- Overall compliance program ownership and management key programs, focusing on both shortterm initiatives and long-term strategic direction and objectives for the programs.
- Ensuring ongoing compliance with established, revised, or new regulatory requirements that
- Oversee the compliance program through employee and leadership
- Prepare monthly and/or quarterly compliance reporting for the organization's leadership and
- Evaluate and analyze regulations, interpret significance, and recommend policies to comply and
- Investigate instances of suspected noncompliance within the health plan and report to
- Identify risks within the context of the broad projects and accurately estimate and plan resource
- Assist management with enforcement and discipline in appropriate instances of noncompliance.
- Support management of the compliance program key functions, including developing
- Interact and communicate effectively with state and federal regulators.
- Oversees department staff contributing to highly critical projects;
- Exercises judgment to make decisions, or to raise issues to the appropriate level in a timely
- Requires a Bachelor's Degree with a Master's degree preferred
- 10 or more year's business or industry experience. 8 + years of compliance and
- Significant business process and project management experience related to the
- A proven ability to meet deadlines is also required.
- Ability to thrive in a matrix-management, hands-on environment that demands a
- Outstanding communication and relationship management skills required, including the ability to effectively manage difficult group dynamics to effectively reach a positive outcome; very strong situation leadership skills.
- Excellent human resource management skills, ability to oversee team of project managers as part of the overall program
- Highly developed oral and written communication skills, ability to communicate with and influence internal and external constituents at all levels with confidence.
- Highest level presentation skills including ability to interface and "sell" new programs and changes to existing programs to a broad range of internal and external contacts, as necessary.
- Strong negotiating, influencing, and advocacy skills, ability to lead others both internally and externally to ensure the success of the program.
- Ability to navigate political issues using advanced organizational (Tufts HP) knowledge.
- Must be flexible and a proponent/champion of change, able to conceptualize and envision the impact of change, and propose new ways to do business.
- Must be an accomplished multi-disciplinary team-leader and team-builder with hands-on style.
- Ability to balance strong leadership on day-to-day program management and significant issues while also aligning with program director's broader needs and vision for the program.
- Ability to present technical information in a way that establishes rapport, persuades others, and gains understanding.
- Possess strong influencing and situational leadership skills with the ability to manage and motivate both direct and non-direct reports. Must have a demonstrated ability to obtain the confidence and trust of non-reports, resulting in high commitment and cooperation.
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Senior Manager, Compliance - Canton, United States - Tufts Health Plan
1 week ago
Description
Senior Manager, Compliance page is loadedSenior Manager, Compliance
Apply
remote type
Hybrid
locations
Canton, MA
time type
Full time
posted on
Posted 3 Days Ago
job requisition id
R7665
Who We Are
Point32Health is a leading health and wellbeing organization, delivering an ever-better personalized health care experience to everyone in our communities.
At Point32Health, we are building on the quality, nonprofit heritage of our founding organizations, Tufts Health Plan and Harvard Pilgrim Health Care, where we leverage our experience and expertise to help people find their version of healthier living through a broad range of health plans and tools that make navigating health and wellbeing easier.
We enjoy the important work we do every day in service to our members, partners, colleagues and communities.To learn more about who we are at Point32Health, click
here
.
Job Summary
The Senior Compliance Program Manager will be responsible for
development, implementation and management of complex compliance programs and initiatives including annual and ad hoc programs, initiatives, projects associated with multiple business lines and may involve state and federal regulations.
These programs and initiatives involve the most criticalprograms/ projects and partnering with internal department interfaces and external stakeholders and may include government regulators and auditors.
These projects/programs will be of the highest complexity, risk and/or regulatory scope, will involve multiple business areas, multiple lines of business, and potentially IT.
The Senior Compliance Program Manager will be responsible for collaborating with leadership, teams and partnering departments to define and execute strategic compliance initiatives in order to accomplish successful compliance oversight and maintain an effective compliance program.
Responsibilities/Duties
– what you will be doing
Key Responsibilities
coordination of policy development and ensure accurate and timely communication to all
departments.
not limited to):
oRisk Assessment, Monitoring and Auditing
oEffective Communication
oTraining and Education
oPolicies and Procedures
oVendor Oversight
oIssue correction and remediation
Qualifications – what you need to perform the job
EDUCATION:
(Minimum education & certifications required)
EXPERIENCE:
(Years of experience)
including leading the most cross -functional high-level initiatives.
healthcare insurance business applications and products using industry-standard project and program management tools and techniques with established track record.
SKILL REQUIREMENTS:
(Include interpersonal skills)
and solutions that span multiple environments in a business area.
As part of our comprehensive total rewards program, colleagues are also eligible for variable pay.
Eligibility for any bonus, commission, benefits, or any other form of compensation and benefits remains in the Company's sole discretion and may be modified at the Company's sole discretion, consistent with the law.
Point32Health offers their Colleagues a competitive and comprehensive total rewards package which currently includes:Medical, dental and vision coverage
Retirement plans
Paid time off
Employer-paid life and disability insurance with additional buy-up coverage options
Tuition program
Well-being benefits
Full suite of benefits to support career development, individual & family health, and financial health
For more details on our total rewards programs, visit
Commitment to Diversity, Equity, Inclusion, Accessibility (DEIA) and Health Equity
P oint32Health is committed to making diversity, equity, inclusion, accessibility and health equity part of everything we do —from product design to the workforce driving that innovation.
Our Diversity, Equity, Inclusion, Accessibility (DEIA) and Health Equity team's strategy is deeply connected to our core values and will evolve as the changing nature of work shifts.
Programming, events, and an inclusion infrastructure play a role in how we spread cultural awareness, train people leaders on engaging with their teams and provide parameters on how to recruit and retain talented and dynamic talent.
We welcome all applicants and qualified individuals, who will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.
About Us
At Point32Health, we strive to be a different kind of nonprofit health and well-being company, with a broad range of health plans, and innovative tools that make navigating health and well-being easier, guiding our members at every step of their health care journey to better health outcomes.
We are committed to providing high-quality and affordable health care, improving the health and wellness of our members, and creating healthier communities across the country.
The Point32Health name is inspired by the 32 points on a compass.It speaks to the critical role we play in guiding and empowering the people we serve to achieve healthier lives.
Our employees are hard-working, innovative, and collaborative.They look for opportunities to grow and make a difference, and they help make us strive to be one of the Top Places to work in New England.
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