Compliance Manager-Ohio Medicaid

The Elevance Health Companies, Inc.; Columbus (OH); Hybrid; USD 89,000 - 133,000; Full time

Benefits offered by this job

Comprehensive benefits

Incentive programs

Equity stock purchase

401(k) contribution

Job summary

Elevance Health is seeking a Compliance Manager-Ohio Medicaid to oversee audits, regulatory examinations, and compliance programs in Ohio. This role requires expertise in Medicaid regulations, risk assessments, and collaboration with regulators and internal stakeholders.

The ideal candidate holds a BA/BS with 6+ years in health care compliance or related fields, with preferred Medicaid experience and leadership capabilities.

Qualifications

• Requires a BA/BS and minimum of 6 years health care, regulatory, ethics, compliance or privacy experience.
• Equivalent background by education/experience considered.
• Medicaid experience preferred.

Responsibilities

• Manage and oversee projects, regulatory audits or exams, internal audits, accreditations and on-site reviews.
• Plan audits, mock audits, train auditors, prepare evidence and assess readiness.
• Establish project plans, milestones and leadership updates.

Skills

Medicaid experience

Regulatory experience

Ethics/compliance

Leadership

Education

BA/BS

MS/MBA/JD or equivalent

Job description

Anticipated End Date: 2026-10-06 Position Title: Compliance Manager-Ohio Medicaid Job Description: Compliance Manager-Ohio Medicaid Locations: This role requires associates to be in-office(Ohio based) 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. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location will not be considered for employment, unless an accommodation is granted as required by law. PLEASE NOTE: This position is not eligible for current or future VISA sponsorship.

How you will make an Impact

• 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.

Minimum 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, Experiences and Competencies

• 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

Location(s): Columbus, OH

For candidates working in person or virtually in the below locations, the salary* range for this specific position is $88,720 to $133,080.

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).

• a comprehensive benefits package
• incentive and recognition programs
• equity stock purchase
• 401k contribution

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.

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 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 Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

Job Level: Non-Management Exempt

Workshift: 1st Shift (United States of America)

Job Family: FRD > Compliance

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 market-competitive 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.

• 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
• financial education resources

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.

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 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 should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact.

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.

Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.

Please visit the Contract Worker Community Page.

Elevance Health is an Equal Opportunity Employer/Disability/Veterans.