Compliance

• evaluating compliance with all regulatory requirements relative to the Evernorth Care Delivery, Pharmacy, Home Infusion Nursing, and Wholesale Drug Distribution
• carrying out assigned audit and monitoring programs
• compliance data reporting and analytics
• risk management programs
• oversight for key risk remediation
• compliance program
• DEA compliance
• compliance policies
• investigations for all areas of operation
• Manage the Prompt Response and Corrective Action Program
• Lead committee meetings for various compliance elements with business stakeholders and committee members
• Coordination and development of auditing and monitoring plans focusing on areas of Compliance risk
• Creation of dashboards and status updates which communicate audit and monitoring results, trends, and summarize risk remediation activity
• Deliver executive summary compliance reports and applicable findings to business stakeholders
• Serve as subject matter expert to advise business in areas including, but not limited to care delivery, pharmacy, nursing, drug distribution, and associated regulatory requirements
• Ensure the highest level of compliance with all Federal, State, and local rules and regulations
• Lead, participate and facilitate accessible knowledge and guidance for business stakeholders including Compliance committees and other delivery mechanisms as needed
• Execute training program strategy and support of business stakeholders on applicable Compliance topics
• Research and respond to compliance questions in consultation with Legal and Compliance stakeholders
• Collaborates with internal partners and develops good working relationships to ensure open lines of communication and timely responses to compliance questions
• Update, revise, and maintain applicable departmental policies and procedures, and support the review of policies and documents for supported business units
• Support business partners in issue management and resolution
• Remain aware of industry changes and/or trends

Senior Advisor – Compliance & Regulatory Excellence, Care Delivery & Pharmacy

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