Compliance Director at Elevance Health in Los Angeles, California

Job Description:

Compliance Director - Office of Healthcare Affordability (OHCA)




Location: This position will take part in Elevance Health's hybrid workforce strategy which includes virtual work and 1-2 days in office per week in one of the selected offices in the posting.


The Compliance Director will focus to support compliance with the Office of Healthcare Affordability (OHCA). The focus will be on requirements for California with the expectation of expansion to other states. Understanding and support of all three workstreams regarding data, quality, and advocacy. The Director will be responsible for coordinating all compliance activities required by this new regulator.


The Director will also work closely with our government relations office, the Reporting COE, local plan leadership, and the State Compliance Director to ensure a complete program is in place to interact with this regulator.



How You Will Make an Impact



Primary duties with advanced complexity and broad/enterprise scale may include, but are not limited to:

• Develops strategic plans, makes recommendations to leadership; designs/implements annual compliance plan.
  
  


• Develop strong relationships with key leaders to identify and address compliance risks and failures and manage action plans designed to fully mitigate risk(s).
  
  


• Candidates need to be able to collect, review, and analyze intricate data and be able to extract meaningful insights from it.
  
  


• Candidates should be thorough and careful when approaching tasks, ensuring they pick up on any discrepancies or irregularities in the data.
  
  


• Data reviewers must often explain their findings to others in the organization, strong verbal and written communication skills are important.
  
  


• To interpret and analyze data, having strong mathematical abilities can be highly beneficial.
  
  


• With often large amounts of data to analyze, the ability to manage time effectively to meet deadlines is crucial.
  
  


• Having a grasp on the data standards and trends in the specific industry can be highly advantageous.
  
  

Minimum Requirements:

• Requires a BA/BS and minimum of 8 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:

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


• MS/MBA/JD or professional designation preferred.
  
  

For candidates working in person or remotely in the below location(s), the salary* range for this specific position is $120,336. to $180,504.


Locations: California; Colorado; Nevada; New York


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, 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. Apply Now