Compliance Director

Anticipated End Date:

Position Title:

Job Description:

Compliance Director

Location: 705 5TH AVE S STE 300 Seattle WA. Candidates must reside within 50 miles or 1hour commute each way of a relevant Elevance Health location.

The Compliance Director is responsible for directing foundational and strategic compliance responsibilities with consistent excellence that support the team and management.

How you will make an impact:

• Directs projects initiatives regulatory sanctions executivesponsored initiatives regulatory audits or exams internal audits accreditations onsite reviews risk assessments; audit planning conducting mock audits conducting audit training managing audit evidence preparation assessing audit preparedness.
• Leads compliance monitoring to identify process gaps validate compliance levels map processes draft corrective actions/remediation plans oversee implementation of corrective actions prepare reports/presentations.
• Leads complex investigations and documents findings.
• Develops strategic plans makes recommendations to leadership; designs/implements annual compliance plan.
• Develop strong relationships with key leaders to identify and address compliance risks and failures and manage action plans designed to fully mitigate risk(s)
• Performs monitoring of compliance with the state contract requirements and connects with state plan leaders as well as centralized government business process leaders to understand business level monitoring of compliance with state requirements to include Operational Compliance with Quality Metrics; Vendor/Affiliate Performance; and State Initiative Performance etc.
• Ensures understanding and trend root cause and control breakdowns that lead to member provider and state complaints.
• Develops appropriate level risk and issue documentation to drive improvement in contract performance.
• Researches and responds to questions about requirements in the contract and statebased interpretation and enforcement of those requirements.
• Drives the State Medicaid Compliance Committee Meeting.
• Develops and maintains statebased requirement grids used to centralized Medicaid process assessment development and improvement.
• Supports business development and maintenance of the contract through RFI support.
• Supports BOR prep and the BOR Compliance Slide

Minimum Requirements:

• Requires a BA/BS and minimum of 8 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 leadership/managerial skills and ability to motivate/coach other staff strongly preferred.
• Travels to worksite and other locations as necessary.
• 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 $125212.00 to $187818.00.

Locations: Seattle WA

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 nondiscriminatory 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 Companys sole discretion unless and until paid and may be modified at the Companys sole discretion consistent with the law.

Job Level:

Workshift:

Job Family:

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 marketcompetitive 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 1hour 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/memberfacing roles to become vaccinated against COVID19 and Influenza. 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 for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal state and local laws including but not limited to the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.