What are the responsibilities and job description for the Compliance Manager position at Elevance Health?
Description
Location - Work From Home
Responsible for managing foundational and strategic compliance responsibilities with consistent excellence that support the team and management.
How you will Impact:
- Serve as a primary liaison
- Intake and coordinate the tracking and submission of contract deliverables
- Field and coordinate responses to regulator inquiries
- Coordinate, prepare for, and facilitate audits and regulator site visits
- Intake and distribute regulator mandates
- Collateral review and submission to regulator
- Contractual/regulatory research requests
- Business initiative review and support
- Federal Medicaid Managed Care Rule advisory and collaboration
Minimum Qualifications:
- 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.
- Minimal travel may be required, up to 15%.
Preferred Qualifications:
- MS/MBA/JD or professional designation preferred.
- Excellent knowledge of the Ohio Medicaid Plan is strongly preferred
- Medicaid knowledge and experience is strongly preferred
- Managed care experience is preferred
- Excel – intermediate to advanced skills (formulas, pivot tables, VLOOKUP)
- Access – intermediate skills (able to create a query, run reports)
- SharePoint – intermediate to advanced skills (ability to navigate comfortably, post documents, create sites/add web part, work with lists, check in/out documents, assist with clean-up work/record retention)
- Analysis/Trending/Reporting Preferred
- Strong Written and Oral Communications Preferred
Please be advised that Elevance Health only accepts resumes from agencies that have a signed agreement with Elevance Health. Accordingly, Elevance Health is not obligated to pay referral fees to any agency that is not a party to an agreement with Elevance Health. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Be part of an Extraordinary Team
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. Previously known as Anthem, Inc., we have evolved into a company focused on whole health and updated our name to better reflect the direction the company is heading.
We are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?
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.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide – and Elevance Health approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Elevance Health is able to reasonably accommodate. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health has been named as a Fortune Great Place To Work in 2021, is ranked as one of the 2021 World’s Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To learn more about our company and apply, please visit us at careers.ElevanceHealthinc.com. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ability@icareerhelp.com for assistance.
