Svp, Corporate Compliance & Ethics And Risk Operations

Why This Role is Important to Us
The SVP, Corporate ComplianceEthics and Risk Operations reports directly to the Chief Risk, Compliance Ethics Officer, and leads the Corporate Compliance; ethics; corporate third-party and vendor compliance oversight; Risk Compliance Board support; and Risk Compliance cross-departmental operations, project management, budget management and strategic planning functions for the integrated corporate governance, risk management and compliance (GRC) programs of CCA.
This leadership position leads our Corporate Compliance Ethics programs, which include Code of Conduct and corporate ethics; Corporate Compliance investigations; training, communications and awareness initiatives; corporate policy and procedure administration and oversight; conflicts of interest; gifts and entertainment; political activities and contributions; non-LOB/product-specific regulatory licensing and reporting; Board, Audit, Compliance Risk Oversight (ACRO) Committee, and Compliance, Audit Enterprise Risk (CAER) Council support activities and programs; and Compliance Ethics trade association partnerships and activities;.
The role is also responsible for leading and overseeing our cross- organizational and cross-product Third-Party Compliance Oversight (TPCO) Program, which includes but is not limited to Medicare FDR compliance; Medicaid and LTSS subcontractor compliance; and enterprise-wide third-party compliance management oversight for all lines of business.
The role additionally ensures adequate structure, coordination, and management of all Risk Compliance Department programs, enabling them to function effectively. This includes Board, Audit Committee, and senior leadership committee reporting; strategic planning; budget management; human capital management; project management; facilities and space planning management; development of relevant metrics, KPIs and KRIs; communications and awareness initiatives; employee engagement initiatives; and cross-state/markets planning and coordination.
Supervision Exercised:Yes
What You'll Be Doing

• Owns the design, development, implementation, ongoing enhancement and leadership of CCA's Corporate Compliance Ethics Program, which includes Code of Conduct and corporate ethics administration; Corporate Compliance investigations; compliance and ethics training, communications, education and awareness initiatives; corporate policy and procedure administration; conflicts of interest administration; gifts and entertainment administration; political activities and contributions administration; non-product/LOB-specific regulatory reporting; Board and ACRO Committee support programs and activities; and our annual Compliance Ethics trade association membership and activities. These programmatic responsibilities are product- and line of business (LOB)-agnostic, as they span the entire CCA enterprise and provide for a Corporate Compliance Ethics "shared services" platform.
• Owns the design, development, implementation, ongoing enhancement and leadership of CCA's Third-Party Compliance Oversight (TPCO) Program, consolidating the various and differing product- and line of business-specific third-party compliance and Risk management functions and activities into an integrated, centralized and formalized holistic framework that serves as a "shared services" platform (i.e., integrating Medicare FDR; Duals/SNP; and Medicaid/LTSS-required third-party compliance requirements and programs, among others, into a holistic, streamlined and centralized framework).
• Ensures effective and efficient strategic, administrative, and operational management of the various compliance and Risk management initiatives across the organization. This includes project management, development and compilation of various Board, ACRO Committee, and executive leadership report materials, strategic planning, goal planning, budget planning and management, human capital planning and management, vendor management and oversight, performance review/management processes, facilities and space planning, various risk assessment activities, relevant metrics and dashboard reporting, corporate culture and employee engagement initiatives, and departmental communications and awareness activities, among others. In short, this role provides the strategic, administrative, and operational leadership, structure, coordination, facilitation and support for the organization's various and wide-ranging Risk Management and Compliance departments so that they operate in an organized, effective, efficient, and coordinated manner. This role serves as the Risk Compliance Department operations leader.
• Supports and facilitates the various and wide-ranging Risk Management and Compliance departments to develop effective policies, procedures, training, communications, awareness, monitoring, testing, metrics capture, reporting, auditing, sampling, and remediation controls and initiatives.
• Supports and facilitates the development and compilation of various compliance and Risk management program metrics, dashboards, key risk/performance indicators, tolerances, thresholds, limits, and other measures of program effectiveness.
• Supports and facilitates the planning and execution of complex and nuanced investigations, inquiries, and assessments.
• Supports the coordination of cross-organizational risk assessments, gap analyses and remediation initiatives.
• Ensures collaboration, coordination and information sharing across and between the different Risk Management and Compliance functions.
• Oversees and leads the Risk Management Compliance Department's service provider and vendor management, budgets, and relationships.
• Develops and delivers clear, effective, and timely reports and updates for the department, executive leadership, the Board of Directors, and others across CCA.
• Regularly partners and collaborates with other CCA Risk Compliance teams on various strategic and cross-enterprise initiatives and projects. Represents the Chief Risk, Compliance Ethics Officer in various settings and with different internal/external audiences.

