Location: Tampa, FL; Walnut Creek, CA; Waukesha, WI; Indianapolis, IN; Virginia Beach, VA; or Mason, OH. 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 Director I Compliance is responsible for directing compliance/implementation initiatives. This position provides management oversight and compliance support for Elevance Health's Medicaid line of business in implementation support. This position plays a critical role in facilitating the State- required readiness reviews and onsite readiness meetings with our regulators. This leader works closely with our Government Business Execution team and Health Plan to ensure proper Compliance resources are assigned to critical procurements in the market. This leader will also work with the Medicaid Growth Directors and Business Development to help support the incoming pipeline of new or expanded Medicaid business, assisting with assigning interim Plan Compliance Officers that will work with the State Regulators and Plan Presidents to ensure readiness upon go live.
How you will make an impact:
Compare compliance performance to that of other organizations through benchmarking.
Directs and leads compliance programs with multiple layers, objectives, tasks, stakeholders, requirements; assess and report on program/process effectiveness; creates policies, procedures and tools needed to operate daily function of program; manage/oversee/influence resources impacting projects or programs from matrixed organizations under different leadership.
Develops and leads strategic compliance plans, makes recommendations to leadership.
Performs quality oversight of departmental work products/output; plan, document and communicate department work, noting accountable direct reports and deadlines.
Collaborates with management to set strategic vision.
Travels to worksite and other locations as necessary.
Hires, trains, coaches, counsels, and evaluates performance of direct reports.
Minimum Requirements:
Requires a BA/BS and minimum of 8 years health care, regulatory, ethics, compliance or privacy experience, including minimum of 3 years management experience; or any combination of education and experience, which would provide an equivalent background.
Preferred Skills, Capabilities, and Experiences:
Medicaid experience
Strong leadership/managerial skills and ability to motivate/coach other staff strongly preferred.
MS/MBA/JD or professional designation preferred.
For candidates working in person or remotely in the below location(s), the salary* range for this specific position is $146,304 to $219,456.
Locations: Walnut Creek, CA
In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.
* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.
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.com for assistance.
