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Elevance Health · 1 day ago

Compliance Manager

Norfolk, VA

Full-time

Hybrid

Mid, Senior Level

6+ years exp

Elevance Health is a health company dedicated to improving lives and communities. The Compliance Manager serves as a key leader within the Carelon Insights Payment Integrity Regulatory Compliance organization, overseeing compliance activities and ensuring adherence to regulatory requirements across multiple commercial markets.

Health CareHealth InsurancePersonal HealthWellness

H1B Sponsor Likely

Responsibilities

Provides strategic direction and oversight for regulatory audits and examinations, internal audits, accreditations, risk assessments, and other compliance reviews

Developing and executing audit plans, conducting gap analyses, managing audit preparedness, coordinating evidence collection, and delivering regular leadership updates on compliance status and risk mitigation efforts

Serves as a subject matter expert, maintaining an advanced understanding of applicable laws, regulations, and company policies to anticipate compliance risks, assess potential impacts, and guide decision-making

Oversees several critical compliance tools and processes, including PI SME for the CONTRAXX system, Doctract and ServiceNow (SNOW) issue management

Ensures that all compliance mandates are effectively tracked, resolved, and documented in a timely manner

The position also partners closely with cross-functional stakeholders, including business leaders, regulators, and internal governance teams, to promote transparency, accountability, and consistent adherence to compliance standards

This position requires strategic thinking, sound judgment, and the ability to navigate a highly regulated and dynamic environment

Serve as a trusted advisor and compliance leader within the Payment Integrity organization, strengthening regulatory alignment, reducing risk exposure, and supporting a culture of integrity and continuous improvement

Qualification

Regulatory complianceAudit managementRisk assessmentCompliance toolsLeadership skillsAnalytical skillsCommunication skillsStrategic thinkingTeam collaboration

Required

BA/BS degree

Minimum of 6 years health care, regulatory, ethics, compliance or privacy experience

Ability to provide strategic direction and oversight for regulatory audits and examinations, internal audits, accreditations, risk assessments, and other compliance reviews

Experience in developing and executing audit plans, conducting gap analyses, managing audit preparedness, coordinating evidence collection, and delivering regular leadership updates on compliance status and risk mitigation efforts

Advanced understanding of applicable laws, regulations, and company policies to anticipate compliance risks, assess potential impacts, and guide decision-making

Experience overseeing compliance tools and processes, including PI SME for the CONTRAXX system, Doctract and ServiceNow (SNOW) issue management

Ability to ensure that all compliance mandates are effectively tracked, resolved, and documented in a timely manner

Experience partnering closely with cross-functional stakeholders, including business leaders, regulators, and internal governance teams

Strategic thinking, sound judgment, and the ability to navigate a highly regulated and dynamic environment

Ability to serve as a trusted advisor and compliance leader within the Payment Integrity organization

Strong communication, analytical, and leadership skills

Proven ability to assess regulatory impacts, manage risk, and implement effective compliance solutions

Preferred

An advanced degree (MS, MBA, or JD) or a professional certification (e.g., CHC, CCEP, CHPC)

Demonstrated experience leading compliance programs or audits of moderate to high complexity

Commercial compliance experience

Experience with compliance tools and systems such as SharePoint, Doctract, CONTRAXX, or ServiceNow

Benefits

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

Company

Elevance Health

Glassdoor3.6

Elevance Health is an integrated whole-health approach to help people in health journey and address their full range of needs.

Founded in 1944

Indianapolis, Indiana, USA

10001+ employees

https://www.elevancehealth.com

H1B Sponsorship

Elevance Health has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

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Trends of Total Sponsorships

2025 (488)

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2023 (660)

2022 (222)