Sr. Director, Compliance and Ethics

Blue Shield of California•Oakland, CA

1d•Hybrid

About The Position

The Senior Director, Compliance & Ethics leads Ascendiun’s enterprise-wide compliance and ethics program across its affiliates, business units, products, services, and activities. The role oversees preventive, detective, and remedial controls; policies and procedures; workforce training and communications; testing, auditing, monitoring, and reporting; and remediation of control deficiencies. Program areas include the Code of Conduct, compliance policies and investigations, anti-bribery, anti-kickback and anti-corruption, exclusion lists, conflicts of interest, and other compliance and ethics initiatives. Reporting directly to the Chief Risk and Compliance Officer, the Senior Director primarily leads the enterprise-wide program and may take on additional responsibilities or support the Chief Compliance & Ethics Officer’s other initiatives as needed. The position leads investigations and reporting channels, develops and manages compliance teams, works with business and corporate partners, and provides regulatory and industry guidance. The role follows Ascendiun’s hybrid workplace model, generally requiring in-office work two days each week; employees living more than 50 miles from an office will determine in-office time with their manager based on business need.

Requirements

Bachelor’s degree, or a high school diploma/GED and four years of additional relevant experience in lieu of a degree.
Twelve years of legal or health care compliance and ethics experience with increasingly progressive responsibility, including Director-level Compliance experience.
Subject matter expertise in compliance investigations, compliance hotlines and reporting, compliance training and communications, anti-corruption, anti-bribery and anti-kickback, government contracting, exclusion lists, corporate ethics, business partner and third-party risk management, and applicable laws and regulations.
Six years of prior people management experience, with direct responsibility for supervising, coaching, and evaluating direct reports.
Director-level, Deputy Chief Compliance Officer, and/or Federal Law Enforcement experience.
Excellent verbal and written communication and relationship-building skills for interacting with senior management, board members, providers, and federal and state regulators.
Strong independent judgment, problem-solving, critical-thinking, and analytical skills, along with high integrity and a strong moral compass.

Nice To Haves

Juris Doctor (JD) from an ABA-accredited law school and admission to practice law in one or more U.S. states; California admission is strongly preferred.
Certified Healthcare Compliance (CHC) or Certified Compliance and Ethics Professional (CCEP) certification.
Experience and knowledge of compliance or risk incident management software.
Experience writing and implementing policies and procedures, performing risk assessments, documenting controls and control gaps, remediating control gaps, and delivering and maintaining an effective compliance and ethics program.

Responsibilities

Lead, implement, and maintain an effective enterprise-wide Corporate Compliance and Ethics Program, including whistleblower and anti-corruption programs, compliance policies and procedures, and training, awareness, and communications programs.
Manage and conduct enterprise-wide compliance investigations.
Maintain a clear, comprehensive, and integrated enterprise compliance investigation protocol.
Oversee internal and external hotline and compliance reporting channels.
Prepare comprehensive investigation summary reports.
Ensure appropriate corrective action and remedial measures are taken after investigations are completed.
Build, develop, and lead teams of Compliance & Ethics professionals to support effective preventive, detective, and remedial programs and controls throughout company operations.
Collaborate with compliance resources across the Ascendiun Family of Companies, including Human Resources Employee Relations, IT Security, Legal, and Internal Audit, as well as operational areas, to promote the program and encourage ethical behavior.
Provide regulatory and compliance industry standards support and guidance.
Develop and implement enterprise-wide compliance policies, procedures, and training programs to promote compliance with legal and regulatory standards.
Research, identify, review, and summarize new and existing regulations; monitor industry trends and regulatory actions; and communicate their impact to Ascendiun companies and the Chief Risk and Compliance Officer.