Compliance Manager

Elevance Health • Louisville, KY

10d • $93,156 - $139,734 • Hybrid

About The Position

The Compliance Manager is responsible for managing foundational and strategic compliance responsibilities with consistent excellence in support of the team and management. This hybrid role requires associates to work in-office one day per week; candidates must be within a reasonable commuting distance of the posting location unless an accommodation is granted as required by law. Ability to travel may be required.

The role manages and oversees projects, initiatives, regulatory and internal audits or exams, accreditations, on-site reviews, risk assessments, audit planning, mock audits, audit training, audit evidence preparation, and assessments of audit preparedness. The manager establishes project plans, gap analyses, milestones, and leadership updates; maintains knowledge of relevant laws, regulations, and company strategies; and consults with clients as a subject matter expert. The role also conducts complex investigations, documents findings, ensures corrective actions are completed, and interfaces with external clients, regulators, vendors, and suppliers, as well as internal stakeholders and senior management.

The position requires a BA/BS and at least six years of healthcare, regulatory, ethics, compliance, or privacy experience, or an equivalent combination of education and experience. Preferred qualifications include healthcare regulatory compliance experience, particularly within a health plan or managed care organization; experience with audits, risk assessments, internal controls, leadership and Board reporting, regulatory submissions, and corrective action plans; strong root cause analysis, gap assessment, and project management skills; and proficiency with Microsoft Office. A CPA or other relevant professional certification is preferred.

For candidates working in person or virtually in Maryland or New York, the stated salary range is $93,156 to $139,734. Elevance Health describes a comprehensive benefits package, incentive and recognition programs, and an equity stock purchase and 401(k) contribution, subject to eligibility. The role is listed as Non-Management Exempt and first shift.

Requirements

• BA/BS and a minimum of 6 years of healthcare, regulatory, ethics, compliance, or privacy experience; alternatively, an equivalent combination of education and experience.
• Ability to travel may be required.

Nice To Haves

• Healthcare regulatory compliance experience, preferably within a health plan or managed care organization.
• Experience with internal audits, annual risk assessments, and internal controls.
• Experience preparing compliance reports for leadership and the Board of Directors.
• Experience coordinating government deliverables and regulatory submissions.
• Experience developing, monitoring, and validating corrective action plans (CAPs).
• Strong root cause analysis, gap assessment, and project management skills.
• Proficiency in Microsoft Office applications, including Excel, Word, and PowerPoint.
• Certified Public Accountant (CPA) or other relevant professional certification.

Responsibilities

• Manage and oversee projects, initiatives, regulatory audits or exams, internal audits, accreditations, on-site reviews, and risk assessments.
• Plan audits, conduct mock audits and audit training, manage audit evidence preparation, and assess audit preparedness.
• Establish project plans, gap analyses, milestone dates, and other significant project elements; provide leadership updates.
• Maintain knowledge of laws, regulations, and company strategies to assess their 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, and suppliers, as well as internal stakeholders and high levels of management.

Benefits

• Comprehensive benefits package, subject to eligibility requirements.
• Incentive and recognition programs.
• Equity stock purchase and 401(k) contribution, subject to eligibility requirements.
• Merit increases.
• Paid holidays.
• Paid Time Off.
• Incentive bonus programs, unless covered by a collective bargaining agreement.
• Medical, dental, and vision benefits.
• Short- and long-term disability benefits.
• 401(k) with match.
• Stock purchase plan.
• Life insurance.
• Wellness programs.
• Financial education resources.

What This Job Offers

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