Vice President of Compliance, Mass General Brigham Health Plan
Core
Strategic leadership and oversight of the enterprise compliance program across all lines of business (Commercial, Medicaid, Medicare Advantage, DSNP) to ensure regulatory adherence and foster a culture of ethics.
Role type
Executive Vice President of Compliance
Builds
Enterprise compliance governance, risk mitigation frameworks, and regulatory engagement strategies
Domain
Healthcare / Health Insurance / Regulatory Compliance
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Enterprise compliance strategy, regulatory oversight (CMS, Medicaid, Commercial), risk assessment and mitigation, audit and investigation leadership, policy development, executive stakeholder management, team building and talent development
Preferred skills
Master's degree or JD, deep expertise in government programs (Medicare Advantage, Medicaid, DSNP), experience leading audits and investigations with regulatory agencies
Technologies
None stated
Responsibilities
Develop and lead comprehensive enterprise-wide compliance programs; establish governance structures and report to the Board; oversee regulatory compliance and risk assessments; manage audit, monitoring, and investigations; lead compliance training and culture initiatives; serve as primary liaison with regulatory agencies; build and develop the compliance organization
Seniority
Executive (VP), strategic leadership & mentorship