Gainwell Technologies · 16 hours ago
Director Ethics and Compliance
United States
Full-time
Remote
Director/Executive
7+ years expGainwell Technologies is a company that enhances the way we work and grow, seeking a Director of Ethics and Compliance. This role involves developing and managing compliance programs for healthcare and pharmacy benefit manager clients, overseeing investigations, audits, and compliance-related activities, while acting as the primary point of contact for compliance issues.
Health CareInformation Technology
Responsibilities
Develop and administer account compliance program and risk assessments
Develop and update account-specific compliance addenda to corporate policies, procedures, guidance, and training for employees
Monitor and provide updates regarding federal and state regulations related to account compliance program, including healthcare, pharmaceutical, and/or pharmacy benefit manager requirements
Monitor and assess staff member compliance with policies, procedures, and laws and regulations
Develop, oversee, and provide reports regarding account compliance program, including compliance activities, risk assessments, audits, and compliance with regulatory and contractual requirements
Develop preventative and corrective strategies and action plans, as needed, to support the account compliance program, risk assessments, and contractual and regulatory requirements
Maintain documentation supporting the Corporate and/or account compliance program, including compliance policies and procedures, manuals, risk management plan, fraud, waste, and abuse plan, etc
Communicate with leadership and client regarding account compliance program, activities, risk assessments, audits, etc
Lead internal and external compliance-related discussions, presentations, and activities
Assist with audits by clients and government agencies
Conduct or assist with investigations, as needed
Qualification
Required
7+ years of experience in corporate healthcare, pharmaceutical, and/or pharmacy benefit manager compliance and ethics experience is required
Graduate or post-graduate degrees in law and/or experience in the pharmaceutical and compliance industries is required
Certification in healthcare compliance or privacy (e.g., CHC, CHPC, CHRC, or CHC-F)
Experience with healthcare compliance program planning and implementation
Experience with risk management analysis and strategies, and ability to link risk management practices to business needs and activities
Knowledge of and experience with regulatory compliance requirements related to Medicare and Medicaid reimbursement, fraud, waste, and abuse laws, and HIPAA
Skilled in planning, problem solving, analysis, and collaboration
Excellent understanding of project management principles
Excellent presentation, written and verbal communication skills
Strong organizational skills, and ability to handle multiple high-pressure situations simultaneously
Proficient with Office 365 (Word, Excel, PowerPoint, Teams, and SharePoint)
Experience working with large data and detecting noncompliance and fraud, waste, and abuse
Experience leading a team, including professional development and performance management for team members is required
Experience formally and informally leading and collaborating with all levels of management in compliance-related activities is required
Preferred
Experience in pharmaceutical and/or compliance training course design, development, and implementation strongly preferred
Benefits
Generous, flexible vacation policy
401(k) employer match
Comprehensive health benefits
Educational assistance
Variety of leadership and technical development academies
Company
Gainwell Technologies
Gainwell Technologies is a provider of Information Technology & Services. It is a sub-organization of Veritas Capital.
10001+ employees
Funding
Current Stage
Late StageTotal Funding
$1M2023-06-06Grant· $1M
Leadership Team
Paul N. Saleh
President and Chief Executive Officer
Gary Call
Chief Medical Officer
Recent News
bloomberglaw.com
2025-12-12
GlobeNewswire
2025-12-11
Company data provided by crunchbase