About the role

  • Compliance Manager overseeing regulatory audits and compliance projects at Elevance Health. Ensuring adherence to regulations and managing audits while collaborating with various stakeholders.

Responsibilities

  • Manage/oversee projects, initiatives, regulatory audits or exams, internal audits, accreditations, on-site reviews, risk assessments
  • Audit planning, conducting mock audits, conducting audit training, managing audit evidence preparation, assessing audit preparedness
  • Establish project plans, gap analysis, milestone dates, and other significant aspects, and leadership updates
  • Maintain knowledge of laws, regulations, company strategies to assess impact, and consult with clients as subject matter expert
  • Conduct complex investigations, document findings, and ensure corrective actions are made
  • Interface with external clients, regulators, vendors, suppliers; internal stakeholders, high level of management

Requirements

  • Requires a BA/BS
  • Minimum of 6 years health care, regulatory, ethics, compliance or privacy experience
  • MS/MBA/JD or professional designation preferred
  • Six Sigma certification preferred
  • Regulatory compliance experience strongly preferred
  • Medicare, Medicaid, and/or Commercial experience strongly preferred
  • Regulatory analysis experience strongly preferred
  • Utilization management (UM) knowledge and experience strongly preferred
  • Health insurance industry experience preferred
  • Risk assessment and audit experience preferred
  • Client engagement experience preferred
  • Strong written and oral communication skills
  • Experience presenting to senior leaders up through C-Suite preferred.

Benefits

  • comprehensive benefits package
  • incentive and recognition programs
  • equity stock purchase
  • 401k contribution
  • merit increases
  • paid holidays
  • Paid Time Off
  • wellness programs
  • financial education resources

Job title

Compliance Manager

Job type

Experience level

Mid levelSenior

Salary

$97,592 - $146,388 per year

Degree requirement

Bachelor's Degree

Location requirements

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