Compliance Consultant
Elevance Health

Compliance Consultant

Location: Nashville, TN preferred location but open to any Pulse Point.

Candidates must reside within 50 miles or 1-hour commute each way of the Elevance Health Pulse Point location.

The Compliance Consultant is responsible for delivering and executing foundational compliance responsibilities that support the team and management at the advanced level.

How You Will Make an Impact:

Primary duties for this advanced level position, with tasks of routine or least complexity may include, but are not limited to:

• At the advanced level, report, communicate, research laws at the advanced level, regulations, requirements, regulatory audits and/or exams.
  
• Provide advanced level support to regulatory audits or exams, internal audits, accreditations, on-site reviews, risk assessments.
  
• At the advanced level, analyze and extract regulatory data, documentation for compliance with requirements.
  
• Participate in compliance monitoring to identify process gaps, validate compliance levels, map processes, draft corrective actions/remediation plans.
  
• Conduct investigations, document findings, update stakeholders and leadership on developments, comply with notification requirements, ensure corrective actions are made.
  
• Travels to worksite and other locations as necessary.
  

Minimum Requirements:

Requires a BA/BS and minimum of 3 years health care, regulatory, ethics, compliance or privacy experience; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

• Previous Medicaid experience highly preferred
  

---