Compliance Lead, Compliance Program Effectiveness

**Description**The Compliance Lead ensures compliance with governmental requirements and works on problems of diverse scope and complexity ranging from moderate to substantial utilizing reporting and analytics. Exercises independent judgment and decision making on complex issues requiring analysis of variable internal and external factors and determining the best course of action.**Responsibilities**Key responsibilities include:+ Responsible for effectiveness of compliance program which includes metrics, reporting, issue tracking and resolution, and quality assurance+ Optimizes reporting and analytics capabilities and cognitive learning and automated solutions to deliver actionable reporting, well-rounded insights, and proactive recommendations+ Focuses on process improvement and standardization through technology and automation+ Tracks issues and opportunities to closure+ Monitors compliance assessment activity and work plans+ Advises and makes recommendations to leadership+ Serves as a technical leader for regulatory compliance team+ Exercises independent judgment and decision making on complex issues requiring analysis of variable internal and external factors and determining the best course of action+ Deploys a proactive and consultative approach to providing strategic thought leadership to identify and address complex issues+ Works under minimal supervision**Required Qualifications**+ Bachelor’s Degree or equivalent relevant experience+ 8+ years of technical experience+ 3+ years of data analytics experience+ 2+ years of project leadership experience+ Advanced experience with building, collecting, validating, and communicating large sets of data+ Proficiency in understanding Healthcare-related data and Centers for Medicare and Medicaid Services (CMS) regulations+ Excellent oral and written communication skills, previous experience presenting and interacting with executive leadership+ WAH requirements: Must have the ability to provide a high speed DSL or cable modem for a home office (Satellite and Wireless Internet Service is NOT allowed for this role). A minimum standard speed for optimal performance of 10×1 (10mbs download x 1mbs upload) is required+ Must be passionate about contributing to an organization focused on continuously improving consumer experiences**Preferred Qualifications**+ Advanced graduate degree+ Project Management Professional (PMP) certification+ Six sigma certification+ Experience in an audit or compliance role for a Health Plan or provider-based industry+ Leadership experience+ PowerBI experience**Additional Information****Scheduled Weekly Hours**40