Location: Elevance Health supports a hybrid workplace model (virtual and in-office) with PulsePoint sites used for collaboration, community, and connection. This includes remote work and 1-2 days in office per week. Candidates must reside within a 50-mile or 1-hour commute each way of a relevant Elevance Health location.

The Compliance Manager is responsible for coordinating pharmacy compliance activities and initiatives across the PBM and the enterprise by maintaining department-approved regulatory and legislative compliance plan and implementing effective internal controls.

How You Will Make an Impact

Primary duties may include, but are not limited to:

• Identifies, monitors, revises, and tracks business unit processes and implementing procedures to ensure compliance with all related measures.

• Identifies potential risks associated with PBM activities and ensures procedures are in place to minimize risks.

• Partners with business units to ensure compliance with all statutory and regulatory requirements.

• Participates as compliance subject matter expert on all mandated projects; achieves business operational compliance with all related measures relative to HIPAA and SOX and Privacy and Security Office initiatives.

• Conducts, directs, leads and facilitates all activities related to Internal and External (Regulatory and Client) audits and responds to findings.

• Performs high level regulatory research, develops strategic plans and pro-actively anticipates business needs and requirements.

• Develops and implements training and communication plans; manages and leads scheduled and ad-hoc compliance projects; provides and delivers compliance consultation services to the business unit.

Minimum Requirements:

Requires a BA/BS and a minimum of 6 years experience; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

• MS/MBA or field-related professional designation preferred.

• Travels to worksite and other locations as necessary.

• Medicaid Regulatory Experience and Pharmacy Benefit Manager Experience are preferred.

• Salesforce experience is preferred.

For candidates working in person or remotely in the below locations, the salary* range for this specific position is $76,680 - $153,360.

Locations: California; Colorado; Hawaii; Nevada; New York; Washington State; Jersey City, NJ

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.