Compliance Director - Clinical Regulatory focus

Elevance HealthAtlanta, TX
Hybrid

About The Position

The Compliance Director is responsible for directing foundational and strategic compliance responsibilities with consistent excellence that support the team and management. This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

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.

Nice To Haves

  • Strong awareness and familiarization with compliance in a direct patient care clinical environment (this position supports an Infusion, Home Health and Specialty Pharmacy operation).
  • Strong clinical credibility and regulatory understanding in a clinical environment.
  • Registered Nurse (RN) experience or MSN is preferred, though active license is not required.
  • Strong leadership/managerial skills and ability to motivate/coach other staff strongly preferred.
  • Travels to worksite and other locations as necessary.

Responsibilities

  • 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).

Benefits

  • merit increases
  • paid holidays
  • Paid Time Off
  • incentive bonus programs
  • medical
  • dental
  • vision
  • short and long term disability benefits
  • 401(k) +match
  • stock purchase plan
  • life insurance
  • wellness programs
  • financial education resources
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