Develops and implements strategies to ensure successful maintenance and implementation of compliance and risk programs
Champions cross-functional collaboration by working closely with Risk & Compliance teams, business units, legal, IT, and operational leaders
Leads the documentation of processes and controls
Oversees the review and periodic update of compliance process documentation
Serves as the principal liaison between business/process stakeholders, GRC Administration team, and technology teams
Architects and implements governance structures for the GRC application
Designs and maintains robust standards and criteria for business cases submitted to the governance committee
Develops a framework to evaluate and interpret data outputs and reporting generated from activities recorded in the GRC tool
Champions other strategic initiatives as assigned supporting Risk & Compliance Programs

Bachelor's Degree Business Administration or related field; or equivalent experience required
7+ years Compliance program management and contract experience with state Medicaid, Medicare or commercial programs, including internal and state audits required
Working with healthcare regulatory agencies to develop compliance and fraud prevention programs preferred
Overseeing the implementation of federal and state insurance or program requirement preferred
Utilization of various Governance, Risk, and Compliance applications preferred

Director, Risk & Compliance Processes – Initiatives

Key skills