Vice President of Compliance - Mass General Brigham Health Plan
Overview
Lead enterprise compliance program across Commercial Medicaid Medicare Advantage Dual Eligible Special Needs Plans driving regulatory adherence and ethical standards. Oversee compliance governance risk mitigation audits and stakeholder partnerships. Shape compliance strategy aligning with business objectives and foster culture of accountability. Drive improvements in regulatory frameworks and resolve violations.
What You'll Do11
- 1Develop and lead comprehensive enterprise compliance program aligned with regulatory requirements and business strategy
- 2Establish governance structures including executive committees and Board reporting
- 3Drive continuous improvement of compliance framework in response to regulatory changes
- 4Provide oversight of compliance with CMS Medicaid and commercial regulations
- 5Lead enterprise risk assessments to identify and mitigate compliance threats
- 6Oversee audits monitoring and investigations including vendor oversight
- 7Establish and maintain compliance policies and standards across organization
- 8Lead development of compliance training programs and partner with Learning & Development
- 9Act as trusted advisor to executive leadership on compliance matters
- 10Partner with Legal Operations Clinical Finance and HR to integrate compliance
- 11Build and develop high-performing compliance organization with clear goals and talent strategies
Requirements10
- 1Bachelor's degree in Healthcare Administration Public Health Law Business or related field with 12+ years experience or equivalent combination of training and experience
- 2Master's degree or JD strongly preferred
- 312+ years progressive experience in healthcare compliance regulatory affairs or risk management
- 47+ years leadership experience in complex multi-line healthcare organizations
- 5Deep expertise across government programs Medicare Advantage Medicaid DSNP
- 6Proven interaction with regulatory agencies leading audits and investigations
- 7Strong background in compliance program design and implementation
- 8Experience with healthcare compliance frameworks and risk mitigation strategies
- 9Demonstrated ability to influence senior leadership and board stakeholders
- 10Commitment to building inclusive high-performance workplace culture
Salary Insight
$250 - $300k per year
Location
Required Skills
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