VP, Compliance

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InnovAge

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

InnovAge is a provider of the Program of All-inclusive Care for the Elderly (PACE) that helps frail seniors remain independent and age in their own homes with dignity. As the largest PACE provider by participants served, InnovAge delivers comprehensive, coordinated services including primary care, nursing, behavioral health, therapies, transportation and care coordination to support seniors' medical and daily living needs.

📋 Description

• 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

🎯 Requirements

• 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

🏖️ Benefits

• 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