Senior Director, Corporate Compliance Officer

Responsibilities:

• Advises Included Health Leadership on issues concerning compliance, including developing and implementing controls designed to ensure compliance with internal policies and procedures.
• Keeps abreast of regulatory developments within or outside of the Company, as well as evolving best practices in compliance control.
• Communicates and works collaboratively with applicable stakeholders on compliance and privacy issues, resolutions and identified trends.
• Collaborates with other functions to oversee the coordination of internal and external third-party and governmental compliance/privacy investigations or reviews.
• Oversees and manages monitoring systems and processes to ensure effective compliance tracking.
• Coordinates with the Legal Department on legal compliance matters and government investigations, as appropriate.
• Drives distribution, implementation and education regarding compliance policies, procedures and the Code of Conduct (e.g. annual conflict of interest disclosure process, monthly healthcare exclusions screenings, Business Associate Agreement updates, etc.).
• Identifies risk areas and assists in developing auditing, monitoring and oversight processes related to the identified risks.
• Independently investigates or supervises the investigation of compliance concerns raised through Included Health’s Compliance Hotline or other reporting mechanisms.
• Oversees the implementation of the compliance education and training programs.
• Leads the development and implementation of annual compliance work plan.
• Participates in meetings and on committees; represents the Company in community outreach efforts.
• Partners with key functional leaders such as Product and Engineering teams on operational considerations for new products and service offerings.
• Responsible for compliance updates for Board of Directors review.
• Directs vendor compliance assessment process.

Required Qualifications:

• Bachelor’s degree is required. Minimum of 5 years of experience in a regulatory compliance role.
• Knowledge of federal and state laws relating to healthcare.
• Proactive collaborator who establishes and maintains strong relationships within the legal department and across the organization; true business partner to leadership, operational and support teams.
• Knowledge of regulatory bodies including but not limited to CMS, OCR, OIG, OSHA and state regulators.
• Track record of building and leading effective teams; forms strong-identity teams that apply diverse skills and perspectives to achieve common goals, and holds team members accountable for results.
• Adaptable to a fast-paced and quickly changing environment; agile, able to prioritize, multitask, and meet critical deadlines.
• Solutions-focused problem solver who can manage ambiguity; able to operate effectively even when things are not certain or the path forward is not clear.
• Exceptional written, oral, interpersonal, and presentation skills; able to interface with senior management and staff.
• Commitment to the mission and values of the organization while demonstrating good judgment, flexibility, patience and discretion when dealing with confidential and sensitive matters.

Preferred Qualifications:

• Master's degree or J.D.
• Some knowledge of medical coding regulations is a plus.

Physical/Cognitive Requirements:

• Prompt and regular attendance at assigned work location.
• Ability to remain seated in a stationary position for prolonged periods.
• Requires eye-hand coordination and manual dexterity sufficient to operate keyboard, computer and other office-related equipment.
• No heavy lifting is expected, though occasional exertion of about 20 lbs. of force (e.g., lifting a computer / laptop) may be required.
• Ability to interact with leadership, employees, and members in an appropriate manner.
• Some overnight business travel will be required.