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 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:
- At the advanced level, report, communicate, research laws, 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.
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.
Elevance Health operates in a Hybrid Workforce Strategy. 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. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to any status or condition protected by applicable federal, state, or local laws.
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