Medicaid Compliance Manager – Hybrid (Ohio)

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

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.