Senior Compliance Consultant

Elevance Health

Compliance Consultant Senior delivering strategic compliance responsibilities for the Ohio Medicaid Market Team. Acting as point of contact for member and provider complaints while ensuring regulatory excellence.

Posted 5/13/2026full-timeSeven Hills • Ohio • 🇺🇸 United StatesSeniorWebsite

About the role

Key responsibilities & impact

Function as point of contact for member and provider complaints received by the Ohio Medicaid Regulator.
Process regulator Ad Hoc inquiries, and coordinates and tracks collateral submissions as required by the state contract.
Additional internal responsibilities include policy reviews, regulatory grid completion and job aid development and updates.
At the most senior advanced level, report, communicate, research laws, regulations, requirements, regulatory audits and/or exams.
Provide senior level analytical support to projects, initiatives, regulatory audits or exams, internal audits, accreditations, on-site reviews, risk assessments.
Utilize systems unique to job functions, including standard-issue software such as Microsoft products; maintain system documentation, serve as subject matter expert, train users of system, contribute to system design, oversight or maintenance.
Apply critical thinking to formulate strategies and concepts that drive results, persuade and influence others, adapt to change, and manage conflict.

Requirements

What you’ll need

Requires a BA/BS and minimum of 5 years health care, regulatory, ethics, compliance or privacy experience; or any combination of education and experience, which would provide an equivalent background.
Travels to worksite and other locations as necessary.
Proficient utilizing MS-Office

Benefits

Comp & perks

merit increases
paid holidays
Paid Time Off
incentive bonus programs
medical
dental
vision
short and long term disability benefits
401(k) +match
stock purchase plan
life insurance
wellness programs
financial education resources

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

regulatory auditspolicy reviewsanalytical supportrisk assessmentssystem documentationjob aid developmentcollateral submissionscritical thinking

Soft Skills

communicationpersuasioninfluenceadaptabilityconflict management