Senior Compliance Consultant – Medicaid Regs & Audits (Hybrid)

Elevance Health, Inc.; Seven Hills (OH); Hybrid; USD 70,000 - 90,000; Full time

Job summary

Elevance Health is seeking a Compliance Consultant Senior to deliver strategic compliance responsibilities at the highest level within the Ohio Medicaid Market Team. This role involves serving as the main point of contact for complaints, processing inquiries, and providing senior analytical support for audits and projects. Candidates must have a BA/BS and at least 5 years of relevant experience. The position requires in-office collaboration for 1-2 days per week, offering flexibility. Join us in enhancing compliance efforts and supporting health care standards in Ohio.

Qualifications

• Minimum of 5 years health care, regulatory, ethics, compliance or privacy experience.
• Strong understanding of state regulations regarding Medicaid.

Responsibilities

• Function as point of contact for member and provider complaints.
• Process regulator inquiries and coordinate collateral submissions.
• Report, communicate, and research laws and regulatory requirements.

Skills

Proficient utilizing MS-Office

Medicaid knowledge

Education

BA/BS

Job description

Elevance Health is seeking a Compliance Consultant Senior to deliver strategic compliance responsibilities at the highest level within the Ohio Medicaid Market Team. This role involves serving as the main point of contact for complaints, processing inquiries, and providing senior analytical support for audits and projects. Candidates must have a BA/BS and at least 5 years of relevant experience. The position requires in-office collaboration for 1-2 days per week, offering flexibility. Join us in enhancing compliance efforts and supporting health care standards in Ohio.