Pharmacy Benefit Manager – Compliance Manager, Client Audit

Elevance Health

. Coordinate pharmacy compliance activities and initiatives across the PBM and enterprise .

Posted 9/30/2026full-timeUnited StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in pharmacy compliance activities, including the implementation of internal controls and risk management strategies. Proficient in conducting audits and ensuring compliance with HIPAA, SOX, and Privacy and Security Office initiatives.

Highest-signal resume keywords

Pharmacy ComplianceAudit ManagementRisk AssessmentHIPAA ComplianceSOX Compliance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Compliance CoordinationInternal Controls ImplementationAudit ResearchRegulatory AuditsProcess MonitoringTraining DevelopmentStrategic PlanningConsultation Services

Soft Skills

LeadershipCommunicationCollaboration

Industry Keywords

PBM ActivitiesPrivacy and Security OfficeCompliance Initiatives

About the role

Key responsibilities & impact

Coordinate pharmacy compliance activities and initiatives across the PBM and enterprise
Maintain the department-approved audit plan
Implement effective internal controls
Identify, monitor, revise, and track business-unit processes and implementing procedures
Identify potential risks associated with PBM activities and establish procedures to minimize risks
Partner with business units to ensure compliance with audit requirements
Serve as a compliance subject matter expert on mandated projects
Achieve operational compliance with HIPAA, SOX, and Privacy and Security Office initiatives
Conduct, direct, lead, and facilitate internal and external regulatory and client audits
Respond to audit findings
Perform high-level audit research
Develop strategic plans and proactively anticipate business needs and requirements
Develop and implement training and communication plans
Manage and lead scheduled and ad-hoc compliance projects
Provide and deliver compliance consultation services to the business unit

Requirements

What you’ll need

BA/BS and minimum of 6 years experience; or any combination of education and experience providing an equivalent background
Travel to worksite and other locations as necessary
Associates must reside within a reasonable commuting distance from a posting location unless an accommodation is granted as required by law
Compliance knowledge relating to HIPAA, SOX, and Privacy and Security Office initiatives

Benefits

Comp & perks

Merit increases
Paid holidays
Paid Time Off
Incentive bonus programs
Medical benefits
Dental benefits
Vision benefits
Short-term disability benefits
Long-term disability benefits
401(k) + match
Stock purchase plan
Life insurance
Wellness programs
Financial education resources
Hybrid work arrangement with virtual-work flexibility