Additional Information
Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together.
The Vice President of Compliance is a senior leader responsible for leading, evolving, and continuously strengthening Alignment Healthcare's enterprise-wide Compliance Program across Medicare Advantage and other lines of business. This leader collaborates closely with operational business owners to embed a culture of compliance, ethics and integrity throughout the organization. This role drives outcomes in regulatory adherence, HIPAA privacy, compliance training, investigations, and policy governance at a strategic level.
The VP, Compliance is instrumental in protecting Alignment Healthcare's mission by ensuring the organization operates within applicable federal and state regulatory frameworks - and by building scalable systems, high-performing teams, and a data-driven compliance culture that makes compliance a sustainable competitive strength.
Job Responsibilities:
Lead and Evolve the Enterprise Compliance Program. Design, implement, and continuously enhance and mature a comprehensive, data-driven, risk-based Compliance Program aligned with CMS and State requirements, and organizational strategy. Serve as the overall owner of the Compliance Plan and all program documentation, driving annual review and updates to reflect the regulatory landscape and Business growth objectives.
Provide Strategic Regulatory Guidance to Executive Leadership. Monitor, interpret, and communicate emerging and enacted regulatory and enforcement requirements and trends to the Chief Compliance Officer and senior management. Translate complex regulatory requirements into clear, actionable business strategies, enabling proactive, timely and risk informed decision making across the enterprise.
Drive Compliance Monitoring, Auditing, and Reporting. Oversee the design and execution of compliance monitoring and auditing plans, ensuring data-driven, actionable insights and executive-level reporting. Establish dashboards and reporting that enable real-time visibility in compliance risk, control effectiveness and program performance.
Investigations. Direct the investigation of compliance violations and allegations of HIPAA privacy breaches, ensuring they are consistent, defensible and aligned with Alignment and regulatory expectations. Maintain investigation logs and escalation pathways including board-level escalation where appropriate.
Govern HIPAA Privacy and Data Protection Compliance. Ensure organizational adherence to HIPAA privacy and security rules, including oversight of privacy incident response, breach notifications, and remediation plans. Partner with IT, Legal, and operational leaders to embed data protection standards into business processes and technology platforms.
Champion Compliance Training and Culture. Oversee compliance education programs ensuring it is strategically aligned, role based and measurable in effectiveness. Promote a culture of accountability, speak-up culture and ethical decision making.
Compliance Policies. Lead the development, revision, and organization-wide communication of compliance and HIPAA policies, ensuring clarity, legal alignment, and operational usability. Coordinate with cross-functional partners to integrate compliance requirements into business workflows, contracts, and vendor relationships.
Team Leadership. Develop, retain and recruit when appropriate a high caliber, scalable Compliance organization. Create clear succession pipeline as #2 to the Chief Compliance Officer.
Job Requirements:
Alignmenthealthcare · Orange, CA