Location: Seattle Washington

Hours: Monday - Friday

Travel: 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.

Position Overview:

The Compliance Specialist Senior plays a key role on the Healthcare Network Team, with a primary focus on preparing, validating, and submitting provider network access and adequacy reports to regulatory agencies. This position ensures the organization’s provider networks meet federal and state requirements, supports compliance readiness for audits and exams, and contributes to the overall integrity and transparency of network reporting.
 

How You Will Make an Impact:

• Regulatory Reporting

  • Collect, analyze, and validate provider network data to ensure accuracy of required access and adequacy reports.

  • Prepare and submit timely reports to federal and state regulatory agencies in alignment with all applicable requirements.

  • Partner with internal business areas to ensure data integrity and resolve discrepancies prior to submission.

• Compliance Monitoring & Research

  • Monitor and research evolving state and federal network adequacy standards, ensuring reports reflect current regulatory requirements.

  • Interpret and communicate compliance requirements to internal stakeholders, helping the team align with regulatory expectations.

• Audit & Exam Support

  • Provide support for regulatory audits, internal audits, and on-site reviews related to network adequacy.

  • Assist in data gathering, documentation, and responses to inquiries from regulators and auditors.

  • Collaborate with internal teams to address audit findings and implement corrective actions where needed.

• Collaboration & Stakeholder Support

  • Work closely with provider network operations, analytics, and compliance partners to ensure consistent and accurate reporting.

  • Serve as a subject matter resource on network access compliance for internal stakeholders.

  • Contribute to process improvements that streamline reporting and strengthen regulatory compliance.

• Training & Education

  • Assist in the development and delivery of training related to network access reporting requirements.

  • Promote awareness of regulatory expectations within the Healthcare Network Team and across supporting business areas.

Required Qualifications:

• Requires a BA/BS and minimum of 2 years health care, regulatory, ethics, compliance or privacy experience; or any combination of education and experience, which would provide an equivalent background.

Preferred Qualifications:

• Experience working with Government Regulators Strongly preferred

• Intermediate to advanced Excel experience preferred

• Data analysis Experience strongly preferred

For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $32.55/HR to $48.83/HR

Location: Washington State

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.

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 elevancehealthjobssupport@elevancehealth.com 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.