Senior Regulatory Program Manager

3 weeks ago


Topeka, Kansas, United States Elevance Health Full time

Job Summary

The Senior Regulatory Program Manager will be responsible for managing Provider Grievances, Provider Appeals, and Provider State Fair Hearings for the Kansas Health Plan.

This role will work closely with management to identify and implement varied projects, programs, and plans that support the achievement of business unit and enterprise goals.

Key Responsibilities

  • Identify potential issues, project changes, and scope.
  • Build support for business change throughout the business unit.
  • Develop and manage projects with significant operating budgets and knowledge of process redesign.
  • Experience with Member Grievances, Appeals, administrative hearings, or other legal processes is strongly preferred.
  • Accurate, complete, and timely regulatory documentation and submission is strongly preferred.

Requirements

  • Bachelor's degree in a related field.
  • Minimum of 8 years of experience in process improvement, business change, or project management.
  • Experience as a legal assistant or paralegal or comparable education or employment experience is strongly preferred.

About Elevance Health

Elevance Health is a health company dedicated to improving lives and communities. 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.

We offer a range of market-competitive total rewards, including merit increases, paid holidays, Paid Time Off, and incentive bonus programs. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week.

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.



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