Compliance Director
About The Position
The Compliance Director is responsible for serving as the compliance lead for the DC Medicaid plan and as a member of the senior leadership team, directing foundational and strategic compliance responsibilities with consistent excellence to support the team and management. This role requires associates to be in-office 4 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. Candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law.
Requirements
- 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 leadership/managerial skills and ability to motivate/coach other staff strongly preferred.
- MS/MBA/JD or professional designation.
- Privacy and/or security certification(s)
- Medicaid experience
- Managed Care or comparative HealthCare Experience
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.
- Serves as a key point of contact with government agencies including representing the plan at various meetings and managing regulator requests.
Benefits
- comprehensive benefits package
- incentive and recognition programs
- equity stock purchase
- 401k contribution
- 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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What This Job Offers
Job Type
Full-time
Career Level
Director
