Staff VP Carelon Global Compliance
Elevance Health

Job Info

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A proud member of the Elevance Health family of companies, Carelon Global Solutions, formerly Legato Health Technologies is a managed service delivery organization, providing information technology and business operations services for health plans.

Staff VP Carelon Global Compliance

Location: Atlanta, Georgia

Responsible for directing foundational and strategic compliance responsibilities with consistent excellence that support the team and management. This position will provide compliance support to Carelon Global Solutions (CGS) and Carelon Digital Platforms (CDP) Compliance Program that incorporates the seven components of a successful Compliance program, which includes having dedicated resources to provide compliance support and oversight on the business stakeholder. The Staff VP will support the leadership team and own compliance across a number of disciplines, including but not limited to: Foreign Corrupt Practices Act, Anti Bribery/Anti-Corruption, HIPAA Compliance; Local and Federal Regulatory Compliance; Commercial and Specialty, Medicaid and Medicare Compliance; Finance; Procurement; Corporate Governance; and Human Resources.

Position Responsibilities

• Be the Compliance lead and subject matter expert for CGS and CDP Compliance Program including offshore governance reviews and approvals
• Manage or oversee projects, initiatives, regulatory audits or exams, internal audits, accreditations, on-site reviews, risk assessments; and assist in audit readiness.
• Lead compliance monitoring to identify process gaps, validate compliance levels, map processes, create corrective action plans, and prepare reports or presentations for leadership.
• Implement and ensures adherence to Corporate Ethics, Privacy, and Compliance standards, which may include drafting, and adopting policies and procedures to support the business.
• Maintain knowledge of US Federal, State, international, and specific local/country regulations, company strategies to assess impact, and consult with clients as a subject matter expert.
• Conduct investigations, reviews documents, and enforces corrective actions.
• Interface with external regulators (as needed), internal stakeholders, leadership, and colleagues.
• Assist in training new hires and monitoring routine compliance training taken annually by offshore teams; and
• Schedule, administrate, and facilitate Compliance Committee meetings, which includes the review of business stakeholder presentations, risk and issue management, and accountability for action items to remediate risks or issues.
• Manages or lead the most advanced investigations, document findings, comply with notification requirements, ensure corrective actions are made. Sets goals for department and direct reports; plan, document and communicate department work, noting accountable direct reports and deadlines; may oversee a manager(s) with direct reports.
• Hires, trains, coaches, counsels, and evaluates performance of direct reports.

Position Requirements

• Requires a BA/BS and minimum of 10 years health care, regulatory, ethics, compliance or privacy experience, including minimum of 5 years management experience; or any combination of education and experience, which would provide an equivalent background.
• Global Compliance Experience
• Ability to travel may be required.

Preferred Skills, Capabilities and Experiences

• Strong leadership/managerial skills and ability to motivate/coach other staff strongly preferred.

• MS/MBA/JD or professional designation strongl preferred.
• Digital/Technology.
• AI Experience

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