- Be the Compliance lead and subject matter expert for CGS and CDP Compliance Program including offshore governance reviews and approvals.
- Directs programs with advanced layers, objectives, tasks, stakeholders, requirements; creates policies, procedures and tools needed to operate daily function of program; manage/oversee/influence resources impacting projects or programs from matrixed organizations under different leadership.
- Manages or lead advanced compliance monitoring.
- Maintain knowledge of US Federal, State, international, and specific local/country regulations, company strategies to assess impact, and consult with clients as a subject matter expert.
- Conduct investigations, reviews documents, and enforces corrective actions.
- Schedule, administrate, and facilitate Compliance Committee meetings, which includes the review of business stakeholder presentations, risk and issue management, and accountability for action items to remediate risks or issues.
- Manage or oversee projects, initiatives, regulatory audits or exams, internal audits, accreditations, on-site reviews, risk assessments; and assist in audit readiness.
- Hires, trains, coaches, counsels, and evaluates performance of direct reports.
- Requires a BA/BS and minimum of 10 years health care, regulatory, ethics, compliance or privacy experience, including minimum of 5 years management experience; or any combination of education and experience, which would provide an equivalent background.
- Travels to worksite and other locations as necessary
- Strong leadership/managerial skills and ability to motivate/coach other staff strongly preferred.
- MS/MBA/JD or professional designation preferred.
- Global Compliance Experience Preferred
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Director II Compliance - St Louis, United States - Elevance Health
Description
Director II ComplianceLocation:
This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations.
Carelon Health is a proud member of the Elevance Health family of brands, offering clinical programs and primary care options for seniors.
The Director II Compliance is responsible for directing foundational and strategic compliance responsibilities with consistent excellence that support the team and management.
This position will provide compliance support to Carelon Global Solutions (CGS) and Carelon Digital Platforms (CDP) Compliance Program that incorporates the seven components of a successful Compliance program, which includes having dedicated resources to provide compliance support and oversight on the business stakeholder.
The Director II Compliance will support the leadership team and own compliance across a number of disciplines, including but not limited to:Foreign Corrupt Practices Act, Anti Bribery/Anti-Corruption, HIPAA Compliance; Local and Federal Regulatory Compliance; Commercial and Specialty, Medicaid and Medicare Compliance; Finance; Procurement; Corporate Governance; and Human Resources.
How you will make an impact:
Minimum Requirements:
Preferred Skills, Capabilities, and Experiences:
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with 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.
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.
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.
