Associate Director, Compliance(Must Live In Indiana, Preferred Experience In Man

Job Summary:The Associate Director, Compliance is responsible for establishing a baseline of compliance risk, identifying areas of potential exposure, developing and aligning compliance risk management strategies with CareSource goals and objectives, and executing the compliance program ensuring effectiveness.Essential Functions:Serves as the program compliance leader for an assigned Medicaid, Medicare, or Marketplace CareSource program and will be responsible for building and maintaining a strong relationship and goodwill with the relevant regulatory entityAssist the Program or Regional Compliance Officer and their designees with the implementation of an effective compliance programOversee all assigned program compliance activities performed and tracked by compliance staff including, but not limited to, internal business owner and external regulator inquiry management, State complaint management, regulatory distribution management, and compliance workplan executionBuild and maintain strong partnerships with business units and internal support functions to help ensure that all compliance requirements have been met; risk is monitored and remediated through testing/ development/ implementation and useRemain current and help drive interpretation and implementation of federal/state laws and regulations regarding Medicaid, Medicare and Marketplace requirements, as applicable, as well as general compliance and delegation oversight best practices and industry standardsProvide feedback to Compliance leadership concerning key risks in assigned program so that Compliance leadership may complete the annual compliance risk assessmentAssist with the execution of the compliance work planRespond to compliance incidents and ensure appropriate reporting and communication with business leaders and compliance team membersManage and drive effective usage of compliance tools and data for the compliance tracking systemsTrack and trend issues to identify compliance risk and performance improvement opportunities; provide input for executive compliance reportingAssist with regulatory audits and drive audit readiness activities for assigned programAssist teams in interpreting audit findings against audit findings, prepare and complete audit responses and oversee the development of effective corrective actionsAct as a resource for internal departments to assist with external-entity related escalated issuesIdentify compliance knowledge gaps and collaborates with applicable business teams to develop training programs to address the gapsCollaborate with internal resources on the production and communication of compliance related alerts, newsletters and educational materials for company workforceEstablish effective working relationships and build creditability within the organization to support a culture of compliance based on the company's core valuesReport potential risks, non-compliance or alleged violations to Compliance leadership and plan leadershipProvide management and oversight of professional staffPerform any other job duties as requestedEducation and Experience:Bachelor’s Degree in Business/Healthcare Administration or a related discipline, or equivalent years of relevant work experience are requiredMasters of Business Administration (MBA), Juris Doctorate or other advanced degree, is preferredA minimum of five (5) years of relevant work experience within health plan operations is required, with at least three (2) years directly involved in government programs or managed care compliance activities preferredTwo (2) years of direct management experience is requiredSpecific Marketplace, Medicare and Medicaid managed care experience is required as applicableCompetencies, Knowledge and Skills:Advanced capabilities in MS Office suite including Microsoft Word, Excel and PowerPointAbility to develop and foster effective collaborative relationships with market and enterprise management in a matrix environmentStrong conflict resolution, negotiating and influencing skillsExcellent relationship management skills that will build and maintain strong working relationships in a matrix environment and influence action across the organization around risk managementKnowledge of managed care principles, benefit design, claims processing, finance, data reporting design, and analysisLeadership ability with a high level of professionalismExcellent oral and written communication skillsAbility to effectively interact with all levels of management within the organization and across multiple organizational layersExcellent analysis, attention to detail, and collaboration skillsAbility to deal with ambiguity - integrate, prioritize and rollout programs without clearly defined guidelinesExperience in a high-growth business environment Working knowledge of health plan environment is preferredStrong analytical skills, effective problem-solving skills, and attention to detailAbility to work in a fast-past environmentAbility to develop, prioritize and accompli