Job added in hotlist
Applied job
Contract job
Recruiter job
Employer job
Expanded search
Apply online not available
Similar Jobs
Senior Associate - AML & Regulatory Comp
Des Moines, IA
Apply Now >
Compliance Analyst - Social Media/Ad Rev
Principal Financial Services, Inc
Des Moines, IA
Apply Now >
Clinical Compliance Consultant PS7578
Anthem Insurance Companies, Inc
Des Moines, IA
Apply Now >
Clinical Quality/Compliance Admin-FEP-PS8141
Anthem Insurance Companies, Inc
Des Moines, IA
Apply Now >
Clinic Compliance Coordinator - Mercy Clinic Administration
Catholic Health Initiatives
Des Moines, IA
Apply Now >
View more jobs in West Des Moines, IA
View more jobs in Iowa

Job Details

Clinical Quality/Compliance Admin-FEP-PS8141

Company name
Anthem Insurance Companies, Inc

West Des Moines, IA
2 hit(s)  


Clinical Quality/Compliance Admin-FEP-PS8141



United States



Requisition #:


Post Date:

4 hours 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.

The Clinical Quality/Compliance Admin will be responsible for coordinating Quality Management (QM) activities related to compliance and accreditation for an assigned SBU. Primary duties may include, but are not limited to:

Develops and maintains pertinent compliance plans.

Monitors adherence to plans and prepares status reports.

Conducts audits, identifies training and communication needs, and implements related programs.

Ensures all policies and procedures are updated as legislation or accreditation standards change.

Implements standardization of procedures and documentation within SBU.

Develops and delivers executive level presentations and represents senior management on compliance issues and related committees.

This position may work from any Anthem location and can work remotely.

Requires a BA/BS; 3 years of compliance, audit or quality improvement experience; or any combination of education and experience, which would provide an equivalent background.

Experience with regulatory/accreditation audits and knowledge of regulatory/accreditation standards in a health or managed care environment is preferred.

Ability to travel overnight may be required.

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

Case management experience is required.

Utilization management experience is preferred.

Must have knowledge of NCQA.

Experience with WMDS, ECC, ACMP, and Tri-Med is strongly preferred.

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 EOE. M/F/Disability/Veteran.

Company Profile

Similar Jobs:
\r\nMINIMUN KNOWLEDGE, SKILLS AND ABILITES REQUIRED\\: \r\n\r\n\r\nMinimum two years CPT, ICD9\/ICD10 billing knowledge required.\r\n\r\nMinimum of two years clinics experience preferred.\r\n\r\nProficient in use of computer appli...
At Wells Fargo, we want to satisfy our customers' financial needs and help them succeed financially. We're looking for talented people who will put our customers at the center of everything we do. Join our diverse and inclusive te...
At Wells Fargo, we want to satisfy our customers’ financial needs and help them succeed financially. We’re looking for talented people who will put our customers at the center of everything we do. Join our diverse and inclusive te...
What I liked about the service is that it had such a comprehensive collection of jobs! I was using a number of sites previously and this took up so much time, but in joining EmploymentCrossing, I was able to stop going from site to site and was able to find everything I needed on EmploymentCrossing.
John Elstner - Baltimore, MD
  • All we do is research jobs.
  • Our team of researchers, programmers, and analysts find you jobs from over 1,000 career pages and other sources
  • Our members get more interviews and jobs than people who use "public job boards"
Shoot for the moon. Even if you miss it, you will land among the stars.
ComplianceCrossing - #1 Job Aggregation and Private Job-Opening Research Service — The Most Quality Jobs Anywhere
ComplianceCrossing is the first job consolidation service in the employment industry to seek to include every job that exists in the world.
Copyright © 2018 ComplianceCrossing - All rights reserved. 21