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Job Openings

VP Chief Risk & Compliance Officer

Job #: 17AD143
Department: Administration
Location: Tulsa
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The Chief Risk & Compliance Officer (CRCO) is responsible for directing CommunityCares enterprise risk management (ERM) and compliance functions related to CommunityCares commercial plans (Employer Group Plans), and government programs (Medicare, and Affordable Care Act (ACA) Plans). The latter function ensures CommunityCares policies, procedures, practices, and systems (collectively, operations) meet regulatory compliance.

As the head of CommunityCares ERM program, the CRCO will leverage and mature existing or future risk management such as Internal Audit, Corporate Insurance and Reinsurance, Compliance, Strategic Project Management, Business Continuity, and other matters as necessary to achieve the strategic, financial, operational, regulatory compliance, and hazard management goals of CommunityCare.

In addition, the CRCO will institute effective data and cybersecurity risk management, conduct risk assessments, develop risk management and monitoring tools (risk heat maps, risk registers, risk dashboards, risk tolerance reports, risk appetite statements, risk modeling reports, risk-based capital reports, etc.) to provide insights on risks, support CommunityCares ongoing ERM efforts, and accomplish risk-reporting to CommunityCares Board of Directors.

Also, the CRCO will work with CommunityCare's operational depatments to institute a culture of risk managment designed to achieve CommunityCare's business strategies and goals across each CommunityCare department. Furthermore, the CRCO will file annually with regulators CommunityCare's Own Risk and Solvency Assessment (ORSA) Summary Report.

REQUIRED QUALIFICATIONS

  • Bachelors degree in healthcare, business or related discipline.
  • Minimum 5 years experience working with Medicare and Medicaid.
  • 10+ years of supervisory or management experience.
  • Associate in Risk Managment (ARM)
  • Associate in Risk Managment-Enterprise-wide (ARM-E): strongly preferred
  • Enterprise Risk Managment (ERM): preferred
  • Familiarity with Medicare and Medicaid laws, rules and regulations.
  • Knowledge of and ability to apply advanced mathematical and statistical risk managment principles and techniques.
  • Excellent knowledge of and advanced skills in using spreadsheet, Microsoft PowerPoint and Visio, and database applications.
  • Strong knowledge of and experience in the operationalizing appropriate riskmanagment frameworks (COSO, ISO 31000, NIST, and hyprids) and processes.
  • Ability to analyze legal/regulatory information and communicate to management or outside counsel.
  • Proficiency in the use of work processing and computerized legal research applications.
  • Ability to perform research on the Internet.
  • Ability to articulate opinions orally and in writing in a clear and concise manner.
  • Ability to manage people and coordinate multiple work assignments and special projects to meet applicable deadlines.
  • Ability to project a positive corporate and personal image to public.
  • Ability to speak and write fluently in English.
  • Successful completion of Health Care Sanctions background check.

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