Compliance Manager (US)

Elevance Health • Indianapolis, IN

5d • Hybrid

About The Position

Compliance Manager Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Compliance Manager will be responsible for managing foundational and strategic compliance responsibilities with consistent excellence that support the team and management. How you will make an impact: 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. Conducts complex investigations, document findings, and ensure corrective actions are made. Interface with external clients, regulators, vendors, suppliers; internal stakeholders, high level of management. Minimum Requirements: Requires a BA/BS and minimum of 6 years health care, regulatory, ethics, compliance or privacy experience; or any combination of education and experience, which would provide an equivalent background. Preferred Skills, Capabilities and Experiences: 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 as well as experience presenting to senior leaders up through C-Suite preferred. For candidates working in person or virtually in the below locations, the salary range for this specific position is $97,592 to $146,388. Location(s): Illinois In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education, and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

Requirements

• Requires a BA/BS and minimum of 6 years health care, regulatory, ethics, compliance or privacy experience; or any combination of education and experience, which would provide an equivalent background.

Nice To Haves

• 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 as well as experience presenting to senior leaders up through C-Suite preferred.

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.
• Conducts complex investigations, document findings, and ensure corrective actions are made.
• Interface with external clients, regulators, vendors, suppliers; internal stakeholders, high level of management.

Benefits

• Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 5,001-10,000 employees