VP of Business Compliance

This is a fully remote position, open to applicants in Alabama.

📋 Description

• Act as a key executive leader within the Compliance organization, setting strategic direction and providing operational oversight for business compliance across enterprise product offerings and models of care delivery.

• Oversee state regulatory compliance across multiple state Medicare contracts and the Medical Group Practice.

• Collaborate with Market Leads, Product, Legal, and C-suite leadership during market entry to ensure regulatory compliance and organizational preparedness.

• Manage the Enterprise Risk Assessment and oversee the program management of state licensures, state audits, and regulatory reporting across operational markets.

• Build, develop, and mentor a high-performing Business Compliance team.

• Establish strategic objectives and promote a culture of compliance throughout the enterprise.

• Research, interpret, and implement complex state regulatory requirements for multi-state Medicare Advantage plans and Primary Care Group Practices.

• Supervise the centralized enterprise library of state compliance policies.

• Lead and enhance the methodology for Enterprise Risk Assessment, encompassing risk mitigation, executive reporting, monitoring, and communication controls across the enterprise.

• Provide executive leadership during state audits and regulatory reviews, manage regulatory relationships, and oversee Corrective Action Plans.

• Direct the management of state licensure programs and necessary state reporting.

• Counsel Market Leads, Product, and Clinical operations teams during market expansion, product launches, and strategic initiatives.

⛳️ Requirements

• At least 15+ years of progressive experience in healthcare compliance, regulatory affairs, or legal oversight within the health insurance payor sector, focusing primarily on Medicare Advantage plans and Managed Care organizations.

• Comprehensive hands-on experience navigating intricate state regulatory requirements, state department of insurance (DOI) regulations, state licensure processes, and state reporting for multi-state Medicare Advantage payors and Primary Care Group Practices.

• Demonstrated executive leadership experience in building, scaling, and managing enterprise compliance teams in fast-paced health insurance or healthcare technology settings.

• Extensive knowledge in developing, implementing, and embedding Enterprise Risk Assessments, internal monitoring frameworks, and audit programs tailored to Medicare Advantage and Managed Care environments.

• Proven success in leading high-stakes state audits, regulatory examinations, and managing successful Corrective Action Plans (CAPs) to full resolution with regulatory authorities.

• Outstanding communication, executive influence, and strategic decision-making skills, with a verified ability to collaborate effectively with Market Leads, Product teams, and senior executives.

• Strong commitment to compliance, ethics, and a deep personal dedication to enhancing healthcare outcomes for Medicare beneficiaries.

• Bachelor's Degree in Business, Social Science, Public Health, Healthcare Administration, or a related field (or a comparable combination of education and experience).

• Certified in Healthcare Compliance (CHC), Certified Compliance & Ethics Professional (CCEP), or a similar professional compliance certification.

🏝️ Benefits

• Employer-sponsored health, dental, and vision plans with low or no premium.

• Generous paid time off.

• $100 monthly mobile or internet stipend.

• Stock options available for all employees.

• Parental leave program.

• 401K program.

• Total rewards package for full-time employees.