Working Conditions:

• Standard office conditions. Hybrid remote role.

What We're Looking For
Required Education:

• Bachelor's Degree

Desired Education:

• Relevant graduate degree (e.g., Juris Doctor or master's degree in a related field)

Experience Required:

• Minimum of 15 years of wide-ranging compliance, ethics, risk management, audit/assurance, quality assurance, finance/controls, and/or corporate governance experience required, preferably in the health insurance and/or healthcare industry.
• Minimum of 10 years of operations management, project management, strategic planning, financial and budget planning/management, and/or cross-organizational coordination and communications experience required, preferably in the health insurance and/or healthcare industry.
• Minimum of 10 years of work experience in a managerial/leadership role in compliance, ethics, risk management, audit/assurance, quality assurance, finance/controls, corporate governance, and/or financial management, leading both teams and programs.
• Extensive experience and knowledge of third-party, vendor and service provider compliance oversight and Risk management programs, including direct insight into how to build and sustain robust and effective third-party compliance and Risk management functions (e.g., Medicare FDRs, Medicaid subcontractors, etc.).
• Strong experience and expertise in the compilation of multi-stakeholder executive-level reporting, including but not limited to the Board, relevant Board Committees (e.g., Finance, Risk, Audit and Compliance Committees), and executive leadership.

Knowledge, Skills Abilities Required:

• Strong subject-matter expertise and knowledge of broad and wide-ranging compliance, ethics, risk management, audit/assurance, finance/controls, and/or corporate governance programs, processes, protocols, and controls.
• Strong subject matter expertise and knowledge of operations management, project management, strategic planning, financial and budget planning/management, human capital planning/management, business process re-engineering, and change management standards, processes, and best practices, including but not limited to the development, capture and monitoring of relevant metrics, KPIs and KRIs.
• Strong acumen and understanding of healthcare, health insurance and managed health care organizations required, including diversified business lines (Medicare, Medicaid, Duals, SNP, LTSS, FEHBP, CHIP, commercial, Exchange, behavioral health, and benefits administration, etc.). Extensive experience with health plans in Government Programs (e.g., Medicare, Medicaid, Duals, SNP and LTSS) required.
• Excellent organizational, analytical, and problem-solving skills, as well as oral, listening and written communication skills, required.
• Strong computer and IT skills required, including highly advanced Microsoft Office, Excel, PowerPoint, Word, Visio, and Project Management expertise, among other relevant programs.
• Strong ability and comfort in operating in a matrixed, complex, integrated, fast-paced and entrepreneurial environment, and within a cross-organizational and departmental setting wherein key stakeholders don't necessarily report to you.
• Excellent ability to influence and achieve the desired results across, and in the absence of, direct reporting lines of authority. "Maze-bright" in the ability to effectively, efficiently and successfully navigate the organization.
• Strong partnership-, relationship-, consensus- and coalition-building skills required.
• Strong emotional intelligence and self-awareness required. Strong executive polish and presence required.
• Strong strategic, business, operational, and leadership mindset and skills required. Highly consultative and partnership-oriented in approach.
• Strong and reliable judgment and discretion required. Strong ability to independently and self-sufficiently identify, navigate and resolve various risk, compliance and operational issues.
• Strong ethical compass and integrity capital required.

Language(s):

• English