Compliance Consultant

Posted:
10/15/2024, 5:00:00 PM

Location(s):
Ohio, United States ⋅ Louisville, Kentucky, United States ⋅ Georgia, United States ⋅ Kentucky, United States ⋅ Atlanta, Georgia, United States ⋅ Wisconsin, United States ⋅ Indianapolis, Indiana, United States ⋅ Waukesha, Wisconsin, United States ⋅ Cincinnati, Ohio, United States ⋅ Indiana, United States

Experience Level(s):
Mid Level

Field(s):
Consulting

Workplace Type:
Hybrid

Anticipated End Date:

2024-11-05

Position Title:

Compliance Consultant

Job Description:

Location: This position will take part in Elevance Health's hybrid workforce strategy which includes virtual work and 1-2 days in office per week.

**The ideal candidate will live within 50 miles and a 1-hour commute to one of our Elevance Health major office (PulsePoint) locations. Elevance Health supports a hybrid workplace model with PulsePoint sites used for collaboration, community, and connection.

The Compliance Consultant is responsible for delivering and executing foundational compliance responsibilities that support the team and management at the advanced level. This role is a member of the License Filing and Applications Center of Expertise.

How You Will Make an Impact

Primary duties may include, but are not limited to:

  • At the advanced level, report, communicate, research laws at the advanced level, regulations, requirements, regulatory audits and/or exams.
  • Provide advanced level support 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 compliance monitoring to identify process gaps, validate compliance levels, map processes, draft corrective actions/remediation plans.
  • Conduct investigations, document findings, update stakeholders and leadership on developments, comply with notification requirements, ensure corrective actions are made.
  • Assist with the preparation, submission, and tracking of license applications, renewals, and amendments.
  • Conduct research on licensing requirements and regulations to ensure the organization complies with industry standards.
  • Maintain accurate and up-to-date records of all licensing activities and correspondence.
  • Provide support and assistance to senior compliance consultants on various projects and tasks.
  • Liaise with regulatory agencies, clients, and internal stakeholders to gather necessary information and clarify requirements.
  • Input, update, and manage data related to licensing compliance in relevant databases or systems.
  • Review and analyze licensing-related documents for accuracy and completeness.
  • Prepare regular reports on the status of licensing activities and compliance issues.
  • Participate in training sessions to stay current with changes in compliance regulations and licensing requirements.
  • Participate in assessing the organization's exposure to compliance risks and assist in developing mitigation strategies.

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:

  • Travels to worksite and other locations as necessary.
  • Excel – intermediate to advanced skills (formulas, pivot tables, VLOOKUP).
  • 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.
  • Strong Written Communications.
  • Project Management – experience with leading and executing projects.

Job Level:

Non-Management Exempt

Workshift:

1st Shift (United States of America)

Job Family:

FRD > Compliance

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 [email protected] for assistance.