Dir, Compliance

Job Summary: Health plan utilization management compliance experience. This director level position is primarily responsible for overseeing company compliance activities including designing strategies for the implementation of regulatory changes.

Responsibilities include directing compliance reporting efforts, compliance investigation, and activities associated with continued regulatory compliance across multiple business functions. Additional key responsibilities include directing and overseeing the implementation of compliance efforts through approving requirements and monitoring ongoing compliance adherence. This managing level employee also directs programs or compliance components of larger cross-functional programs including identifying and managing stakeholders.

Essential Responsibilities:

Demonstrates continuous learning and maintains a highly skilled and engaged workforce by aligning resource plans with business objectives; overseeing the recruitment, selection, and development of talent; motivating teams; preparing individuals for growth opportunities and advancement; staying current with industry trends, benchmarks, and best practices; providing guidance when difficult decisions need to be made; and ensuring performance management guidelines and expectations drive business needs. Oversees the operation of multiple units and/or departments by identifying customer and operational needs; analyzing resources, costs, and forecasts and incorporating them into business plans; gaining cross-functional support for business plans and priorities; translating business strategy into actionable business requirements; obtaining and distributing resources; setting standards and measuring progress; removing obstacles that impact performance; guiding performance and developing contingency plans accordingly; and ensuring products and/or services meet customer requirements and expectations while ali