Become A Compliance Director

* _(Detailed Description)_
* Responsible for developing strong relationships throughout area of responsibility to foster an advisory or collaborative approach to proactive compliance
* Responsible for ensuring the development and effective implementation of an annual compliance plan which includes, but is not limited to: communication, training, auditing and monitoring and risk management
* Provides oversight and may serve as the facilitator and provide direction toone or more business unit Compliance Committee(s) in accordance with _Corporate Policy #8: C_ _ompliance Program_
* Responsible for providing leadership, oversight and accountability in the development and implementation of broad-scale compliance program plans, tasks and initiatives to ensure push-down throughout the organization
* Serves as liaison between business unit compliance activities/committees and the divisional executive and corporate compliance leadership teams
* Serves as the primary compliance representative in the initial due diligence and subsequent integration planning required by business development activities
* Maintains high level of knowledge of current and emerging laws and regulations, and periodically reviews and updates standards relating to compliance
* These include, but are not limited to Stryker Corporate Policies and Procedures, industry trends and guidance on country, state or local laws
* Responds to alleged violation of rules, regulations, policies, procedures and standards of conduct through the initiation of appropriate investigation procedures in partnership with Legal and Human Resources
* Makes recommendations to Compliance leadership and influences group/departmental strategy with regard to the development or revisions of existing policies, procedures or systems to attain high levels of performance and build competitive advantage
* Responsible for the recruitment, selection, training, engagement and on-going performance management of 3
* direct employees senior manager/CO level andbelow
* Compliance team members may be located in one or more locations

* Responsible for compliance with applicable Corporate and Divisional Policies and procedures.
* Provides leadership, guidance and support to all levels of key divisional business functions on highly complex ethics and compliance issues, including policy interpretation and requirement, compliance risk assessment, trend analysis and best practice recommendations.
* Responsible for the management and oversight of the Field Force and Non
* Promotional Monitoring program along with the compilation, analysis and reporting of results to Sr.
* Leadership
* Resolves complex ethics and compliance matters that have significant and possibly material impact to AbbVie.
* Provides oversight to corporate and regional monitoring processes to ensure compliance with OEC/affiliate policies and procedures.
* Reviews industry trends with internal results, and recommends corrective actions.
* Prepares and conducts risk assessments and reports of compliance activities and metrics; Counsels and provides leadership with business partners on compliance process issues
* Oversees all Compliance Review Committees at the divisional or affiliate level and provides input on violation process.
* Reviews internal trends and implement corrective actions.
* Possesses in-depth knowledge of AbbVie's businesses supported and knowledge of the broader business impact.
* Ability to lead senior level cross-functional teams.
* Ability to operate with autonomy and limited supervision

* Ensures identification of regulatory expectations:
* Identifies all regulatory requirements applicable to USI segment operations.
* Ensures development of policies and standards identifying Cigna expectations regarding those regulatory requirements.
* Ensures proactive relations with regulators and other government officials – independently or through Government Relations – designed to understand regulatory expectations as well as influence regulatory decision making that is the best interest of USI segment consumers.
* Exhibits knowledge of and the ability to advise on Affordable Care Act, Qualified Health Plan, Healthcare Exchange and other regulations specific to the USI segment.
* Ensures regulatory risk management:
* Proactively identifies risks of non-compliance applicable to USI segment operations and associates – including vendors, contractors, related parties and other providers of services necessary to implement USI segment business.
* Facilitates the development and understanding of USI segment risk appetite for non-compliance that aligns to Cigna Board and ELT risk appetite.
* Maintains a risk register and risk mitigation plan for maintaining or restoring compliance within Cigna and USI segment risk tolerance.
* Ensures development of procedures and controls:
* Ensures business unit development of appropriate procedures to carry out and control operations and conduct in conformance with regulatory polices and standards all within Cigna’s regulatory compliance risk appetite.
* Partners with USI segment leadership and business unit managers to optimize the ability to execute on USI segment strategic and financial objectives while maintaining compliance.
* Works to identify unique and innovative approaches that satisfy regulatory stakeholder expectations while maximizing operational efficiency, financial results, and consumer satisfaction.
* Facilitates optimization of the number, depth, and impact of regulatory compliance controls in coordination with other oversight groups (financial audit, CIP, etc.)
* Ensures appropriate monitoring and auditing of USI segment compliance activities:
* Ensure monitoring of key compliance metrics through development of USI segment compliance scorecard that aligns to Enterprise Compliance’s expectations.
* Establishes with US BU CO and USI segment leadership appropriate metric thresholds for identifying non-compliance.
* Ensures effective auditing of transaction, data integrity, regulatory reporting, control effectiveness, and regulatory compliance that provides confidence in the validity of USI segment compliance posture reporting to the US BU CO, CCO, ELT and Board.
* Assesses the balance of monitoring and auditing within the USI segment versus monitoring and auditing external to the business unit to ensure appropriate level of independence and objectivity

