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Compliance Manager

**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. **Norfolk, VA** highly preferred. 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 Manager** serves as a key leader within the Carelon Insights Payment Integrity Regulatory Compliance (PIRC) organization, with primary responsibility for the oversight and management of Commercial Compliance activities. This position plays a vital role in ensuring the organization’s adherence to regulatory requirements, maintaining operational excellence, and advancing Carelon Insights Payment Integrity compliance objectives across multiple commercial markets.

How you will make an impact:

+ 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.

Minimum Requirements

Requires a BA/BS and minimum of 6 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

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

+ Candidates should possess demonstrated experience leading compliance programs or audits of moderate to high complexity, along with exceptional communication, analytical, and leadership skills.

+ Commercial compliance experience preferred.

+ Demonstrated success leading compliance programs or audits of moderate to high complexity.

+ Strong communication, analytical, and leadership skills.

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

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

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.

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 and Influenza. 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 [email protected] for assistance.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.