Compliance Audit Specialist
Company: Anthem, Inc
Location: Fort Myers
Posted on: May 3, 2021
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Job Description:
Description SHIFT: Day Job SCHEDULE: Full-time Your Talent. Our Vision. At Americas First Choice, a proud
member of the Anthem, Inc. family of companies, its a powerful
combination, and the foundation upon which were 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. Location: This position ca be located in Florida, Wisconsin,
Georgia, Alabama, North Carolina or South Carolina Compliance Audit Specialist Responsible for ensuring program
integrity by establishing an audit process that is efficient and
effective in monitoring operations, and compliance with Federal,
State laws and regulations, CMS, OIG, as well as contractual
obligations. Primary duties may include, but are not limited to: Performs audits of external entities ensuring the fundamental
systems of internal controls are in place and functioning; Claims,
Call Center Operations, Network Management and Compliance Program
Integrity ensuring adherence to contractual, regulatory, statutory
and company standards Assist management in identification and analysis of relevant
risks to achieving predetermined business objectives. Prepares appropriate written audit findings and recommendations
for approval by the management team. Assists in the preparation of materials for major compliance
initiatives including external audits, site reviews, accreditations
and required submissions to regulatory or oversight bodies Completes Special Projects as assigned Qualifications Requires BA/BS degree, 2 years related experience; or any
combination of education and experience, which would provide an
equivalent background. Analytical and Critical Thinking Skills Excellent Verbal and Written Communication Skills Audit or related Medicare Experience Proficient in Microsoft Office, PowerPoint and Excel Medicare Claims Processing Experience Anthem, Inc. is ranked as one of Americas Most Admired Companies
among health insurers by Fortune magazine and has been named a 2019
Best Employers for Diversity by Forbes. To learn more about our
company and apply, please visit us at careers.antheminc.com. An
Equal Opportunity Employer/Disability/Veteran. Anthem promotes the
delivery of services in a culturally competent manner and considers
cultural competency when evaluating applicants for all Anthem
positions. REQNUMBER: PS43558
Keywords: Anthem, Inc, Fort Myers , Compliance Audit Specialist, Other , Fort Myers, Florida
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