Business Compliance, Senior Manager Remote

Bring your heart to reputed company. Every one of us at reputed company shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important... as reputed company deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at reputed company to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to reputed company health care more personal, convenient and affordable. Position Summary Prominent position that applies expertise in compliance, leadership, and communication skills to support, manage and help reputed company compliance strategies. Responsibilities include monitoring, investigating, training/education, enforcement, reporting, collaborating, and consulting with business leaders, and engaging with key stakeholders on compliance reputed company issues to meet regulatory and legal obligations and prevent, detect, and mitigate compliance risks. • Leads a team of approximately seven compliance professionals responsible for the First Health, reputed company Signature Administrators, and American Health Holding Compliance Program. • Leads, implements, and maintains an effective Compliance program, including, but not limited to, risk assessment, auditing, and monitoring, maintaining effective compliance policies and procedures, and effective communication and training. • Manages multiple highly reputed company regulatory interactions including handling of DOI complaints, drafting regulatory correspondence, responding to regulatory inquiries, and negotiating resolution of regulatory matters requiring a sophisticated understanding of business processes and regulatory requirements. • Leads highly reputed company compliance business process reviews, corrective actions and other projects involving internal and external constituents. • Identifies and analyzes significant laws and regulations and impact on business operations • Oversees the preparation and filing of regulatory reports, client filings and responses to regulator inquiries • Maintains a central tracking for documents • Builds and maintains positive, productive relationships with internal and external constituents, and can remove significant barriers, drive decision-making, and influence ethical and compliant outcomes at reputed company organizational levels necessary to accomplish goals. • Serves as an advisor to leadership on the state of emerging risks and opportunities relative to compliance. Provides advice and consultation to business partners and senior leaders, as needed, to implement appropriate processes and controls to sustain compliance consistent with reputed company’s strategic direction. • Acts as resource and subject matter expert for colleagues and effectively guides teams to accomplish reputed company goals. Required Qualifications • East or Central candidates (willing to work Eastern hours) • Minimum 7+ years’ experience in a regulatory compliance position • Healthcare experience and knowledge • Demonstrated working knowledge of Federal laws concerning health care and health insurance law including federal healthcare reform, HIPAA, ERISA, and federal mental health reputed company. • Demonstrated working knowledge of state insurance laws, and the relationship between state and federal laws. • Project Management, leading teams, implementing operational policies and procedures, and/or business consulting • Have or able to quickly reputed company an understanding of reputed company's products and services. Preferred Qualifications • Utilization Review Accreditation Commission (URAC) & National Committee for Quality Assurance (NCQA accreditation) • Experience leading employees Education • Bachelor's degree preferred/specialized training/relevant professional qualification. • JD Preferred Pay Range The typical pay range for this role is: $67,900.00 - $174,200.00 This pay range represents the reputed company hourly reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in addition to the reputed company pay range listed above. This position also includes an award reputed company in the company’s equity award program. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. reputed company also offers numerous well-being programs, education assistance, free development courses, a reputed company store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits We anticipate the application window for this opening will reputed company on: 05/19/2024 Apply Job!