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Director II Compliance

1 month ago

Virginia, United States Elevance Health Full time

Director II Compliance Location:

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. We are a team of committed clinicians and business leaders passionate about transforming American healthcare delivery. The

Director II Compliance

is responsible for directing foundational and strategic compliance responsibilities with consistent excellence that support the team and management.Thisposition will provide compliance support to Carelon Global Solutions (CGS) and Carelon Digital Platforms (CDP) Compliance Program that incorporatesthe seven components of a successful Compliance program,which includes having dedicated resources to provide compliance support and oversight on the business stakeholder.TheDirector II Compliance will support the leadership team and own compliance acrossa number ofdisciplines, including but not limited to:Foreign Corrupt Practices Act, Anti Bribery/Anti-Corruption,HIPAA Compliance;Localand FederalRegulatoryCompliance;Commercial and Specialty, Medicaidand Medicare Compliance;Finance;Procurement;Corporate Governance;andHumanResources. How you will make an impact: Be the Compliance lead and subject matter expert for CGS and CDP ComplianceProgram 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. MaintainknowledgeofUS Federal, State, international, and specific local/country regulations, company strategies to assess impact, and consult with clients as a subject matterexpert. Conduct investigations, reviews documents, and enforces correctiveactions. 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 auditreadiness. Hires, trains, coaches, counsels, and evaluates performance of direct reports. Minimum Requirements: 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 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. Global Compliance Experience Preferred

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