Compliance Consultant Senior
Elevance Health

Job Info

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Compliance Consultant Senior

Location: This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations.

The Compliance Consultant Senior will be responsible for delivering and executing foundational and strategic compliance responsibilities with consistent excellence that support the team and management at the most senior advanced level. The Compliance Consultant Senior assists Compliance Managers from the Medicaid Compliance Business Development Team in Medicaid Implementations by supporting state-mandated readiness reviews.

How you will make an impact:

• Collaborates with business partners on interpreting readiness review requirements; universe audits; reporting submissions; and State regulator communications. This may include facilitating meetings and participating in on site readiness reviews.
• Works closely with the Government Business Execution Team and Medicaid Plan Compliance Officers in varying markets.
• At the most senior advanced level, report, communicate, research laws, regulations, requirements, regulatory audits and/or exams.
• Provide senior level analytical support to projects, initiatives, regulatory audits or exams, internal audits, accreditations, on-site reviews, risk assessments.
• Utilize systems unique to job functions, including standard-issue software such as Microsoft products; maintain system documentation, serve as subject matter expert, train users of system, contribute to system design, oversight or maintenance.
• Apply critical thinking to formulate strategies and concepts that drive results, persuade and influence others, adapt to change, and manage conflict.
• Travels to worksite and other locations as necessary.

Minimum Requirements:

Requires a BA/BS and minimum of 5 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:

• Prior project management experience preferred.
• Experience with SharePoint and Excel highly preferred.
• Familiarity with JIRA preferred.

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