Chief Compliance Office

2 weeks ago

Crown Point, United States Vaco Full time

The Government Contracts Compliance Officer (“Chief Compliance Officer”) is responsible for implementing, administering, and managing the Medicare Compliance Program for all clients’ Medicare Advantage Health Plans   

In collaboration with the CEO/President, and Chief Operations Officer, the Chief Compliance Officer will develop and oversee all aspects of the Medicare compliance program, including policy management, compliance training and education, effective communication channels, auditing and monitoring, investigations and corrective actions, and reporting.

Essential Functions
  • Serves as a subject matter expert on Government Contract compliance matters (Medicare); delivering relevant regulatory compliance guidance in a concise, meaningful, and actionable manner and partnering with business areas, IT, and/or FDRs to execute on Medicare compliance requirements.
  • Develops, initiates, maintains, and revises policies and procedures for the general operation of the Compliance Program and its related activities to prevent illegal, unethical or improper conduct.
  • Designs, develops, implements, and evaluates compliance training for all levels of staff to support an awareness and understanding of Medicare (and Medicaid as required) requirements.
  • In collaboration with the CEO/President and Chief Operations Officer, conducts the annual risk assessment process, as well as periodic re-evaluations.
  • Designs, develops, implements, and evaluates audit, monitoring, and assessment tools and evaluation processes. Conducts audits in accordance with the Compliance work plan.
  • Institutes and ensures an effective compliance communication program for the organization, including promoting the use of the Compliance Hotline and awareness of the organization’s Code of Conduct. 
  • Conducts investigations of non-compliance (including root cause and impact analyses), establishes a retribution-free system for reporting of noncompliance or compliance concerns, and develops and implements corrective action plans.  Works in conjunction with Human Resources to enforce disciplinary actions.
  • In conjunction with the CEO/President and Chief Operations Officer, oversees external regulatory and enforcement actions (i.e., data requests, audits, etc.)
  • Prepares reports and presentations required by the Compliance Committee, Executive Leadership, and the Board of Directors regarding Medicare compliance activities.
  • May serve as the primary CMS compliance contact.
  • Performs other related duties as assigned.

Education
  • Bachelor’s degree required.
  • Healthcare related graduate degree (e.g., JD, MA, MPH, MHA, MD, RN, PhD) or equivalent education preferred

Knowledge and Experience
  • 7 + years of Medicare Advantage and Prescription Drug Plan experience required.
  • 7 + years of regulatory/compliance/legal experience required.
  • 5 + years of leadership experience required.
  • Certification in Health Care Compliance (“CHC”) required or must be obtained within 12 months of hire.
  • Experience managing a compliance department with demonstrated ability to establish and maintain a compliance program.
  • Proficient in the use of computers and Microsoft PowerPoint, SharePoint, Word, and Excel
  • Excellent research skills, attention to detail, and oral and written communication skills.
  • Ability to manage complexity and multiple projects simultaneously.
  • Familiarity with Federal healthcare program requirements and Federal fraud and abuse laws
  • Knowledge and familiarity with CMS, Medicare Advantage and Part D programs
  • Familiarity with State Medicaid programs
  • Detailed, working knowledge of compliance program structure, requirements and procedures.

Candidates must meet the Company’s hiring criteria which includes a pre-employment background and drug screening.
 

Vaco values a diverse workplace and strongly encourages women, people of color, LGBTQ+ individuals, people with disabilities, members of ethnic minorities, foreign-born residents, and veterans to apply.

EEO Notice

Vaco is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race (including but not limited to traits historically associated with race such as hair texture and hair style), color, sex (includes pregnancy or related conditions), religion or creed, national origin, citizenship, age, disability, status as a veteran, union membership, ethnicity, gender, gender identity, gender expression, sexual orientation, marital status, political affiliation, or any other protected characteristics as required by federal, state or local law.

Vaco LLC and its parents, affiliates, and subsidiaries are committed to the full inclusion of all qualified individuals. As part of this commitment, Vaco LLC and its parents, affiliates, and subsidiaries will ensure that persons with disabilities are provided reasonable accommodations. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact HR@vaco.com .

Vaco also wants all applicants to know their rights that workplace discrimination is illegal.

By submitting to this position, you agree that you will be giving Vaco the exclusive right to present your as a candidate for the foregoing employment opportunity. You further agree that you have represented information about yourself accurately and have not affirmatively misrepresented your qualifications. You also agree to maintain as confidential, to the fullest extent permitted by law, any information you learn from Vaco about the position and you will limit disclosure of information about the position only to the extent necessary to perform any obligations in furtherance of your application. In exchange, Vaco agrees to exercise reasonable efforts to represent you through all solicitation, job screening and resume dispersal.

Privacy Notice

Vaco LLC and its parents, affiliates, and subsidiaries (“we,” “our,” or “Vaco”) respects your privacy and are committed to providing transparent notice of our policies.

  • California residents may access Vaco’s HR Notice at Collection for California Applicants and Employees here.
  • Virginia residents may access our state specific policies here.
  • Residents of all other states may access our policies here.
  • Canadian residents may access our policies in English here and in French here.
  • Residents of countries governed by GDPR may access our policies here.
Pay Transparency Notice

Determining compensation for this role (and others) at Vaco depends upon a wide array of factors including but not limited to:

  • the individual’s skill sets, experience and training;
  • licensure and certification requirements;
  • office location and other geographic considerations;
  • other business and organizational needs.

With that said, as required by local law, Vaco believes that the following salary range referenced above reasonably estimates the base compensation for an individual hired into this position in geographies that require salary range disclosure. The individual may also be eligible for discretionary bonuses.

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