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Found in: Jooble US O C2 - 2 weeks ago
Vice President of Enterprise-Wide Compliance
The Vice President of Enterprise-Wide Compliance reports to the Chief Legal with accountability for providing strategy, judgment, organization, and evidenced-based analysis to influence decisions, and directly to meet CINQCARE requirements. They should embody CINQCARE’s core values, including, Trusted , Empathetic, Committed, Humble, Creative and Community-Minded . The Vice President of Enterprise-Wide Compliance will have the following responsibilities:
Lead the development, implementation, and management of an enterprise-wide compliance program, including policy and process development, establish and maintain effective training programs, communication of compliance issues and advise on risk assessment and management.
Develop and implement compliance strategies and programs to ensure compliance with healthcare laws, regulations, and ethical standards both federally and statewide.
Coordinate in collaboration with business leaders, compliance functions for federal and state health care programs such as those originating from Centers for Medicare and Medicare (CMS) programs, such as the ACO REACH program, MSSP and state health care programs such as New York State Health Home.
Oversee and manage compliance activities across the organization, including policy development, training, and monitoring.
Conduct internal audits and investigations to identify and address compliance issues and risks.
Track and report results of compliance investigations and the corrective actions taken to internal key stakeholders as needed. Collaborate with cross-functional teams to integrate compliance within the business to address risks and noncompliance, including recommending and taking corrective actions when needed.
Provide leadership and guidance to compliance functions and operations within the organization, fostering a culture of compliance throughout the organization.
Advise senior management on compliance metrics and present and compliance updates recommendations.
Serve and be identified as the Compliance Officer for the organization.
Conduct annual compliance and fraud, waste, and abuse (FWA) risk assessment, and develop a risk remediation plan.
The Vice President of Enterprise-Wide Compliance will have the following duties:
Leadership : The Vice President of Enterprise-Wide Compliance will lead in defining and executing strategies and solutions to create business value in compliance, including building a team to design, develop, and execute those strategies and solutions to deliver desired outcomes.
Strategy : The Vice President of Enterprise-Wide Compliance will establish the business strategy and roadmap: (In establishing the business strategy, the VP of Compliance will define and innovate sustainable revenue models to drive profitability of the Company.
Collaboration : The Vice President of Enterprise-Wide Compliance will ensure that compliance capabilities form a cohesive offering, including by working closely with other business divisions to learn their needs, internalize their knowledge, and define solutions to achieve the business objectives of CINQCARE.
Knowledge : The Vice President of Enterprise-Wide Compliance will provide subject matter expertise in compliance solutions, including determining and recommended approaches for ensuring organizational adherence to HIPAA and state privacy laws and regulations, solution deployment, and performance evaluation.
Culture : The Vice President of Enterprise-Wide Compliance is accountable for creating a productive, collaborative, safe and inclusive work environment for the compliance team and as part of the larger Company.
The Vice President of Enterprise-Wide Compliance should have the following qualifications:
Minimum of Bachelor’s degree with a record of strong academic achievement. Graduate or Juris Doctorate preferred;
A minimum of 9 years of working knowledge and previous experience in compliance in the healthcare industry.
Experience functioning as Compliance lead, e.g. in IPA, ACO, MSO, and MCO settings and federal or state governments.
Knowledge of Centers for Medicare & Medicaid Services (CMS) regulations, particularly for ACO REACH Program.
Demonstrated ability to create and implement a vision, strategy, and plan that meets compliance standards for CINQCARE.
Proficient in collecting and analyzing compliance business processes, workflows, and control relationships.
Proficiency in all Microsoft Office applications.
Ability to build and effectively manage relationships with business leaders and external constituents;
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