Compliance Director
- Directs projects, initiatives, regulatory sanctions, executive-sponsored initiatives, regulatory audits or exams, internal audits, accreditations, on-site reviews, risk assessments; audit planning, conducting mock audits, conducting audit training, managing audit evidence preparation, assessing audit preparedness.
- Leads compliance monitoring to identify process gaps, validate compliance levels, map processes, draft corrective actions/remediation plans, oversee implementation of corrective actions, prepare reports/presentations.
- Leads complex investigations and documents findings.
- Leads the compliance risk assessment process to identify, prioritize, and address regulatory and compliance risks.
- Establishes and maintains effective compliance governance forums, escalation pathways, and decision-making protocols.
- Develops strategic plans, makes recommendations to leadership; designs/implements annual compliance plan.
- Develops strong relationships with key leaders to identify and address compliance risks and failures and manage action plans designed to fully mitigate risk(s).
- Travels to worksite and other locations as necessary.
- Requires a BA/BS and minimum of 8 years health care, regulatory, ethics, compliance or privacy experience; or any combination of education and experience, which would provide an equivalent background.
- Strong leadership/managerial skills and ability to motivate/coach other staff strongly preferred.
- Prior Healthcare industry/Medicaid experience strongly preferred.
- Ability to drive and execute compliance initiatives and strategies effectively.
- MS/MBA/JD or professional designation preferred.
- 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 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.
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