Compliance Manager overseeing regulatory audits and compliance projects at Elevance Health. Ensuring adherence to regulations and managing audits while collaborating with various stakeholders.
About the role
- Senior Quality Compliance Nurse Professional ensuring quality in Oklahoma Medicaid program. Collaborating with customers to meet benchmarks and executing quality improvement initiatives.
Responsibilities
- Collaborate with internal and external customers to meet benchmarks and goals
- Complete time sensitive deliverables for Quality Improvement projects
- Operate as a subject matter expert in Quality Compliance
- Make decisions on moderately complex to complex issues regarding technical approach
- Conduct data analysis and implement quality improvement programs as needed
- Monitor activities and performance metrics for the Oklahoma Medicaid program
- Participate in multidisciplinary committees and conduct briefings and area meetings
Requirements
- RN License for State of OK required, unrestricted
- Bachelor's degree or 4+ years relevant work experience in healthcare settings
- Knowledge of quality and process improvement approaches (PDSA, DMAIC, etc.)
- Experience presenting information to internal and/or external stakeholders
- Demonstrated ability to partner with senior leadership on strategic initiatives
- Comprehensive knowledge of Microsoft Word, Excel and PowerPoint.
- Must reside in the state of Oklahoma.
Benefits
- Health benefits effective day 1
- Paid time off, holidays, volunteer time and jury duty pay
- Recognition pay
- 401(k) retirement savings plan with employer match
- Tuition assistance
- Scholarships for eligible dependents
- Parental and caregiver leave
- Employee charity matching program
- Network Resource Groups (NRGs)
- Career development opportunities
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