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Regulatory Oversight Manager - Charleston, WV - PS9287 in Charleston, WV at Anthem, Inc.

Date Posted: 7/12/2018

Job Snapshot

Job Description

Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater 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 Oversight Manager
Responsible for providing enterprise-wide reporting and oversight of federal and state regulatory implementation, compliance and exam activities. This is an experienced associate with knowledge specific to the company who can handle highly complex assignments or projects. Primary duties may include, but are not limited to:
  • Serves as liaison to state Medicaid agency.
  • Builds effective working relationships.
  • Collaborates with state Medicaid agency with respect to contract and program changes.
  • Serves as internal subject matter expert with respect to state Medicaid program requirements, applicable laws and regulations and state contracts.
  • Communicates state and federal laws and regulations throughout the company.
  • Assists with the identification of business owners to lead implementation efforts and subject matter experts to participate on project teams; provides enterprise-wide reporting on implementation status and compliance concerns.
  • Supports and provides expertise to corporate-wide projects and monitoring the development of implementation plans, gap analysis, milestone dates, and other significant aspects of corporate-wide projects. 
  • Provides guidance to and works collaboratively with compliance areas, Legal, IT, Planning and Project Execution Units, and the Enterprise Portfolio Management Office to identify and implement improvements in the company's regulatory process.
  • Leads and manages enterprise-wide efforts to improve responsiveness to and consistency of company responses to market conduct exams; and provides enterprise-wide reporting on exam status, penalties and trends.
  • Obtains and maintains an awareness of industry regulatory trends, organizational developments, and company strategies that could impact the success of regulatory projects.
  • Serves as a database subject matter expert and maintains knowledge of database design, data definitions, system capabilities, and data integrity issues. 
  • Must be able to perform all duties of lower level positions as directed by management.

Requires a BA/BS degree, 5 - 7 years of responsible and effective regulatory or compliance related experience, 2 years of regulatory oversight experience; or any combination of education and experience, which would provide an equivalent background. Professional certification in a related field preferred. Ability to travel maybe required.


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