Staff VP Carelon Global Compliance at Elevance Health in Atlanta, Georgia

Job Description:

A proud member of the Elevance Health family of companies, Carelon Global Solutions, formerly Legato Health Technologies is a managed service delivery organization, providing information technology and business operations services for health plans.



Staff VP Carelon Global Compliance




Location:
Atlanta, Georgia



Responsible for directing foundational and strategic compliance responsibilities with consistent excellence that support the team and management. This position will provide compliance support to Carelon Global Solutions (CGS) and Carelon Digital Platforms (CDP) Compliance Program that incorporates the seven components of a successful Compliance program, which includes having dedicated resources to provide compliance support and oversight on the business stakeholder. The Staff VP will support the leadership team and own compliance across a number of disciplines, including but not limited to: Foreign Corrupt Practices Act, Anti Bribery/Anti-Corruption, HIPAA Compliance; Local and Federal Regulatory Compliance; Commercial and Specialty, Medicaid and Medicare Compliance; Finance; Procurement; Corporate Governance; and Human Resources.




Position Responsibilities

• Be the Compliance lead and subject matter expert for CGS and CDP Compliance Program including offshore governance reviews and approvals


• Manage or oversee projects, initiatives, regulatory audits or exams, internal audits, accreditations, on-site reviews, risk assessments; and assist in audit readiness.


• Lead compliance monitoring to identify process gaps, validate compliance levels, map processes, create corrective action plans, and prepare reports or presentations for leadership.


• Implement and ensures adherence to Corporate Ethics, Privacy, and Compliance standards, which may include drafting, and adopting policies and procedures to support the business.


• Maintain knowledge of US Federal, State, international, and specific local/country regulations, company strategies to assess impact, and consult with clients as a subject matter expert.


• Conduct investigations, reviews documents, and enforces corrective actions.


• Interface with external regulators (as needed), internal stakeholders, leadership, and colleagues.


• Assist in training new hires and monitoring routine compliance training taken annually by offshore teams; and


• Schedule, administrate, and facilitate Compliance Committee meetings, which includes the review of business stakeholder presentations, risk and issue management, and accountability for action items to remediate risks or issues.


• Manages or lead the most advanced investigations, document findings, comply with notification requirements, ensure corrective actions are made. Sets goals for department and direct reports; plan, document and communicate department work, noting accountable direct reports and deadlines; may oversee a manager(s) with direct reports.


• Hires, trains, coaches, counsels, and evaluates performance of direct reports.

Position Requirements

• Requires a BA/BS and minimum of 10 years health care, regulatory, ethics, compliance or privacy experience, including minimum of 5 years management experience; or any combination of education and experience, which would provide an equivalent background.


• Global Compliance Experience


• Ability to travel may be required.

Preferred Skills, Capabilities and Experiences

• Strong leadership/managerial skills and ability to motivate/coach other staff strongly preferred.

• MS/MBA/JD or professional designation strongl preferred.


• Digital/Technology.


• AI Experience

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance. Apply Now