Compliance Manager (US)
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.
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
- 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).
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Number of Employees
5,001-10,000 employees
