Heath Industries Healthcare Compliance - Director

Company: PwC
Location: Raleigh
Posted on: September 24, 2022

Job Description:

Specialty/Competency: Conduct and ComplianceIndustry/Sector: Pharma and Life SciencesTime Type: Full timeTravel Requirements: Up to 40%A career within Regulatory Risk and Compliance services, will provide you with the opportunity to help companies rethink their approach to risk and create a sustainable risk advantage. Were a part of a unique client proposition, assisting our clients develop proper internal controls by leveraging analytics and technology solutions to underpin efficient execution of governance, to optimise their risk and compliance policies and processes, and improve business performance.To really stand out and make us fit for the future in a constantly changing world, each and every one of us at PwC needs to be a purpose-led and values-driven leader at every level. To help us achieve this we have the PwC Professional; our global leadership development framework. It gives us a single set of expectations across our lines, geographies and career paths, and provides transparency on the skills we need as individuals to be successful and progress in our careers, now and in the future.As a Director, you'll work as part of a team of problem solvers, helping to solve complex business issues from strategy to execution. PwC Professional skills and responsibilities for this management level include but are not limited to:

• Support team to disrupt, improve and evolve ways of working when necessary.
• Arrange and sponsor appropriate assignments and experiences to help people realise their potential and support their long-term aspirations.
• Identify gaps in the market and spot opportunities to create value propositions.
• Look for opportunities to scale efficiencies and new ways of working across multiple projects and environments.
• Create an environment where people and technology thrive together to accomplish more than they could apart.
• I promote and encourage others to value difference when working in diverse teams.
• Drive and take ownership for developing connections that help deliver what is best for our people and stakeholders.
• Influence and facilitate the creation of long-term relationships which add value to the firm.
• Uphold the firm's code of ethics and business conduct.Job Requirements and Preferences :Basic Qualifications :Minimum Degree Required :Bachelor DegreeMinimum Years of Experience :10 year(s)Preferred Qualifications :Degree Preferred :Master of Business AdministrationAdditional Educational Preferences :Juris Doctorate or Master of Public Health may be considered.Preferred Knowledge/Skills :Demonstrates proven expertise and success leading compliance-related consulting engagements within a top consulting firm, including:
  • Development of client-focused solutions based on understanding strategy, operations and management in a number of functional areas of corporations and organizations;
  • Acquisition and management of engagements involving the integration of governance, risk and compliance, emphasizing corporate compliance (i.e. developing and assessing corporate compliance programs, constructing monitoring and auditing programs, supporting internal risk assessments and/or investigations, and implementing and/or operating integrated compliance controls in business practices) related to Medicare, Medicaid or Health Insurance Exchange regulations, requirements, and operating environments;
  • Audit preparations and responses to requests for federal and state regulators within the Healthcare Industry;
  • Participation in development of presentations or reports to management level audiences and supporting implementing enhanced and/or best practices at client/companies;
  • Communications with clients in an organized and knowledgeable manner, delivering clear requests for information, demonstrating flexibility in prioritizing and completing tasks and communicating potential conflicts to a supervisor.Demonstrated proven functional expertise and industry knowledge associated with one or more of the following functional domains: CMS Audit Protocols, Corporate and Medicare Compliance Programs, Medicare-Medicaid Program Readiness, CMS Data Validation, Compliance Monitoring and Reporting.Demonstrated proven considerable knowledge of at least three of the following: Patient Protection and Affordable Care Act (PPACA); Financial One-Third Audits; CMS Audit Program Protocols; Seven Elements; Program Compliance Oversight Group (PCOG), Anti-Bribery, Anti-Corruption (ABAC); and, Data Validation, Audit Compliance Monitoring Programs, Medical Affairs & Clinical Compliance. Demonstrates proven expert-level abilities and success advising clients on compliance and regulatory issues, including: - Assessing compliance risks and controls;
    • Developing and implementing compliance supervisory and control solutions;
    • Assisting with responses or remediation associated with regulatory actions;
    • Leveraging project management skills, emphasizing leading and facilitating teams and developing client proposals;
    • Identifying and addressing client needs: developing and sustaining deep client relationships using networking, negotiation and persuasion skills to identify and sell potential new service opportunities; preparing and presenting complex written and verbal materials; and defining resource requirements, project workflow, budgets, billing and collection;
    • Advising clients or senior management on compliance issues, regulatory interpretation, assessing compliance risk and controls, implementation compliance monitoring and controls;
    • Driving and directing multiple, complex projects with medium-to-large staff teams;
    • Leading teams to generate a vision, establish direction and motivate members, create an atmosphere of trust, leverage diverse views, coach staff, and encourage improvement and innovation; and,
    • Creating a positive environment by monitoring workloads of the team while meeting client expectations and respecting the work-life quality of team members; providing candid, meaningful feedback in a timely manner; and keeping leadership informed of progress and issues.At PwC, our work model includes three ways of working: virtual, in-person, and flex (a hybrid of in-person and virtual). Visit the following link to learn more: https://pwc.to/ways-we-work.PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy.All qualified applicants will receive consideration for employment at PwC without regard to race; creed; color; religion; national origin; sex; age; disability; sexual orientation; gender identity or expression; genetic predisposition or carrier status; veteran, marital, or citizenship status; or any other status protected by law. PwC is proud to be an affirmative action and equal opportunity employer.For positions based in San Francisco, consideration of qualified candidates with arrest and conviction records will be in a manner consistent with the San Francisco Fair Chance Ordinance.For positions in Colorado, visit the following link for information related to Colorado's Equal Pay for Equal Work Act: https://pwc.to/coloradoadvisorydirector.

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