Risk Partner

Jobtailor

Alabama

On-site

USD 100,000 - 170,000

Full time

6 days ago

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Job summary

Jobtailor in Alabama seeks a senior Compliance leader to implement and maintain the organization-wide Compliance Program and related policies. You will interpret, enforce, and improve controls while partnering with Legal, Risk Operations, and business leaders.

You will lead audits, investigations, and training, execute enterprise risk plans, and deliver data-driven reports to senior management and the Board with integrity and strategic oversight.

Qualifications

Bachelor's degree in a related field or equivalent experience.
5 years in compliance, privacy, risk, audit, or legal functions.
3 years in a leadership or management role.
Extensive knowledge of federal and state rules.
Foundational understanding of privacy regulations, including HIPAA.
Ability to perform a privacy risk assessment.
Experience with managed care, Medicare, and regulatory compliance.
Travel 0-25%.
No language other than English required.
Required licenses or certifications: None.

Responsibilities

Implement, execute, and maintain the Compliance Program and related policies
Ensure business activities comply with federal and state laws, regulations, and regulatory guidance
Administer, interpret, and enforce the Compliance Program
Audit and monitor operational processes
Conduct or oversee compliance investigations
Ensure adequate Compliance Program training
Execute risk and compliance plans across the enterprise risk taxonomy through matrixed leadership
Monitor and track internal and external audit progress, recurring risk and compliance reporting, mandated training, investigations, and impacts of new or changing laws, regulations, and contractual relationships
Advise business leaders and provide thought leadership aligned with the enterprise risk strategy and framework
Serve as the single point of contact for business risks, compliance, privacy, and security needs
Partner with legal counsel, Risk Operations, Risk Enablement, and business leaders
Implement and maintain compliance and risk management programs
Provide proactive guidance and education to senior management
Participate in Compliance and Risk Committee discussions and presentations
Gather data and prepare reports for senior management and the Board of Directors
Track, monitor, and report Risk Operations activities using standard metrics
Identify and address risks; intake and triage risks from senior leadership
Respond to non-compliance reports and recommend resolution, risk treatment, and corrective action plans
Coordinate with legal counsel and Internal Investigations Unit on incidents and issues
Liaise with external regulators and enforcement bodies
Ensure completion of education and training initiatives
Participate in enterprise risk strategy governance, formal risk assessments, and annual audit plan implementation
Maintain knowledge of regulatory, security, and privacy developments
Perform other duties as assigned

Skills

Strong regulatory knowledge

HIPAA knowledge

Leadership

Audit methodologies

Privacy risk assessment

Communication skills

Education

Bachelor's degree or related field

Job description

Implement, execute, and maintain the Compliance Program and related policies
Ensure business activities comply with federal and state laws, regulations, and regulatory guidance
Administer, interpret, and enforce the Compliance Program
Audit and monitor operational processes
Conduct or oversee compliance investigations
Ensure adequate Compliance Program training
Execute risk and compliance plans across the enterprise risk taxonomy through matrixed leadership
Monitor and track internal and external audit progress, recurring risk and compliance reporting, mandated training, investigations, and impacts of new or changing laws, regulations, and contractual relationships
Advise business leaders and provide thought leadership aligned with the enterprise risk strategy and framework
Serve as the single point of contact for business risks, compliance, privacy, and security needs
Partner with legal counsel, Risk Operations, Risk Enablement, and business leaders
Implement and maintain compliance and risk management programs
Provide proactive guidance and education to senior management
Participate in Compliance and Risk Committee discussions and presentations
Gather data and prepare reports for senior management and the Board of Directors
Track, monitor, and report Risk Operations activities using standard metrics
Identify and address risks; intake and triage risks from senior leadership
Respond to non-compliance reports and recommend resolution, risk treatment, and corrective action plans
Coordinate with legal counsel and Internal Investigations Unit on incidents and issues
Liaise with external regulators and enforcement bodies
Ensure completion of education and training initiatives
Participate in enterprise risk strategy governance, formal risk assessments, and annual audit plan implementation
Maintain knowledge of regulatory, security, and privacy developments
Perform other duties as assigned

Requirements

Bachelor's Degree in Business, Finance, Health Administration, Public Health, Public Administration, Legal, Accounting or related field, or relevant experience and/or education as determined by the company in lieu of bachelor's degree
5 years in compliance, privacy, government affairs, healthcare operations, risk, audit, or legal functions
3 years in a leadership or management role
Extensive knowledge of applicable federal and state rules
Solid working knowledge of managed care operations, compliance program structures, information security, and audit methodologies
Foundational understanding of privacy regulations, including in-depth knowledge of HIPAA
Ability to perform a privacy risk assessment
Broad-based business knowledge and in-depth knowledge of insurance industry, strategic compliance planning, regulatory concerns, compliance requirements, and corporate integrity principles
Excellent oral, written, and presentation skills, plus conceptual and analytic skills
Skill in leading interdepartmental and cross-functional strategy development
Experience with managed care, Medicare, federal and/or state regulations, quality improvement, and compliance oversight
Ability to comprehend and interpret regulatory, legislative, and contractual mandates
Experience managing multiple projects and professional staff
Highest level of integrity and ethics
Travel requirement: 0%-25%
No language other than English required
Required licenses or certifications: None

Core Competencies

Demonstrates extensive knowledge of compliance programs, federal and state regulations, and risk management strategies. Capable of leading compliance initiatives, conducting audits, and providing strategic guidance to senior management while ensuring adherence to privacy regulations such as HIPAA.

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