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Sr. Director, Corporate Compliance

4 months ago

Boston, United States Commonwealth Care Alliance Full time

The Senior Director, Corporate Compliance & Ethics reports directly to the SVP, Corporate Compliance & Ethics and Risk Operations, and leads the compliance & ethics programs for Commonwealth Care Alliance (CCA). This position effectively leads our Corporate Compliance & Ethics programs which include Code of Conduct and corporate ethics administration; corporate investigations; compliance and ethics training, communications, education and awareness initiatives; corporate policy and procedure administration; conflict of interest administration; gifts and entertainment administration; political activities and contributions administration; and regulatory reporting.

* Strategically leads the Compliance & Ethics Department addressing allegations of internal and external allegations of misconduct and noncompliance.
* Effectively leads and manages compliance & ethics communications and awareness, education and training of CCA staff on behalf of the Corporate Compliance & Ethics Department.
* Builds and maintains strong and effective relationships with all relevant internal and external stakeholders, including federal and state regulatory entities, Hurman Resources, Quality Assurance & Control, Legal, and FWA among others.
* Maintains the Compliance training program for end users to properly educate employees and business partners regarding requirements and responsibilities.
* Manages Conflicts of interest, gifts & entertainment, compliance & ethics protocols, Code of Conduct, CCA policy & procedure processes
* Develops and delivers clear, effective and timely updates for compliance committees, senior management and/or the Board, regarding compliance effectiveness, initiatives and issues, including all relevant metrics, dashboards and information.
* Stays abreast of standards and requirements, including all relevant laws, rules and industry standards and company practices.
* Directs and coordinates the daily activities of the Corporate Compliance & Ethics Department
* Supports and facilitates the development and compilation of various compliance program metrics, dashboards, key risk/performance indicators, tolerances, thresholds, limits, and other measures of program effectiveness.
* Performs other duties as assigned.

Demonstrate integrity by working with passion, commitment, and honesty, acting in the best interests of colleagues and members. Approach work in a collaborating and caring manner interacting with insight, sincerity, and compassion. Demonstrate accountability by delivering on commitments, owning mistakes as well as successes, and contributing to an empowering environment where the focus is on solving problems and learning from errors. Recognize and respect diversity in all forms. Strive for excellence in the fulfillment of CCA's mission through quality, innovation, and continuous learning. Demonstrate initiative, flexibility, and openness to change. Represent CCA and its clinical affiliates with professionalism. Keep current and proficient with necessary skills and knowledge. Self-identify training and development needs relevant to work area and responsibilities. Adhere to all applicable compliance requirements including but not limited to:

* Complete required compliance training in a timely manner
* Review Code of Conduct at least annually and promote and enforce CCA's Code of Conduct
* Promote and enforce CCA's compliance program
* Adhere to CCA's Policy & Procedures
* Promptly, in good faith, report any instances of suspected fraud, waste and abuse; suspected privacy and/or security incidents; or any compliance concerns identified
* Ensure confidentiality of member and company proprietary information is maintained

Required:

* Bachelor's Degree
* Minimum of 8-10 years of compliance experience with increasingly progressive responsibility required.
* Minimum of 5 years of work experience in a managerial/leadership role managing a team directly.
* Functional subject matter expertise in leading a large, regulated compliance program.
* Proven ability to effectively and timely manage multiple initiatives and cross- departmental projects.
* Experience in designing compliance training programs for all levels of the organization.
* Strong partnership-, relationship-, consensus- and coalition-building skills required.
* Strong emotional intelligence and self-awareness required.
* Strong executive polish and presence required.
* Strong strategic, business, operational, and leadership mindset and skills required. Highly consultative and partnership-oriented in approach.
* Strong ethical compass and integrity capital required.
* Excellent organizational, analytical and problem-solving skills, as well as oral, listening and written communication skills, required.
* Strong ability to synthesize complex requirements and clearly and concisely articulate the relevant points.
* Strong program and project management skills and experience required.
* Ability to influence at all levels of the organization, including executive management; the Board; regulators; employees; customers; partners and vendors.
* Strong strategic, business, operational and leadership mindset and skills required.
* Strong and reliable judgment and discretion required.
* Strong ability to independently and self-sufficiently identify and navigate various operational issues.

Desired:

* Relevant graduate degree (e.g., Juris Doctor or master's degree in a related field)