Director of Compliance
Hybrid
This position is remote, but the individual must reside in the ACP service area - NY, MA, RI, NH, VT.
The individual in this position reports to the Chief Financial Officer and assists in overseeing the development, implementation, and ongoing review of the compliance program for the insurance-funded division of Autism Care Partners (ACP).?The individual in this position provides an independent and objective review which promotes and evaluates compliance issues/concerns within agency.? The position ensures the Board of Directors, management and employees that the agency achieves and maintains a high level of compliance with all applicable laws and regulations while supporting the growth of ACP.
This requires the individual in this position to have a working knowledge of all agency policies and procedures as well as relevant local, state and federal laws and the related requirements of licensing, accrediting and regulatory organizations such as ACQ, OIG, various insurance companies, and any other organizations determined by the Executive Leadership, including the Board for each state in which agency conducts or plans to conduct business.
Essential Functions
- Regular and reliable attendance is an essential function of this position.
- Develop, implement, and continuously review the Compliance Plan for the agency.
- ?Prepare semi-annual compliance reports for the Board describing general compliance efforts undertaken during the preceding year, identifying any changes necessary to improve the Compliance Program.
- Prepare and present quarterly reports to the Senior Leadership Team regarding matters of compliance and ongoing state of the compliance initiatives including risk areas.
- Provide compliance training to all levels of staff on a regular basis to ensure relevance and to provide guidance.
- Chair and facilitate all activities of the Compliance Committee.
- ?Develop and implement compliance monitoring plan that addresses internal review and audit of billing, health and safety, clinical record documentation, census, staffing, and other internal and external reporting requirements
- Develop, initiate, maintain, and revise policies, procedures and protocols of the agency including fiscal practices, Board of Directors, People Operations and its related activities to prevent illegal, unethical or improper conduct.
- Review and update the agency’s Code of Conduct to ensure relevance and guidance to managers and employees.
- Engage with clinical / site leaders to address events requiring compliance/regulatory input; the compliance director will need to be prepared / capable to partner and provide substantive feedback and solutions to ACP clinic teams
- Act as an independent review and evaluation body ensuring that compliance issues/concerns within …
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Benefits/Perks Tasks- Prepare compliance reports
Audit Compliance Healthcare Regulations Policy Development Regulatory Affairs Reporting Risk Management Training
Experience5 years
Education