Full Job Description
At Sonder Health Plans is a Georgia Licensed Medicare Advantage plan with a contract with the Centers of Medicare and Medicaid. We believe the healthcare system should be accessible, transparent, and easy to navigate. As a health plan focused on providing access to quality care and using value-based care principles, we are creating a customer-centric experience that gets our members the care they need when they need it. If you want to be part of the future of healthcare, we’d love for you to join us.
Sonder Health Plans is seeking a Chief Compliance Officer (CCO) who will serve as the compliance leader and the subject matter expert to oversee the Corporate Compliance Program. This position functions as an independent and objective body that reviews, evaluates, and addresses compliance issues/concerns within the organization. The CCO reports to the CEO and Board of Directors and provides the results of all compliance oversight activities. This includes establishing standards and implementing procedures to ensure that the compliance programs throughout the organization are effective and efficient in identifying, preventing and correcting noncompliance with applicable law and regulations. The CCO has to provide reasonable assurance to senior management and the Board that there are effective and efficient policies and procedures in place, and they are well understood and respected by all employees.
Responsibilities:
This is hybrid position with some time required in the Atlanta, GA office
- Develop, initiate, maintain, and revise policies and procedures for the general operation of the Compliance Program.
- Develop the annual compliance work plan with periodic revisions reflecting updated regulatory changes.
- Develop and periodically review and update the Plan’s Standards of Conduct.
- Collaborate with all operational departments to monitor, audit and address compliance issues.
Respond to alleged violations of rules, regulations, policies, procedures, and Standards of Conduct.
- Act as an independent review and evaluation body to ensure that compliance issues and concerns with the organization are being appropriately evaluated, investigated, and resolved.
- Identify potential areas of compliance vulnerability and risk; develop corrective action plans for resolution of problematic areas and provide general guidance on how to avoid or deal with similar situations in the future.
- Provide reports on a regular basis, as directed, or requested by and to the CEO, COO and Board of Directors
- Ensure proper reporting of violations or potential violations to duly authorized enforcement agencies as appropriate and/or required.
- Institute and maintain effective compliance communication in the organization, including promoting heightened awareness of Standards of Conduct and understanding of new and existing compliance issues and related policies and procedures.
- Monitoring, and as necessary, coordinating compliance activities of other departments to remain abreast of the status of all compliance activities and to identify trends.
- Respond to government investigations and queries as the principal point of contact.
- Periodically revise the Compliance Program in consideration of regulatory requirements, changes, risks identified, and prevailing needs of the organization.
- Develop policies and programs that encourage managers and staff to report suspected fraud and other improprieties without fear of retaliation.
- Responsible for leading/motivating, developing and training the Compliance team, meeting recruitment/staffing needs, vendor oversight, associate development, and performance assessment of all direct reports.
- Management of the department and financial resources to determine how money will be spent to complete the compliance department work, and accounting for these expenditures.
- Manage and approve the accuracy of compliance employee time records, payroll approvals, Paid Time Off (PTO) and scheduling.
- Other duties as assigned.
Qualifications:
- Bachelor’s (Preferred)
- US work authorization (Required)
- Compliance management experience: 5 years (Preferred)
- Managed Care Health Insurance experience: 3 years (Required)
Required:
- Progressive administrative/operations leadership experience in a Medicare Health Plan and/or managed care environment required.
- Minimum of 5 or more years of previous compliance experience.
- Experience in strategic planning and development.
- Demonstrated leadership skills in program execution and people management.
- Excellent written and oral communication skills.
Preferred:
- Bachelor’s degree in health care administration, business, or a related field preferred.
- Early stage company experience in a managed care environment preferred.
- Master’s degree in health care administration, compliance, risk management or a related field preferred.
Why You Should Join Us:
- You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role
- Work in a positive, early-stage company environment with limitless career growth
- Employer-sponsored medical, dental, vision and other supplemental benefits
- 401(k) plan
- See your work foster results that have a direct impact on the company’s goals
