Compliance Consultant Senior

About the role

The Compliance Consultant Senior role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office.

Responsibilities

• Lead SIU regulatory reporting governance, including standardized processes, controls, documentation, and methodologies.
• Manage the timely, accurate, and complete submission of contractually required reports in accordance with applicable federal and state laws, regulations, and guidelines.
• Evaluate data quality issues, report errors, and audit findings; recommend corrective actions; and prepare responses to SIU-related audits, questionnaires, and inquiries.
• Partner with business partners to improve reporting systems and workflows.
• Interpret regulatory changes, assess operational impacts, and support timely implementation.
• Monitor case management activities for compliance with reporting, documentation, and investigative standards.
• Monitor regulatory trends and recommend risk mitigation strategies and program improvements.
• Mentor team members on reporting standards, audit readiness, and compliance practices.

Requirements

• Requires a BA/BS and minimum of 5 years health care, regulatory, ethics, compliance or privacy experience; or any combination of education and experience, which would provide an equivalent background.
• Trips to worksite and other locations as necessary.

Preferred Skills, Capabilities and Experiences

• Intermediate Excel experience strongly preferred.
• Reporting and analysis experience preferred.
• Audit experience preferred.
• Experience translating business requirements into technical specifications preferred.

Benefits

For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $71,600 to $107,400. Locations: Virginia. 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).

Pay

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.

Schedule

This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office.