* This position assists the chief Compliance Officer with the development and implementation of ethics programs and policies and procedures pertinent to the operation of a publically-held healthcare organization.
* Duties include:
* Developing, maintaining and communicating updates to the Code of Conduct, HIPAA privacy policies and other cross-divisional compliance policies and procedures.
* In coordination with the Division Compliance Officers, delivering timely Compliance, Ethics and HIPAA training and communications to staff, contractors and vendors.
* Monitoring and auditing adherence to HMS policy, with a focus on HIPAA and HITECH Privacy Compliance
* Supporting client audits (live and desk audits) of HMS’ operations.
* Managing Hotline Calls through appropriate response, investigation and closure and corrective action if required, in conjunction with CCEO, HR, Legal, and others as necessary
* Developing periodic reports, metrics and dashboards on Compliance Program activities for the CCEO, HMS management and the Board of Directors.
* Analyzing trends and sharing lessons learned.
* Administering the compliance intranet and SharePoint sites.
* Championing optimal practices with other members of the Corporate Compliance Group - streamlining processes, innovating and reducing cost
* General Responsibilities
* Self-starter; proven director with a track record of creative, cost effective and appropriate solutions tailored to needs a subsidiary entity under the aegis of a publically-held mid-cap parent corporate entity
* Outstanding project manager, with drive to achieve promised results
* Servant- leader; approachable, discreet, knowledgeable, inspiring
* Knowledge sharing; team player
* Adept communicator—orally and in writing—who relates to all levels of an organization as well as external stakeholders
* Excellent listener; capacity to take threads of information from multiple sources and distill into fact base
* Sterling ethics and track record of ethical courage
* Emotionally mature, demonstrates a non-defensive, objective, fact-based approach to issue resolution; commands personal respect across diverse organizational groups
* Adept in Microsoft Office Suite
* Qualifications
* Bachelor’s degree from an accredited post -secondary institution of higher learning required.
* Graduate degree considered a plus (i.e. MBA, JD)
* Experience in governmental benefit program (Medicaid, Medicare) arenas required;
* Understanding of HIPAA, HITECH and FCA, and performance record of executing complianceresponsibilities with regard to same
* Successful track record developing, implementing, managing and administering compliance program components and initiatives—Communications, Training, Records Management, Audits, etc.
* Must not be currently sanctioned or excluded from any program operated by Federal or State Agencies, including Medicare and Medicaid
* Certifications:/(Required/Desired)/
* Healthcare compliance and/or privacy certifications preferred (e.g., CHC, CHPC

* Work with Compliance Leadership to interact with business customers and product managers to drive proactive compliance efforts and resolve potential compliance issues.
* Assist compliance personnel in researching, analyzing and summarizing laws and regulations impacting commercial and specialty lines.
* Provide expertise in responding to complaints, insurance department inquiries and regulatory audits.
* Manages and leads staff in the development and implementation of appropriate compliance policies and procedures and other appropriate controls to mitigate risks.
* Directs the review of state and federal regulatory compliance requirements to include analysis of business impact/operational risk assessment for enacted laws/regulations and recommended company compliance actions to insure regulatory compliance.
* Provide insight and expertise in the development of new products for commercial lines to ensure filings are submitted and approved in accordance with business goals and objectives.
* Responsible for personnel actions for staff to include hiring, coaching, employee development, recognition, and performance management.
* Position Requirements
* Bachelor’s degree with 10+ years of P&C; experience with 2 or more years of leadership experience coupled with commercial underwriting, product or operations experience.
* Effective problem solver, who anticipates issues, seeks out and evaluates information collaboratively across impacted areas in order to develop proactive solutions.
* Sound professional judgment and analytical skills including the ability to assess risk, analyze controls, identify issues and communicate results.
* Highly-developed organizational skills, with the ability to prioritize and multi-task.
* Excellent communication skills both written and verbal; communicates in a clear, concise manner to build working relationships and proven ability to communicate effectively with business leaders.
* Knowledge of MS Office Outlook, Word, Excel, PowerPoint and SharePoint applications.
* Benefits to joining The Hanover’s team:
* Competitive pay and benefits, including medical, dental, life and disability insurance, generous time off with pay and adoption assistance
* Retirement/401(k) program, including 100 percent company match up to first six percent of pay
* Employee Stock Purchase Plan (ESPP) with 10 percent discount on company stock
* Wellness programs, including non-smoker discount, weight loss programs and one-on-one counseling
* Employee development/education assistance and professional/industry designation programs and reimbursement
* The Hanover Insurance Group, Inc. (NYSE: THG), based in Worcester, Mass., is the holding company for a group of insurers that includes The Hanover Insurance Company, also based in Worcester, Citizens Insurance Company of America, headquartered in Howell, Michigan, Chaucer Holdings PLC, based in London and their affiliates.
* The Hanover offers a wide range of property and casualty products and services to businesses, individuals, and families through a select group of independent agents across the U
* S., and has been meeting its obligations to its agent partners and their customers for over 160 years.
* The company maintains excellent ratings from A
* M. Best, Standard & Poor’s and Moody’s.
* EEO statement:
* The Hanover values diversity in the workplace and among our customers.
* The company provides equal opportunity for employment and promotion to all qualified employees and applicants on the basis of experience, training, education, and ability to do the available work without regard to race, religion, color, age, sex/gender, sexual orientation, national origin, gender identity, disability, marital status, veteran status, genetic information, ancestry or any other status protected by law.
* Furthermore, The Hanover Insurance Group is committed to providing an equal opportunity workplace that is free of discrimination and harassment based on national origin, race, color, religion, gender, ancestry, age, sexual orientation, gender identity, disability, marital status, veteran status, genetic information or any other status protected by law.”
* The Hanover Insurance Group does not accept unsolicited Agency resumes.
* The Hanover Insurance Group will not pay fees to any third party agency or firm that does not have a signed "Employment Agency Agreement" already on file with Human Resources
* The Office of Talent Management.
* Date:
* Sep 5 2016
* Location:
* Worcester MA US
* Nearest Major Market:
* Worcester
* Job Segment:
* Underwriter Manager Compliance Developer Law Insurance Legal Management Technology
* Functional Area:
* Compliance SBU: 70001
* Office Of General Counsel
* Position Type:
* Full
* Time