Job Family: Enterprise Operations
Type: Full time
Date Posted: Dec 05, 2023
Reference: JR97185
Description
Compliance Consultant
Location: Norfolk, VA., Indianapolis, IN. Mason, OH., Atlanta, GA.
Proximity/ within 50 miles to an Elevance Health major office (pulse point) is required.
Elevance Health supports a hybrid workplace model with pulse point sites used for collaboration, community, and connection.
The Compliance Consultant position responsibilities are focused on meeting Elevance Health's contractually required reporting into State regulatory bodies.
How You Will Make an Impact
Primary duties may include, but are not limited to:
The identification of new or modified reporting requirements.
Communicating report specifications, including required reporting components; reporting timelines; formatting and template preferences.
Working across health plan and corporate business areas to identify report business owners.
Timely report submissions into regulatory agencies.
Facilitating report issue resolution.
Maintaining reporting repositories, including report metric tracking systems.
Establishing strong partnerships across the organization to meet position responsibilities and goals.
Report, communicate, research contracts, regulations, and reporting requirements.
Provide support, as regulatory reporting subject matter expert, to regulatory audits or exams, internal audits, accreditations, on-site reviews, risk assessments.
At the advanced level, analyze and extract regulatory data, documentation for compliance with requirements.
Participate in regulatory reporting compliance monitoring to identify process gaps, validate compliance levels, map reporting processes, draft corrective actions/remediation plans for delinquent and/or inaccurate reporting.
Conduct investigations, document findings, update stakeholders and leadership on reporting developments and issues, comply with notification requirements, and ensure corrective actions are made.
Travels to worksite and other locations as necessary.
Minimum Requirements:
Requires a BA/BS and minimum of 3 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:
Strong excel skills highly preferred.
Effective communication preferred.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
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.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
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 elevancehealthjobssupport@elevancehealth.comfor assistance.