/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 willdrive 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.
TheProject Leaderis responsible for providing support to the Business Associate Process and to the Regulatory Alert Process/System within the Compliance Team.
The Business Associate process is responsible for the administrative functions related to Anthem's relationship with their ASO (Administrative Services Only) clients. Anthem requires the ASO client to provide a document that outlines the services agreed to between Anthem and the client. If the client requests a non- standard agreement, both parties must come to a final agreement and that document is stored in the Contraxx system. This position is providing the administrative functions associated with the BAA (Business Associate Agreement) process.
The Regulatory Alert Process enters the completed Alerts to Metric Stream and ensures that the Alerts are issued to the appropriate State Compliance Directors and other areas that are responsible for the implementation of the Alerts. This position will provide administrative support to the Authors.
_Primary Duties: Supporting BAA function_
Attain working knowledge of Business Associate Agreement (BAA) compliance requirements
Work collaboratively with Business Units to ensure ASO groups have a BAA on file
Research and respond to inquiries received in ASO BAA shared mailbox
Log non-standard BAA requests on SharePoint site
Upload fully executed Business Associate Agreements to contracts database
Notify Privacy Office when non-standard BAA provisions have been negotiated
Validate BAA files for monthly metrics reporting
Assist with development of process workflows
Partner with sales and account management to prepare state specific BAA reports for local groups
Reconcile National group reports to BAA status
_Primary Functions- Support Regulatory Alert Process_
Review bills, regulations and state issued bulletins as to applicability for possible Regulatory Alerts (Compliance/legal Analysis).
Create a document/record in Compliance 360. Enter information in preliminary fields such as title, subject and various dates. Send reports to authors in regard to pending alerts.
Provide Administrative Support to the Regulatory Alert System
BS/BA degree in a related field; 3 years of experience as a member of a project team, or any combination of education and experience, which would provide an equivalent background.
Good oral/written communication skills
Knowledge of Microsoft Office software/products
Intermediate/advanced Excel skills a plus
Knowledge of basic legislative process or state regulatory experience
Research experience and the ability to make decisions based on research findings
Paralegal background or similar experience a plus
/Anthem, Inc. is ranked as one of America's Most Admired Companies among health insurers by Fortune magazine and is a 2016 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at antheminc.com/careers. EOE. M/F/Disability/Veteran./
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Equal Employment Opportunity Statement
Anthem, Inc. will recruit, hire, train and promote persons in all job titles without regard to age, color, disability, gender (including gender identity), marital status, national origin, race, religion, sex, sexual orientation, veteran status, or other status protected by applicable law. In addition, all personnel actions such as compensation, promotion, demotion, benefits, transfers, staff reductions, terminations, reinstatement and rehire, company-sponsored training, education and tuition assistance, and social and recreational programs will be administered in accordance with the principles of equal employment opportunity.
Title: Project Leader 134387
Location: connecticut-East Haven
Requisition ID: 134387
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