Compliance Director

Anticipated End Date:

Position Title:

Job Description:

Compliance Director

Location: This role requires associates to be in-office 3 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. Alternate locations may be considered.

Please note that per our policy on hybrid/virtual work candidates not within a reasonable commuting distance from the posting location will not be considered for employment unless an accommodation is granted as required by law.

The Compliance Director is responsible for directing foundational and strategic compliance responsibilities that support Carelon Health and its external clients with consistent excellence. This role partners across the organization to ensure compliance programs advance Carelon Healths commitment to improving whole-person care through innovation and collaboration.

The Compliance Director must demonstrate strong relationship-building agility and collaboration skills to effectively engage diverse business leaders and stakeholders in identifying managing and mitigating compliance risks.

How you will make an impact:

Primary duties at an expert skill level and with advanced complexity and enterprise scope may include but are not limited to:

• Directs complex projects initiatives regulatory audits or exams internal audits accreditations risk assessments and on-site reviews including audit planning mock audits training evidence preparation and audit readiness.
• Leads compliance monitoring to identify process gaps validate compliance levels and oversee corrective and remediation plans through implementation and reporting.
• Builds and maintains strong collaborative relationships with key business partners clients and leaders to proactively identify risks influence outcomes and promote a culture of compliance agility and continuous improvement.
• Partners across functions with innovation and adaptability to provide compliance guidance and support executive initiatives regulatory responses and risk mitigation efforts.
• Leads investigations documents findings and ensures appropriate resolution and follow-up.
• Develops strategic and annual compliance plans and prepares reports or presentations for leadership and client partners.

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:

• Proven ability to build trusted relationships and effectively influence diverse stakeholders across all levels.
• Demonstrated expertise in auditing monitoring and issues management including developing and executing corrective actions.
• Strong agility and innovative mindset to navigate evolving regulatory environments and operational priorities.
• Excellent communication collaboration and problem-solving skills with internal teams and external clients.
• Strategic thinker with strong analytical and decision-making abilities.
• MS/MBA/JD or professional certification (e.g. CHC CCEP CIA) preferred.
• Travel to worksite and other locations as necessary.

Job Level:

Workshift:

Job Family:

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 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.