
1001 - 5000 funcionários
🏥 Saúde
⚕️ Seguro de Saúde
Healthcare • Healthcare Insurance
A InnovAge é uma provedora do Programa de Cuidados Abrangentes para Idosos (PACE) que ajuda idosos frágeis a manterem sua independência e envelhecerem em suas próprias casas com dignidade. Como a maior provedora de PACE em número de participantes atendidos, a InnovAge oferece serviços abrangentes e coordenados, incluindo cuidados primários, enfermagem, saúde comportamental, terapias, transporte e coordenação de cuidados para apoiar as necessidades médicas e de vida diária dos idosos.
🕒 Agosto 18
🇺🇸 Estados Unidos – Remoto (EUA)
💵 $200.000 - $270.000 / ano
⏰ Tempo Integral
🔴 Especialista
🚔 Conformidade
👻 Score fantasma 11%
🗣️🇺🇸🇬🇧 Inglês obrigatório
Melhore suas chances de conseguir uma entrevista verificando sua pontuação de currículo antes de se candidatar.

1001 - 5000 funcionários
🏥 Saúde
⚕️ Seguro de Saúde
Healthcare • Healthcare Insurance
A InnovAge é uma provedora do Programa de Cuidados Abrangentes para Idosos (PACE) que ajuda idosos frágeis a manterem sua independência e envelhecerem em suas próprias casas com dignidade. Como a maior provedora de PACE em número de participantes atendidos, a InnovAge oferece serviços abrangentes e coordenados, incluindo cuidados primários, enfermagem, saúde comportamental, terapias, transporte e coordenação de cuidados para apoiar as necessidades médicas e de vida diária dos idosos.
• Develop and maintain a comprehensive compliance, audit management, and facility oversight plan for InnovAge PACE/LIFE Programs • Lead compliance oversight, audit management, facility oversight, policy and procedure management, compliance education and training, and compliance projects • Support the Chief Compliance Officer through oversight, management, and assessment of clinical and operational practices against regulatory requirements • Implement corrective action plans addressing identified internal and external risk areas • Perform and manage audits of documentation, functions, and departments across all business lines • Manage Regional Directors of Clinical Compliance, Audit Management; Director of Facility Oversight; Compliance Coordinator; and augmented audit staff • Promote a culture of compliance and serve as a compliance expert resource • Assess organizational practices for compliance with regulations and government agency requirements regarding service documentation • Build working relationships with providers, operations, and nursing • Lead projects to identify and mitigate compliance issues • Ensure practice-setting policies and procedures comply with applicable laws, rules, and regulations • Participate in leadership meetings and respond to compliance concerns • Investigate suspected non-compliance and implement corrective actions • Develop audit processes and maintain audit tools across all lines of business • Collaborate with Corporate Compliance to build an organization-wide culture of compliance • Monitor federal and state regulations related to physician services and practices • Translate complex clinical mandates into operational workflows • Lead compliance initiatives for State Ready Reviews for new Centers • Travel between InnovAge worksites, including approximately 40% travel and overnight out-of-state travel
• Eight to ten years of experience across clinical compliance and/or regulatory functions in a healthcare delivery or healthcare environment • Three to five years of experience managing enterprise-level employees and/or teams • Three to five years of experience conducting investigations to determine regulatory compliance • Experience integrating clinical, operations, and financial data • Experience developing audit, utilization, and performance reporting tools • Experience communicating performance data to healthcare stakeholders • Experience with telecommuting and remote monitoring • Solid computer skills, specifically MS Word, Outlook, and Excel • Excellent oral, written, and interpersonal communication skills • Facilitation skills • Data analysis and interpretation aptitude • Innovative problem-solving skills • Presentation skills for clinical and non-clinical audiences • Familiarity navigating electronic medical record (EMR) systems to complete reviews • Strong analytical skills and basic math skills • Ability to work with multiple and diverse clients and projects • Ability to work with minimal supervision • Must have a state-issued driver’s license, personal transportation, safe driving record, and auto insurance as required by law • Bachelor of Science / related field, or equivalent years of experience • Nursing License, RN, preferred, or clinical equivalent • Certification in Healthcare Compliance (CHC) preferred
• Medical/dental/vision insurance • Short- and long-term disability insurance • Life insurance and AD&D • Supplemental life insurance • Flexible spending accounts • 401(k) savings / 401(k) plan with company match • Paid time off • Company-paid holidays • Diverse and inclusive workplace • Patient-centered care model • Travel between InnovAge worksites and overnight out-of-state travel as part of the role
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