At Claritev, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple – we strive to bend the cost curve in healthcare for all. Our dedication to service excellence extends to all our stakeholders — internal and external – driving us to consistently exceed expectations. We are intentionally bold, we foster innovation, we nurture accountability, we champion diversity, and empower each other to illuminate our collective potential.
Be part of our amazing transformational journey as we optimize the opportunity towards becoming a leading technology, data, and innovation voice in healthcare. Onward and Upward!!!
JOB SUMMARY:
The position is responsible for developing, implementing, and managing the company’s compliance program to ensure adherence to laws, regulations, and ethical standards, both within the United States and wherever the organization does business internationally. The Chief Compliance Officer also promotes a culture of ethics and integrity within the organization, ensuring that the organization operates within the boundaries of the law and maintains a strong reputation. This individual may be responsible for direct supervision of other Legal Staff; and assisting the SVP & General Counsel in the management of the Legal Department.
JOB ROLES AND RESPONSIBILITIES:
1. Developing and Implementing a Compliance Program for a public company. This includes creating, updating, and maintaining a comprehensive compliance program that addresses relevant laws, regulations, and ethical standards.2. Risk Assessment and Management. Identifying potential compliance risks, assessing their impact, and developing strategies to mitigate those risks.3. Policy Development and Enforcement. Creating, reviewing, and updating company policies and procedures related to compliance, ensuring they are effectively communicated and enforced throughout the organization.4. Training and Education. Developing and delivering training programs to educate employees on compliance requirements, ethical standards, and company policies.5. Monitoring and Auditing. Implementing systems for monitoring compliance, conducting regular audits, and investigating potential violations.6. Reporting and Communication. Providing regular reports to senior management and the Board of Directors on the status of the compliance program, including identifying risks, incidents, and corrective actions.7. Liason with Regulatory Bodies. Serving as the primary point of contact for external regulatory agencies and managing interactions related to compliance.8. Promoting Ethical Conduct. Fostering a culture of ethics and integrity within the organization, ensuring that employees understand and adhere to the company’s code of conduct. 9. Provide counsel and supervision within the Legal Department in the handling of the most complex or sensitive issues facing the Company effectively and efficiently. Utilize resources such as other lawyers, administrative support personnel, personnel from other departments, and outside counsel or experts if required.10. Assist the SVP & General Counsel and senior members of the department in the management and leadership of the Legal Department and its staff.11. Oversee and review the work of other department staff relating to safeguard of the Company’s interests.12. Comply with the ethical standards of the profession.13. Provide excellent customer service to internal customers and strive to continuously improve service delivery.14. Supervise, select, develop, and evaluate other in-house counsel and staff to ensure the efficient operation of department. Direct the activities of attorneys, administrative and paralegal staff.15. Collaborate, coordinate, and communicate across disciplines and departments.16. Ensure compliance with HIPAA regulations and requirements.17. Demonstrate Company’s Core Competencies and values held within.18. Please note due to the exposure of PHI sensitive data — this role is considered to be a High Risk and Privileged Role.19. The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary.
JOB SCOPE:
The incumbent in this position works independently under little or no supervision and with considerable discretion to make decisions that affect the day-to-day operations within the department and the organization. The incumbent holding this position will have significant impact on the overall departmental and divisional strategy and image, and will be responsible, along with the SVP and General Counsel and senior members of the legal department, for the quality and effectiveness of service provided to the organization’s customers by the department. The incumbent must apply comprehensive knowledge of principles, practices, and procedures to complete job responsibilities. The incumbent acts as a resource for all Legal Department members (including AGCs, Senior Counsel, Associate Counsel, Assistant Counsel, Paralegals, and other Legal Department staff) as well as other departments within the organization. Work requires basing decisions on sound logic and rationale; advancing problems or issues toward resolution when encountering ambiguity or uncertainty; choosing the best alternative based on consideration of pros, cons, tradeoffs, timing and available resources; making timely decisions on problems and issues requiring immediate attention; and making sound decisions on complex functional issues and problems. The incumbent will regularly interact with the SVP and General Counsel and is responsible for escalating issues when advisable. Contacts may include clients, providers, individuals, regulators, outside counsel, other vendors, and their legal representatives. This is a people management job with authority for all HR actions (hiring, terminations, discipline, training, etc).
Qualifications
JOB REQUIREMENTS (Education, Experience, and Training):
* Minimum Bachelor’s Degree in related field. Juris Doctorate preferred.* Minimum 15 years’ experience as a compliance officer or work experience in a substantially related field with healthcare focus.* Experience with regulatory agencies and administrative experience with state insurance regulations and HIPAA is preferred.* Experience with privacy and security regulations and policies. * Required licenses, professional certifications, and/or Board certifications as applicable* Knowledge of contract law and state and federal healthcare laws* Knowledge of networks and/or cost containment and/or health insurance and/or managed care industry* Analytical, communication, contract drafting, negotiation, presentation, people management, meeting management, and problem solving skills * Ability to build and maintain rapport with clients, superiors, peers, and external company contacts* Sound judgment* Ability to drive execution * Ability to handle long-term and/or complex legal projects with significant financial or other business impact. * Ability to manage outside counsel * Ability to write reports, business correspondence, and procedure manuals* Ability to effectively present information and respond to questions from groups of managers, clients, or employees* Ability to represent the company in a positive and professional manner* Ability to perform multiple tasks simultaneously and adapt to changing priorities in a positive and professional manner* Ability to use software, hardware, and peripherals related to job responsibilities* Individual in this position must be able to work in a standard office environment which requires sitting and viewing monitor(s) for extended periods of time, operating standard office equipment such as, but not limited to, a keyboard, copier and telephone
The salary range for this position is $175-290K. Specific offers take into account a candidate’s education, experience and skills, as well as the candidate’s work location and internal equity. This position is also eligible for health insurance, 401k and bonus opportunity.
BENEFITSWe realize that our employees are instrumental to our success, and we reward them accordingly with very competitive compensation and benefits packages, an incentive bonus program, as well as recognition and awards programs. Our work environment is friendly and supportive, and we offer flexible schedules whenever possible, as well as a wide range of live and web-based professional development and educational programs to prepare you for advancement opportunities.Your benefits will include:* Medical (PPO & HDHP), dental and vision coverage* Pre-tax Savings Account (FSA & HSA)* Life & Disability Insurance* Paid Parental Leave* 401(k) company match* Employee Stock Purchase Plan* Generous Paid Time Off — accrued based on years of serviceo WA Candidates: the accrual rate is 4.61 hours every other week for the first two years of tenure before increasing with additional years of service* 10 paid company holidays* Tuition reimbursement* Employee Assistance Program* Sick time benefits — for eligible employees, one hour of sick time for every 30 hours worked, up to a maximum accrual of 40 hours per calendar year, unless the laws of the state in which the employee is located provide for more generous sick time benefitsEEO STATEMENTClaritev is an Equal Opportunity Employer and complies with all applicable laws and regulations. Qualified applicants will receive consideration for employment without regard to age, race, color, religion, gender, sexual orientation, gender identity, national origin, disability or protected veteran status. If you would like more information on your EEO rights under the law, please click here.APPLICATION DEADLINEWe will generally accept applications for at least 5 business days from the posting date or as long as the job remains posted.
