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Compliance Director

2 months ago

Des Moines, United States Elevance Health Full time

Compliance Director Location:

Richmond, VA. Open to other Pulse Point locations, must be within a 50 mile radius of a Pulse Point location. This position will take part in Elevance Health's hybrid workforce strategy which includes virtual work and 1-2 days in office per week. The

Compliance Director

is responsible for directing foundational and strategic compliance responsibilities with consistent excellence that support the team and management. How You Will Make an Impact Primary duties with expert skill level and tasks with the most advanced complexity and broad/enterprise scale may include, but are not limited to: 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.

Develops strategic plans, makes recommendations to leadership; designs/implements annual compliance plan.

Develop 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.

Key Responsibilities Coordinate with key stakeholders, including but not limited to business partners, legal, privacy, information security to manage inquiries and incidents related to anti-trust, firewall to ensure guidance provided and/or corrective actions identified and completed, as necessary

Establish and maintain tracking of firewall inquiries and incidents across Carelon to assist with audits and investigations

Incorporate inquiries and incidents into ECP risk assessment process to identify key risk areas

Organize regular audits and risk assessments to identify potential vulnerabilities and determine the efficacy of existing controls.

Adopt best practices and strategic initiatives to improve firewall management activities to protect corporate interests and ensure business transparency and fairness.

Coordinate and support enterprise and enhanced training creation and distribution, as needed, to educate employees about anti-trust regulations, corporate policies and the role of the firewall enforcing these.

Minimum Requirements: 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.

Preferred Skills, Capabilities, and Experiences: Strong leadership/managerial skills and ability to motivate/coach other staff strongly preferred.

MS/MBA/JD or professional designation preferred.

Experience in the design and management of anti-trust firewall regulations in an enterprise setting.

Excellent interpersonal and communication skills.

Strong analytical and problem-solving skills.

Ability to work with cross-functional teams.

Proficient in risk management and audit processes.

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