Compliance Consultant Senior

Compliance Consultant Senior

Location: This role requires associates to be in-office 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. Alternate locations may be considered if candidates reside within a commuting distance from an office.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Compliance Consultant Senior will be responsible for delivering and executing Special Investigations Unit (SIU) reporting compliance responsibilities with consistent excellence that supports the team and management at the most senior advanced level.

How you will make an impact:

• Lead SIU regulatory reporting governance, including standardized processes, controls, documentation, and methodologies.
• Manage the timely, accurate, and complete submission of contractually required reports in accordance with applicable federal and state laws, regulations, and guidelines.
• Evaluate data quality issues, report errors, and audit findings; recommend corrective actions; and prepare responses to SIU-related audits, questionnaires, and inquiries.
• Partner with business partners to improve reporting systems and workflows.
• Interpret regulatory changes, assess operational impacts, and support timely implementation.
• Monitor case management activities for compliance with reporting, documentation, and investigative standards.
• Monitor regulatory trends and recommend risk mitigation strategies and program improvements.
• Mentor team members on reporting standards, audit readiness, and compliance practices.
• Build collaborative relationships with business partners to resolve issues and support successful regulatory outcomes.

Minimum Requirements: Requires a BA/BS and minimum of 5 years health care, regulatory, ethics, compliance or privacy experience; or any combination of education and experience, which would provide an equivalent background. Travels to worksite and other locations as necessary.

Preferred Skills, Capabilities and Experiences:

• Intermediate Excel experience strongly preferred.
• Reporting and analysis experience preferred.
• Audit experience preferred.
• Experience translating business requirements into technical specifications preferred.

For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $71,600 to $107,400.

Locations: Virginia

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). 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 considered to be 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, paid time off, stock, 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.