Compliance Manager - Medicaid - Remote

Overview

The Compliance Manager – Medicaid is responsible for managing foundational and strategic compliance responsibilities, ensuring excellence that supports the team and management within a hybrid workplace model.

In Short

• Manage projects, regulatory audits, internal audits, and risk assessments.
• Establish project plans and conduct complex investigations.
• Consult with clients as a subject matter expert.
• Maintain knowledge of laws and regulations impacting compliance.
• Interface with external clients and internal stakeholders.
• Conduct audit training and manage audit evidence preparation.
• Ensure corrective actions are implemented based on audit findings.
• Work in a hybrid environment with flexibility in remote work.
• Preferred experience with Medicaid, particularly in Tennessee.
• Requires a BA/BS and minimum of 6 years of relevant experience.

Requirements

• BA/BS degree required.
• Minimum of 6 years in healthcare, regulatory, ethics, compliance, or privacy.
• MS/MBA/JD or professional designation preferred.
• Experience with Medicaid highly preferred.
• Strong project management skills.
• Ability to conduct audits and investigations.
• Excellent communication and interpersonal skills.
• Knowledge of compliance laws and regulations.
• Ability to work collaboratively in a hybrid environment.
• Must reside within 50 miles of an Elevance Health location.

Benefits

• Market-competitive total rewards including merit increases.
• Paid holidays and Paid Time Off.
• Incentive bonus programs.
• Medical, dental, and vision benefits.
• 401(k) with match and stock purchase plan.
• Life insurance and wellness programs.
• Financial education resources.
• Support for personal and professional growth.
• Commitment to improving lives and communities.
• Equal Employment Opportunity employer.