustment (PS21260)Location: United StatesNewField: FraudRequisition #: PS21260Your 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. This position maybe located in one of Anthem's office locations nationwide.Responsible for overseeing and leading the implementation of a division's initiatives, programs and processes with consistent excellence that supports the company, develops the team, and honors the company's values.Primary duties with the most expert skill level and tasks with the most advanced complexity and broad/enterprise scale may include, but are not limited to:
Plan, design, develop and lead programming in making Anthem's Ethics, Compliance & Privacy program highly effective.
Oversees programs for multiple departments/functions with advance multiple layers and objectives.
Designs strategic plans for the overall Compliance function.
Leads the Medicare Risk Adjustment Compliance area.
Will lead Medicare Risk Adjustment Audit and Regulatory functions.
Hires, trains, coaches, counsels, and evaluates performance of direct reports; collaborates with management to set strategic vision;
Will lead a team of direct and indirect associates
Education and Experience:
BA/BS; MS/MBA/JD or professional designationpreferred.
Leadership experience in Medicare Advantage (MA) Programs.
Medicare Risk Adjustment Compliance andOperations.
StrongMedicare Risk Adjustment or MA payment auditing experience.
Demonstratedexperience with CMS and external oversight entities.
DOJexperience strongly preferred.
10 years of health care, regulatory, ethics,compliance or privacy experience; or any combination of education andexperience, which would provide an equivalent background;
Familiarity with medical coding stronglypreferred
8-10 years management experience, includingstrong leadership/managerial skills and experience managing virtual teams
Demonstrated experience developing and buildingteams
Ability totravel may be required.
Anthem, Inc. is ranked as one of America’sMost Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityIncmagazine Top 50 Company for Diversity. To learn more about our company andapply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran.
Vacancy expired!