VP, Compliance

This is a fully remote position, open to applicants in United States.

📋 Description

• Create and uphold a detailed compliance, audit management, and facility oversight strategy for InnovAge PACE/LIFE Programs

• Oversee compliance management, audit execution, facility oversight, policy and procedure administration, compliance training, and related projects

• Assist the Chief Compliance Officer by managing and evaluating clinical and operational practices in relation to regulatory standards

• Execute corrective action plans to address both internal and external risk areas identified

• Conduct and manage audits of documentation, functions, and departments across all business sectors

• Supervise Regional Directors of Clinical Compliance, Audit Management; Director of Facility Oversight; Compliance Coordinator; and additional audit personnel

• Foster a compliance-oriented culture and act as a compliance subject matter expert

• Evaluate organizational practices to ensure adherence to regulations and requirements from government agencies regarding service documentation

• Develop professional relationships with providers, operations, and nursing teams

• Direct projects aimed at identifying and resolving compliance challenges

• Ensure that practice-setting policies and procedures align with relevant laws, rules, and regulations

• Engage in leadership meetings and address compliance-related concerns

• Investigate suspected non-compliance issues and implement corrective measures

• Establish audit processes and maintain audit tools across all business lines

• Collaborate with Corporate Compliance to nurture a culture of compliance throughout the organization

• Keep abreast of federal and state regulations concerning physician services and practices

• Convert complex clinical mandates into actionable operational workflows

• Spearhead compliance initiatives for State Ready Reviews for new Centers

• Travel to InnovAge worksites, including approximately 40% travel and overnight out-of-state trips

⛳️ Requirements

• Eight to ten years of experience in clinical compliance and/or regulatory functions within a healthcare setting

• Three to five years of experience in managing enterprise-level employees and/or teams

• Three to five years of experience in conducting investigations to assess regulatory compliance

• Proficient in integrating clinical, operational, and financial data

• Experienced in developing audit, utilization, and performance reporting tools

• Skilled in communicating performance data to healthcare stakeholders

• Familiar with telecommuting and remote monitoring practices

• Strong computer skills, particularly in MS Word, Outlook, and Excel

• Outstanding oral, written, and interpersonal communication abilities

• Capable of facilitating discussions effectively

• Adept in data analysis and interpretation

• Innovative problem-solving capabilities

• Proficient presentation skills for both clinical and non-clinical audiences

• Experience navigating electronic medical record (EMR) systems for reviews

• Strong analytical and basic mathematical skills

• Ability to manage multiple and diverse clients and projects

• Competent in working with minimal supervision

• Must possess a state-issued driver’s license, personal transportation, a safe driving record, and auto insurance as mandated by law

• Bachelor of Science in a related field, or equivalent experience

• Nursing License, RN preferred, or clinical equivalent

• Certification in Healthcare Compliance (CHC) preferred

🏝️ Benefits

• Medical, dental, and vision insurance

• Short- and long-term disability insurance

• Life insurance and Accidental Death & Dismemberment (AD&D)

• Supplemental life insurance

• Flexible spending accounts

• 401(k) savings plan with company matching

• Paid time off

• Company-paid holidays

• A diverse and inclusive workplace

• Patient-centered care model

• Travel between InnovAge worksites and overnight out-of-state travel as part of the role