Sr. Director, Compliance and Ethics

Blue Shield of CA; Oakland (CA); Hybrid; USD 180,000 - 260,000; Full time

Job summary

Ascendiun seeks a Senior Director, Compliance & Ethics to lead the enterprise-wide compliance program across affiliates, units, products, services and activities. You will oversee preventive, detective and remedial controls, policies and procedures, workforce training and communications, testing, auditing, monitoring and reporting, and remediation of control deficiencies.

Reporting directly to the Chief Risk and Compliance Officer, you will drive the program and may support additional

Qualifications

• JD from ABA-accredited law school or equivalent
• Proven track record in healthcare compliance and ethics leadership

Responsibilities

• Lead enterprise-wide compliance and ethics program across affiliates, units, products and activities.
• Oversee investigations, hotlines, training and communications, and remediation of control deficiencies.
• Develop and implement policies, controls, risk assessments, and remediation plans; monitor program effectiveness.
• Collaborate with senior management, board, providers, regulators, and external partners.

Skills

Leadership

Compliance

Ethics

Policy Development

Risk Management

Investigation

Education

Juris Doctor (JD)

CHC/CCEP Certification

Job description

Your Role

As Senior Director, Compliance & Ethics at Ascendiun you will lead the enterprise-wide compliance and ethics program across all affiliates, business units, products, services and activities.

You will oversee preventive, detective and remedial controls; policies and procedures; workforce training and communications; testing, auditing, monitoring and reporting; and remediation of control deficiencies. Program areas include the Code of Conduct, compliance policies and investigations, anti-bribery, anti-kickback and anti-corruption, exclusion lists, conflicts of interest and other compliance and ethics initiatives.

Reporting directly to Ascendiun's Chief Risk and Compliance Officer, you will primarily lead the enterprise-wide program and may take on additional responsibilities or support the Chief Compliance & Ethics Officer's other initiatives as needed.

Your Knowledge and Experience

• Requires bachelor's degree or High School Diploma/GED and 4 years of additional relevant experience in lieu of a degree
• Requires 12 years of legal, or health care compliance and ethics experience with increasingly progressive responsibility including Director-level Compliance experience
• Requires functional subject matter expertise in compliance investigations, compliance hotlines/reporting, compliance training and communications, anti-corruption/anti-bribery/anti-kickback, government contracting, exclusion lists, corporate ethics, business partner and third-party risk management, and applicable laws and regulations
• Requires 6 years of prior people management experience with direct responsibility for supervising, coaching, and evaluating direct reports
• Require Director-level, Deputy Chief Compliance Officer, and/or Federal Law Enforcement experience
• Requires excellent verbal and written communication and relationship building skills to effectively interact with senior management team, board members, providers, or federal and state regulators.
• Requires strong independent judgment, problem-solving, critical, and analytical thinking skills, including a "moral compass" and high integrity
• Juris Doctor (JD) from an ABA accredited law school and admission to practice law in one or more U.S. States (CA strongly preferred) preferred
• Certified Healthcare Certification (CHC) or Certified Compliance and Ethics Professional Certification (CCEP), and experience and knowledge of compliance or risk incident management software preferred
• Experience with writing and implementing policies and procedures, performing risk assessments, documenting controls and control gaps, remediating control gaps, and delivering and maintaining a robust and effective compliance and ethics program preferred

Hybrid

This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into the office two days each week.

Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.