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Elevance Health Compliance Director in PLANO, Texas

Compliance Director

Location: Must be within a 50 mile radius of a Pulse Point location.

This position will take part in Elevance Health's hybrid workforce strategy which includes virtual work and 3-4 days in office per week.

The Compliance Director is responsible for directing foundational and strategic compliance responsibilities with consistent excellence that support the team and management.

How You Will Make an Impact:

Primary duties with expert skill level and tasks with the most advanced complexity and broad/enterprise scale may include, but are not limited to:

  • Directs projects, initiatives, regulatory sanctions, executive-sponsored initiatives, regulatory audits or exams, internal audits, accreditations, on-site reviews, risk assessments; audit planning, conducting mock audits, conducting audit training, managing audit evidence preparation, assessing audit preparedness.

  • Leads compliance monitoring to identify process gaps, validate compliance levels, map processes, draft corrective actions/remediation plans, oversee implementation of corrective actions, prepare reports/presentations.

  • Leads complex investigations and documents findings.

  • Develops strategic plans, makes recommendations to leadership; designs/implements annual compliance plan.

  • Develop strong relationships with key leaders to identify and address compliance risks and failures and manage action plans designed to fully mitigate risk(s).

Minimum Requirements:

  • Requires a BA/BS and minimum of 8 years health care, regulatory, ethics, compliance or privacy experience; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

  • MS/MBA/JD or professional designation preferred.

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

  • Pharmacy compliance experience strongly preferred.

  • Experience monitoring state and federal pharmacy laws for changes that will impact the operations of the organization

  • Experience working with State Boards of Pharmacy to resolve issues and represent the organization

  • Previous experience monitoring issues and risks.

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