Nasco

Oversees vendor delivery to our Medicare Advantage and Exchange customers, including contract management, strategy development, operational delivery and invoicing. Engages with external resources, including the consultant community, in order to evaluate and understand the current and emerging market for Medicare Advantage and Exchange programs. Collaborates with BCBSM Compliance Office as necessary. CHC, CIPM or CIPP Privacy certification, preferred. Choice of Blue Cross Blue Shield Medical, Dental and Vision Plans

director compliance

Under general direction, the Executive Director, Compliance will lead and provide oversight and management of Compliance and Privacy functions and serve as the company’s Compliance and Privacy Official. Responsible for overseeing the company’s relationship with our parent’s Enterprise Compliance Office. This role will have oversight responsibility for Medicare Advantage and ACA Exchanges strategy and executive relationship responsibility for our customers’ compliance executives. This role will manage the resources and reporting to Executive leadership and other impacted parties on Compliance, Privacy, government programs and related activities. Communicates with manager on status of projects and initiatives.
Responsibilities
Provides leadership and guidance in connection with the review and evaluation of regulatory updates, government mandates, BCBSA mandates and industry trends
Works collaboratively with customers’ compliance and government programs personnel
Oversees vendor delivery to our Medicare Advantage and Exchange customers, including contract management, strategy development, operational delivery and invoicing
Engages with external resources, including the consultant community, in order to evaluate and understand the current and emerging market for Medicare Advantage and Exchange programs
Collaborates with product leadership on product direction and strategy (i.e. roadmaps, heat maps, product positioning, product concepts, product key messages, and product presentations)
Helps define department strategic objectives and drives business outcomes in alignment to the organizational strategy
Collaborates with leadership team to provide due diligence and vetting for new growth opportunities
Establishes and maintains strategic relationships with client, industry, peers, consultants, and government governance organizations guiding and regulating company products
Collaborates with BCBSM Compliance Office as necessary
Leads, influences and manages a team of resources to include conducting talent acquisition activities, coaching and/or mentoring, and identifying training requirements for associates
Conducts performance management activities, including performance reviews, goals, development, and continuous feedback
Determines the appropriate staffing mix of contractors and associates to maintain steady work and stays within budget
Assists with the management and administration of an annual departmental budget
Qualifications
Required Knowledge, Skills, and Abilities:
Strong leadership and communication skills to include executive and stakeholder presentations
Excellent written and verbal communication skills and interpersonal skills to work effectively with internal and external stakeholders at all levels
Ability to multi-task and adapt to shifting priorities while navigating sensitive compliance matters
Analytical skills in the use of industry and government information resources (ex. OPM, Federal Register, CMS Bulletins, Blue Web Legislative report, etc.)
Proficient in Excel, Word, Outlook, and PowerPoint software tools
Ability to be a self-starter
Ability to gather knowledge and information through business channels
Exceptional attention to detail, organized, and able to set priorities for strategy and department
Strong sense of urgency
Ability to negotiate and build consensus at leadership direction
Ability to see big picture and assist others in understanding how that big picture relates to internal company products and services in support of our customers
Ability to oversee project management of compliance-related matters
Experience:
10 years’ healthcare experience
7 years’ of Compliance experience, including experience with Privacy matters
7 years’ experience in a leadership role
Experience with Medicare Advantage and ACA Exchanges
Training, Certification and Education:
Bachelor's degree in related field, required
J.D. or Masters, preferred
CHC, CIPM or CIPP Privacy certification, preferred
Benefits and Perks:
Work/Life Balance – NASCO helps you find success at the workplace, and at home
Matching 401(k)
Employee Recognition and Bonus Programs – When NASCO is successful so are our employees!
Tuition Assistance – Learn, develop, and grow… on our dime!
E-Learning – Comprehensive and current library of e-learning and performance support assets, available on demand and at no cost
Choice of Blue Cross Blue Shield Medical, Dental and Vision Plans
Company-funded spending/reimbursement accounts to help with out-of-pocket medical expenses
Wellness Program
17 Days of Paid Time Off (PTO) per year – not including major holidays. That’s just starting out
Company discount plans on mobile, technology services, etc., to help you save money
NASCO is an Equal Opportunity Employer/veterans/disability/race/color/religion/sex/sexual orientation/gender identity/national origin. Must have legal authority to work in the US
We will not accept applicants that use AI when answering the screening questions. Applicants who use AI to answer any questions or to complete their application will not be considered for employment
Location<br/><br/>US-Home Office/ Remote | US-GA-Atlanta<br/><br/>#J-18808-Ljbffr

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