Vice President, Compliance

Found in: Talent UK C2 - 1 week ago


London, United Kingdom Amwins Full time
Amwins Group Benefits, LLC  leverages carrier relationships and expertise to manage retiree medical plans, pharmacy and voluntary benefits, dependent eligibility audits and more. We’ve built a workplace where talent is valued and success is celebrated. With a focus on service to our clients as well as our communities, our culture is defined by supporting each other. In this team-driven environment, Amwins creates the perfect place for you to grow your career with built-in support and opportunity to advance your knowledge base.
At Amwins our people are our greatest asset. We hire the best talent in the industry and provide our employees with the tools to deliver innovative insurance solutions. We believe that by taking care of our employees they will take care of our clients and the cycle will perpetuate. SUMMARY: The VP of Compliance provides leadership and strategic oversight to compliance, privacy, vendor oversight, fraud, waste, and abuse programs, TPA and PBM licensing, and ethics. This role also leads compliance initiatives, accreditation, compliance assessment, client audit management, and regulatory change. This position is responsible for reporting on the company's compliance performance and risks to the executive management team and supporting aligning enterprise policies and practices to the applicable compliance strategies. Responsibilities Establish and implement effective enterprise compliance, privacy, and ethics programs based on industry standards (and respective federal, state, and local laws and regulations  Oversee the development and execution of policies and procedures as well as effective communication and training strategies that promote awareness and understanding of ethics and compliance principles and required regulations Provide oversight of preventative and corrective action plans to mitigate identified risks and potential areas of compliance vulnerability and risk and ensure consistent practices with evaluations, investigations, resolutions, and disciplinary practices; coordinate with legal counsel regarding escalated concerns, inquiries, and investigations Establish and oversee appropriate monitoring and reporting on the company compliance and ethics efforts to measure the overall effectiveness of compliance programs; develop a reporting and communication cadence to the executive leaders and employees Serve as a strategic business partner and compliance subject matter expert to collaboratively and creatively influence outcomes, consult on compliance best practices, create awareness and support for risk management strategies and solutions, and solve compliance-related business challenges Provide leadership to the corporate compliance, regulated market compliance, privacy, client audit management, compliance assessment, and accreditation functions; manage department budget, staffing, engagement, performance, and development, Establish and maintain consultative partnerships with senior and executive leadership to create a culture of compliance and ethics Opine on ERISA, Med-D, Business regulations, and other litigious decisions Managed department in the timely and accurate submission of state filings, RFP submissions, and Audit documentation Other duties as assigned QUALIFICATIONS: 7 -10 years of work experience in progressive business management leadership of compliance functions for a managed care and/or healthcare services company 5 years of progressive leadership/people management experience Proven Experience with Medicare Part D programs Proven experience inspiring cross-functional teams to meet business objectives with outstanding results Understands business strategies and formulates concise solutions to complex problems for operational improvements Strategic thinking and long-range planning skills with the ability to design, execute, and link multiple projects over time to achieve a future strategic goal Demonstrated ability to distill complex concepts or situations into concise and compelling communications Ability to establish trust and credibility and effectively influence at all levels within an organization EDUCATION and/or EXPERIENCE: Bachelor’s degree in Health Administration, Business, or related field desired. Proven industry experience may be acceptable instead of a degree. A minimum of 5-7 years of leadership experience is required. A minimum of 3-5 years of PBM industry experience is required. LEADERSHIP COMPETENCIES: Balances Stakeholders Anticipating and balancing the needs of multiple stakeholders. Business Insight Applying knowledge of business and the marketplace to advance the organization goals. Develops Talent Developing people to meet both their career goals and the organization's goals . Financial Acumen Interpreting and applying understanding of key financial indicators to make better business decisions. Global Perspective Taking a broad view when approaching issues, using a global lens. Manages Complexity Making sense of complex, high quantity, and sometimes contradictory information to effectively solve problems.

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