Elevance Health Jobs

Infusion and Pharmacy/Specialty Pharmacy Compliance Manager

Location: This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations.

The Infusion and Pharmacy/Specialty Pharmacy Compliance Manager will be responsible for managing foundational and strategic compliance responsibilities with consistent excellence that support the team and management.

How you will make an impact:

• Manage/oversee projects, initiatives, regulatory audits or exams, internal audits, accreditations, on-site reviews, risk assessments; audit planning, conducting mock audits, conducting audit training, managing audit evidence preparation, assessing audit preparedness.

• Establish project plans, gap analysis, milestone dates, and other significant aspects, and leadership updates.

• Maintain knowledge of laws, regulations, company strategies to assess impact, and consult with clients as subject matter expert.

• Conducts complex investigations, document findings, and ensure corrective actions are made.

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:

• MS/MBA/JD or professional designation preferred.

• Experience in Infusion medical services or pharmacy compliance strongly preferred.

• Healthcare plan compliance experience preferred.

• Experience monitoring state and federal pharmacy laws for changes that will impact the operations of the organization preferred.

• Experience working with State Boards of Pharmacy to resolve issues and represent the organization.

• Previous experience monitoring issues and risks.

• Ability to travel may be required.

For candidates working in person or remotely in the below locations, the salary* range for this specific position is $85,200 to $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.