Compliance & Organizational Risk Director

2 weeks ago

Madison, United States CareerBuilder Full time

Compliance & Organizational Risk Director
Company Name :

Lakeland Care, Inc.
Job Title :

Compliance & Organizational Risk Director
Job Type :

Full-Time
Industry :

Non-Profit/Managed Care
Workplace Type :

Hybrid
Job State :

Wisconsin
Job Country :

United States
Culture Highlights
Hiring anywhere in Wisconsin (statewide only).
Flexible work environment work from where it's most convenient, home or office.
Flexible work model flex your time to blend work and life to fit various lifestyles/needs.
Monday through Friday schedule.
9 paid holidays, and 3 additional floating holidays (pro-rate applies).
Volunteer in your community 24 hours awarded annually.
Professional Development internal and external learning and development opportunities.
Robust Total Rewards Medical/Dental/Vision, Telehealth, Flex Spending, 401k Matching, Life insurance, LT/ST Disability, EAP, & Mileage Reimbursement.
The Compliance & Organizational Risk Director acts as the Privacy Officer and Program Integrity Compliance Officer (PICO) under the DHS Program Integrity regulations. Provides effective legal advice and services to Executive Leadership on key areas such as Compliance, Organizational Risk, Contracts, and on company strategies and their implementation. The Compliance & Organizational Risk Director will develop and oversee programs, policies, and practices to ensure that all Lakeland Care, Inc. (LCI) divisions are in compliance with applicable laws, regulations and contracts in a manner consistent with best practices, financial policy and reporting regulations with specific focus on HIPAA, program integrity, civil rights, OCI and other legal requirements. This position tracks laws and regulations that might affect LCI's policies and ensures implementation of necessary changes. The Compliance & Organizational Risk Director will also be responsible for analyzing proposed legislation that affects LCIs operations, products, services.
Direct reports include Compliance Manager and Organizational Risk Manager. Travel will be required as needed.
Oversee and monitor LCIs compliance program, and report on a regular basis to the Lakeland Care Board of Directors, CEO, and Compliance Committee on the status of the compliance program. Lead and be responsible for all Lakeland Care Compliance Committee activities.
Develop, coordinate, and participate in a multifaceted educational and training program that focuses on the elements of the compliance program and seeks to ensure that all appropriate employees and managers are knowledgeable of, and comply with, pertinent Federal and State standards, rules, and regulations.
Oversee the organizations comprehensive insurance and risk management program, assess, and identify risks that could impede the reputation, safety, security, or financial success of the organization
Analyze various legal documents upon request; in addition to, reviewing general business contracts and collaborating with outside legal counsel as appropriate.
Perform risk assessments to analyze and identify current and potential risks that are affecting LCI and manage risk mitigation strategies and tactics.
Periodically revise the compliance and organizational risk programs to reflect changes in LCIs needs and in the law, contracts, policies, and procedures of governmental regulations.
Establish and serve as a member of LCIs Ethics Committee.
Develop policies and programs that encourage managers and employees to report suspected fraud, risk, and other improprieties without fear of retaliation.
Recommend and implement risk management solutions such as insurance, safety, and security policies, and ensure LCI has a comprehensive Disaster Recovery Business Continuity plan.
Qualifications:
Juris Doctor degree from a law school accredited by the American Bar Association (ABA).
License to practice law in the State of Wisconsin preferred.
Minimum of five (5) years progressive compliance management experience.
Previous Medicare/Medicaid Operations/health care industry experience preferred.
Must have strong interpersonal skills, a flexible, collaborative, and team-oriented approach to problem-solving and an ability to work in a fast-paced, rapidly changing environment.
Must possess effective public speaking skills.
Must possess effective planning and organizational skills.
Demonstrated ability to read, analyze, interpret, and provide recommendations on related documents.
Demonstrated ability to communicate clearly and concisely with diverse sections of the general population and professional community in oral and written communications.
Demonstrated aptitude for effective leadership of staff.
Ability to build positive, collaborative working relationships with leaders and staff.
Certified Compliance & Ethics Professional (CCEP) preferred.
Current drivers license, acceptable driving record and proof of adequate insurance.
Acknowledgement:
This position description describes the general nature and level of work performed by the individual assigned to this position and should not be interpreted as all inclusive. It does not state or imply these are the only duties and responsibilities assigned to the position. The employee may be required to perform other job-related duties. All requirements are subject to change and to possible modification to reasonably accommodate individuals with a disability.
This position description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the position change.
-------------------------------------------------------------------------------------------------
Lakeland Care is a Wisconsin-based non-profit organization that focuses on creating a world we all want to live in. With long-standing roots as a managed care organization (MCO), Lakeland Care provides long-term care services and supports to eligible frail elders and individuals with physical and intellectual or developmental disabilities to achieve their daily and lifelong goals through Wisconsins Family Care program. Currently we serve in 22 counties and have 11 offices in the Central to North East region of Wisconsin.
Our Mission
Our Vision
To create a world we all want to live in.
Our Core Values
Kindness

We believe kindness is always possible and that no compassionate act is ever wasted.
Inclusion

We believe that open hearts and open minds are the only path to a brighter future.
Trust

We believe that honesty is still in style and that promises still have power.
We are an equal employment opportunity employer functioning under an Affirmative Action Plan. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law. We are an organization that participates in E-Verify.

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