Anthem Regulatory Oversight Analyst PS11287 in Whittier, California

Regulatory Oversight Analyst PS11287

New

Location: Seattle, Washington, United States

Field: Fraud

Requisition #: PS11287

Post Date: 2 days ago

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: Seattle, WA but may consider other locations depending upon qualifications and ability to work Pacific Time business hours.

The Regulatory Oversight Analyst is responsible for providing enterprise-wide reporting and oversight of federal and state regulatory implementation, compliance and exam activities. Primary duties may include, but are not limited to: Communicates state and federal laws and regulations throughout Anthem and provides enterprise-wide reporting on implementation status and compliance concerns. Participates in enterprise-wide efforts to improve responsiveness to and consistency of Anthem's 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 Anthem strategies that could impact the success of regulatory projects. Assists in the extraction, analysis, and reporting of regulatory data. Establishes and maintains knowledge of database design, data definitions, system capabilities, and data integrity issues. Participates in developing and/or modifying requirements, business design specifications, user training and documentation. Researches and documents business issues, translates business requirements to technical staff/vendor to ensure that requirements are incorporated into system design. Tests and documents solutions and serves as the liaison between users of the tool and technical staff/vendor.

Requires a HS Diploma or GED; 1-2 years of health care, regulatory or legal experience that includes data analysis and reporting; or any combination of education and experience, which would provide an equivalent background. Ability to travel may be required.

Preferred:

  • BA/BS degree

  • Excel and Access skills

  • Experience with Medicaid or other state agencies

  • Experience with SERFF system for contract filings a plus.

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