Compliance Manager, RN

🕒 Outubro 1

🇺🇸 Estados Unidos – Remoto (EUA)

💵 $132.000 - $165.000 / ano

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

🚔 Conformidade

👻 Score fantasma 0%

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Habitat Health

SiteLinkedInTodas as Vagas

1 - 10 funcionários

Fundada em 2023

🏥 Saúde

⚕️ Seguro de Saúde

🧘 Bem-estar

Healthcare • Healthcare Insurance • Wellness

A Habitat Health é uma organização de saúde focada em capacitar adultos mais velhos a viver de forma independente em seus lares e comunidades. Através do Programa de Cuidados Abrangentes para Idosos (PACE), a Habitat Health oferece cobertura abrangente de seguro saúde e serviços médicos e de assistência social. Seus serviços incluem transporte, cuidados pessoais, acesso 24/7 a cuidados, fisioterapia, suporte nutricional, farmácia e prescrições, cuidados médicos e serviços sociais. Operando em parceria com provedores de saúde notáveis como a Kaiser Permanente, a Habitat Health está comprometida em criar um ambiente de apoio e inclusivo tanto para os participantes quanto para a equipe, garantindo a prestação de cuidados personalizados e coordenados. Fundada em 2023, a empresa visa melhorar a vida de adultos mais velhos cobertos pelo Medicare ou Medicaid.

Descrição

• Oversee successful outcomes for Centers for Medicare & Medicaid Services (CMS) and State Administering Agency (SAA) audits • Partner with leadership to foster a culture of compliance • Conduct audit readiness activities, including monitoring audit universe data, training, policy/procedure review, and process review • Manage live audits and serve as point of contact with CMS and SAA audit teams • Perform submission quality assurance • Develop, approve, and monitor corrective action plans • Provide expertise on PACE audit data, trends, best practices, risk mitigation, audit-related questions, and business development components • Report audit-related metrics to the Chief Medical Officer, Executive Compliance Committee, and compliance subcommittee of the Board of Managers • Recommend updates to the Compliance Department’s annual auditing and monitoring workplan • Recommend business focus areas based on audit findings and PACE regulatory trends • Collaborate with Population Health and Practice Operations teams on audit impacts to the Quality Improvement Program and center operations • Represent and champion the compliance program across Habitat Health • Develop and maintain productive relationships with staff at all levels • Perform other Compliance Department duties as needed • Travel, including travel supporting regulatory audits, as required

🎯 Requisitos

• Minimum of three (3) years of experience in healthcare audit or related field • Active and unrestricted Registered Nurse (RN) License • Experience in PACE compliance highly preferred • Equivalent combination of education and experience sufficient to successfully perform the essential duties may qualify • Ability to lead with influence • Ability to work in a fast-paced environment and in an efficient manner • Excellent organizational skills and attention to detail • Ability to review and interpret data and make data-based recommendations • Excellent interpersonal, verbal, and written communication skills • Ability to manage multiple projects and identify opportunities for internal and external collaboration • Knowledge of the Microsoft 365 suite • Must comply with applicable infection control protocols, PPE requirements, and vaccination requirements associated with the role and work location • U.S. work authorization is verified through E-Verify after accepting an offer • Bachelor’s degree in health care administration, public health, health care operations, public policy, or a clinical field (nice to have) • Certified in Healthcare Compliance (CHC) (nice to have) • Experience with DHCS and/or CMS (nice to have) • Working knowledge of Epic (nice to have) • Experience developing or delivering compliance training to adult learners (nice to have)

🏖️ Benefícios

• Target annual bonus of 10% • Additional incentive compensation, as applicable • Medical, dental, and vision insurance • Paid parental leave • Short- and long-term disability coverage • Life insurance • Flexible spending accounts • 401(k) savings plan with a match • Paid time off • Company paid holidays • Reasonable accommodations for disabilities and sincerely held religious beliefs, practices, or observances • Remote work arrangement • Travel expenses or travel support implied for required business travel