Program Manager (Compliance)

Job Family: Business Support Type: Full time Date Posted: Apr 03, 2024 Anticipated End Date: May 31, 2024 Reference: JR111447 Description Location: This position must be located within 50 miles of our Indianapolis, IN PulsePoint location at 220 Virginia Ave.
Responsible for the development and ongoing management of one or more multi-year external client facing programs within a business unit.
Program managers typically support business strategies through an integrated portfolio of external client facing projects or initiatives.
A program manager may have responsibility for a piece of a larger enterprise/regional external client facing program.
Primary duties may include, but are not limited to: Develops/designs a compliance framework for the VM team to ensure vendors are adhering to state and local contract requirements.
Manages escalations of vendor related issues from team members prior to further escalation to Manager of VM Responsible for overseeing the implementation of the diverse vendor strategy created by the Manager of VM Responsible for auditing VM team processes and procedures to ensure ongoing adherence to prevent gaps (ex: the team is making ongoing updates to our source of truth document, tracking vendor invoicing on a monthly basis, meeting with vendors for JOCs on a regular basis, collecting reports from vendors on a scheduled basis, contracts are being stored appropriately, vendor contact lists are being updated appropriately, state required reports are being completed timely and accurately, etc) Responsible for meeting with Finance (local and corporate) on a monthly basis to review diversity spend report in comparison to VM source of truth reporting.
Identify any gaps and report to Manager of VM to determine any strategies for gap closure.
Reviews and approves vendor communications.
Approves state contract filings for the IN Medicaid market (emails from compliance via the GSMO process) Reviews all SOW drafts prior to state filing or Ariba entry Partner with the Onboarding and Training team to ensure all contractors are in compliance with health plan training requirements required by state contracts Minimum Requirements: Requires a BA/BS and minimum of 5 years external client facing experience in program/project management; or any combination of education and experience, which would provide an equivalent background.
Preferred skills, qualifications and experiences: Graduate degree preferred.
Project management certification preferred.
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.
Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.
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.
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.
comfor assistance.