Vice President of Compliance
Compensation: $178,775.00 - $178,775.00 /year *
Employment Type: Full-Time
Industry: Executive Management
OverviewAbleTo is a high growth company in the technology-enabled behavioral health field. The VP of Compliance drives the development, implementation, and maintenance of system-wide quality, privacy and security programs, policies, and procedures.ResponsibilitiesPolicy & procedures* Maintain knowledge of current and proposed laws, regulations and guidelines; evaluate the effectiveness of corrective action plans.* Maintain an understanding of and assure compliance with federal and state regulations and accrediting agency standards* Proactively look for and identify opportunities to better align AbleTo with the requirements of healthcare laws and regulations.* Participate with senior management in the establishment or revision of internal control procedures to ensure that adequate protection of the Company is maintained.* Initiate, maintain, and revise policies and procedures for the general operation of the compliance program and its related activities to help prevent illegal, unethical, or improper conduct.* Ensure compliance to relevant internal policies & procedures* Work with the Human Resources department and others as appropriate to develop effective compliance training programs, including appropriate introductory training for new employees as well as ongoing training for all employees.Accreditations* Accreditations may include URAC, NCQA, ASWB ACE, ANCC, ISO 27002, HITRUST, SOC2 and/or others as decided from time to time by the company* Coordinate the Company's activities to achieve these accreditations per approved timelinesAudits* Develops, maintain & execute the Internal Audit Plan* Execute flexible and adaptable risk-based audit plans focusing on areas relevant to the healthcare industry; collaborate with Privacy and Security team and key executives to develop a compliance audit plan that identifies and prioritizes areas of significant compliance risk.* Completes regulatory compliance audits to ensure that functional activities are conducted in accordance with Company plans, policies, procedures and applicable Federal and State regulations* Identify potential areas of compliance vulnerability and risk; develop & implement corrective action plans for resolution of problematic issues, and provide general guidance on how to avoid or deal with similar situations in the future.* Manage multiple concurrent audits, process flows and effectiveness of control design; assess the impact of non-conforming results across the audited activity.* Prepare for and act as the AbleTo main point of contact for external (e.g. client) audits* Ensure audits deliver high-quality reports and solid conclusions; provide input into the annual audit schedule.* Drive & track audit remediation milestones per remediation plans communicated internally or with clientsOther Responsibilities* Perform special projects and analyses as directed by the Risk Management Committee or Executive Management.* Drive the root cause analysis and corrective/preventative action plans as well as the formal documentation of all incidents (major defects, security and/or privacy incidents)* Establishes and provides direction and management of the organization's Compliance hotline. Monitors a log/tracking systems for all Confidential Disclosures through the hotline.* Collaborates with other departments to direct compliance issues to appropriate existing channels for investigation and resolution. Monitors compliance activities of other departments to remain abreast of the status of all compliance activities and to identify trends. Consults with legal counsel as needed to resolve difficult legal compliance issues.* Maintain a regular contact with AbleTo's executive team and departmental heads to promote compliance to quality, security & privacy throughout the organization* Formally report activities compliance activities in the company's ongoing Risk Management Meeting* Member of Continuous Quality Improvement Committee* Member of Risk Management Committee* Member of Credentialing CommitteeQuality Management* Coordinate with internal departments to establish quality performance metric and measurement methods* Ensure that the continuous improvement process is in place for all areas of quality found lacking* Prepares quarterly reports to the Audit and Compliance committee and Senior Management detailing compliance initiatives throughout the year as well as recommends improvements/changes in the overall compliance program.* Monitors the performance of the Compliance Program and related activities on a continuing basis, taking appropriate steps to improve its effectiveness, including periodically reviewing and updating the Standards of Conduct to ensure continuing currency and relevance in providing guidance to management and employees.* Coordinates with legal counsel in response to identified compliance questions, concerns, or federal/state inquires or investigations.* In coordination with the executive team, revises the compliance program to improve its effectiveness or in response to changing organizational needs or new/revised regulations, policies, and guidelines.Qualifications* JD perferred or a Master's degree or above in a relevant field* 5-10 years experience in monitoring compliance and quality measures in the healthcare field.Competencies:* Knowledge of federal and state laws and regulations appropriate to the privacy and security of protected health information and personal identifiable information.* Knowledge of the principles and practices of risk management.* Extensive healthcare software and word processing experience* Extensive knowledge of mental health diagnostic and procedural coding principles and guidelines* Ability to communicate effectively with others, orally and in writing.* Ability to work effectively with a broad range of individuals, including other employees and the public.* Demonstrate personal traits of a high level of integrity, team orientation, professionalism, and trustworthiness. Places a high value on ethical standards and treating others with dignity and respect* Ability to work under pressure and handle issues which develop unexpectedly.* Skill in analyzing and evaluating information and data and reaching sound conclusions.Posted by StartWire. Apply now!
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* The salary listed in the header is an estimate based on salary data for similar jobs in the same area. Salary or compensation data found in the job description is accurate.
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