What are the responsibilities and job description for the Sr. Director, Compliance and Ethics position at Blue Shield of CA?
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.
External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.