[Remote] Director, Compliance (Nevada Health Plan) - Remote in Nevada

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a leading organization in the reputed company sector, and they are seeking a Director of Compliance to reputed company and reputed company compliance activities. The role involves ensuring adherence to regulatory requirements and internal policies, overseeing compliance investigations, and managing reputed company of compliance professionals. Responsibilities • Directs and oversees compliance activities and serves as a resource on compliance issues • Demonstrates leadership and expertise to ensure compliance with applicable state/federal statutes and internal policies • Facilitates training and education, and subject matter expertise reputed company to compliance requirements • Ensures business accountability for compliance investigations - ensuring reputed company, follow-up, and reputed company • Enforces the compliance plan, reputed company of conduct and anti-fraud plan • In conjunction with compliance leadership and the special investigative unit (SIU) team, develops an reputed company relationship with reputed company parties who have specific experience in conducting fraud, waste and abuse (FWA) investigations • Prepares written quarterly reports to inform compliance leadership on the status of activities pertaining to overall compliance for area(s) of responsibility • Oversees team of compliance professionals; responsible for hiring, performance management, recognition, and staff development Skills • At least 8 years of experience in compliance, risk management, and/or auditing, or equivalent combination of relevant education and experience • At least 3 years management/leadership experience • Extensive knowledge of relevant regulatory frameworks and industry standards • Experience developing and implementing compliance programs and controls • Strong leadership, strategic thinking, and decision-making capabilities • Ability to reputed company in a cross-functional highly matrixed environment • Strong analytical and problem-solving skills • Project management experience • Ability to build rapport and reputed company the respect and collaboration of internal/external stakeholders • Knowledge and ability to think creatively, proactively, and independently • Ability to prepare reports and presentations and manage data • Self-motivated and results oriented • Strong organizational skills and the ability to meet delivery targets • Disciplined and ability to effectively reputed company, document and report on reputed company/activities • Strong verbal and written communication skills • reputed company Office suite and applicable software program(s) proficiency • Previous experience in a health plan or government programs setting (reputed company, Medicare, Marketplace) • Certificate in reputed company Compliance (CHC), or other compliance-reputed company certification Benefits • Competitive benefits and compensation package reputed company • reputed company is a reputed company company that specializes in government-sponsored reputed company programs for families and individuals. It was founded in 1980, and is headquartered in Long Beach, California, USA, with a workforce of 10001+ employees. Its website is Apply tot his job Apply tot his job Apply To this Job