Associate Director, Compliance

Employment Type: Full-time Location: Remote (Candidate must reside in Central or Eastern Time Zone)

Position Overview

Become a part of our caring community and help us put health first. The Associate Director, Compliance ensures compliance with governmental requirements. This role requires a solid understanding of how organization capabilities interrelate across departments.

The Associate Director, Regulatory Intake Compliance is responsible for enterprise-wide regulatory monitoring, including communication of new or amended regulations, as well as implementing and maintaining a quality assurance and validation process post-implementation. The Associate Director will oversee a team of professional subject matter experts and advise internal business units to demonstrate operational value and reduce compliance risk exposure.

Responsibilities

• Develop, execute, or maintain relevant policies, procedures, and workflows for department operations.
• Understand and work within Enterprise Solution Point (ESP) data, including risk assessment and scoring methodology, and reporting or dashboard management using the LRR module.
• Conduct ongoing analytics to support process improvement.
• Coordinate inter-departmental committees, forums, or other meetings to achieve execution excellence.
• Maintain relationships with internal and external stakeholders, including government regulators and external vendor partners.
• Manage a team of subject matter experts and oversee the coordination of new or changed regulatory summary development, distribution, and implementation validation.
• Serve as a leader, making decisions related to identifying and resolving complex technical and operational problems within the department. May lead multiple managers or highly specialized professional associates.
• Rethink routine processes to align team processes with overall organizational goals or strategy, and provide ongoing oversight and monitoring of team performance against well-defined metrics.
• Identify process improvement opportunities based on data analysis and a comprehensive risk assessment and scoring process.
• Develop and oversee the regulatory implementation validation and quality assurance process.
• Work across departments and business segments to enhance reporting, trend analysis, and operational improvement efforts.
• Build relationships with aligned leaders and partners across the enterprise.
• Make staffing decisions, oversee training, and manage the overall performance of the team.
• Develop consistent processes, procedures, and platforms for an end-to-end regulatory process, including intake, analysis, distribution, implementation, and testing.
• Define metrics to track and report volume, timeliness, risks, and issues of distribution and implementation of new/changing regulations.
• Develop a post-implementation compliance assessment program to test controls and compliance with regulations.
• Build a high-performance team with clear roles/responsibilities, training, and a quality assurance program to monitor and improve team performance.

Use your skills to make an impact!

Required Qualifications

• Bachelor's Degree
• 6 or more years of technical experience
• 2 or more years of management experience
• Advanced experience working in compliance, risk management, or managed-care field
• Strong communication skills with the ability to influence effectively
• Ability to exercise strong personal and professional judgment
• Passion for contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications

• Leadership experience in compliance, risk management, or related areas, highly preferred.
• MBA, Juris Doctor, or other graduate degree.

Company Information

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