Compliance Manager-Ohio Medicaid

About the role

The Compliance Manager-Ohio Medicaid is responsible for managing foundational and strategic compliance responsibilities with consistent excellence that support the team and management.

Responsibilities

• Manage/oversee projects, initiatives, regulatory audits or exams, internal audits, accreditations, on-site reviews, risk assessments
• Audit planning, conducting mock audits, conducting audit training, managing audit evidence preparation, assessing audit preparedness
• Establish project plans, gap analysis, milestone dates, and other significant aspects, and leadership updates
• Maintain knowledge of laws, regulations, company strategies to assess impact, and consult with clients as subject matter expert
• Conducts complex investigations, document findings, and ensure corrective actions are made
• Interface with external clients, regulators, vendors, supplier; internal stakeholders, high level of management

Requirements

Requires a BA/BS and minimum of 6 years health care, regulatory, ethics, compliance or privacy experience; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills

• Experience with Medicaid Managed Care preferred
• Experience working with regulators such as the Ohio department of Medicaid preferred
• Experience with Medicaid contract interpretation preferred
• Strong leadership/managerial skills and ability to motivate/coach other staff strongly preferred
• Ability to travel may be required
• MS/MBA/JD or professional designation preferred

Benefits

In addition to your salary, Elevance Health offers a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution; merit increases, paid holidays, Paid Time Off, incentive bonus programs; medical, dental, vision, short and long term disability benefits, 401(k)+match, stock purchase plan, life insurance, wellness programs and financial education resources.

Pay

The salary range for this position is $88,720 to $133,080.

Schedule

This role requires associates to be in-office (Ohio based) 1-2 days per week, with a hybrid approach that combines structured office engagement with the autonomy of virtual work. Associates are required to work at an Elevance Health location at least once per week, and potentially several times per week.