Compliance Manager

Elevance Health • Waukesha, IL

61d • 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 a subject matter expert. Conduct complex investigations, document findings, and ensure corrective actions are made. Interface with external clients, regulators, vendors, suppliers, internal stakeholders and 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.
• Regulatory compliance experience strongly preferred.
• Medicare, Medicaid, and/or Commercial experience strongly preferred.
• Regulatory analysis experience preferred.
• Health insurance industry experience preferred.
• Risk assessment and audit experience preferred.
• Client engagement experience preferred.
• 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 a subject matter expert
• Conduct complex investigations, document findings, and ensure corrective actions are made
• Interface with external clients, regulators, vendors, suppliers, internal stakeholders and 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).
• We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level