Compliance Consultant

Description

Compliance Consultant

Locations: Grand Prairie, TX and Virginia Beach, VA preferred. Open to other Elevance Health Open Access Office Locations

Elevance Health operates in a Hybrid Workforce Strategy, providing various levels of flexibility while also ensuring that associates have opportunities to connect in-person. Unless in a designated virtual-eligible role and 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.

The Compliance Consultantis responsible for delivering and executing foundational compliance responsibilities that support the team and management at the advanced level.

How You Will Make an Impact

Primary duties may include, but are not limited to:

• Report, communicate, research laws, regulations, requirements, regulatory audits and/or exams.
• Provide support to various compliance activities including, but not limited to, regulatory audits or exams, internal audits, accreditations, on-site reviews, and risk assessments.
• Assist in development and/or delivery of training and education.
• Coordinate, disseminate, respond to and track all State complaints within the organization.
• Review, approve, and submit member facing material to the State for approval.
• Track State collateral material submissions.
• Develops, implements, and maintains compliance desktop procedures, job aides.
• Track and monitor risks and issues through resolution.
• Track, review and submit regulatory required filings with the Texas Department of Insurance that may include policy and procedures, contract agreements, etc..
• May interact with Health Plan leadership to review and evaluate required contractual, state or federal requirements for response and/or filing.
• Manage through tracking and oversight of the department’s communications mailbox.
• Review and submit response to State member complaints.
• Perform other regulatory and compliance duties as assigned.

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.

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.