Compliance & Audit Program Director

🔥 1 minute ago

🇺🇸 United States – Remote

💵 $150k - $175k / year

⏰ Full Time

🔴 Lead

📋 Program Manager

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Vatica Health

WebsiteLinkedInAll Job Openings

201 - 500 employees

🏥 Healthcare

⚕️ Healthcare Insurance

☁️ SaaS

💰 $1.2M Venture Round on 2013-11

Healthcare • Healthcare Insurance • SaaS

Vatica Health is a healthcare company that offers advanced solutions for risk adjustment and quality of care. By combining expert clinical teams with cutting-edge technology, Vatica Health improves financial performance for health plans and providers by capturing accurate diagnosis codes and reducing audit risks. The company's model enhances provider utilization of preventive services and patient engagement, while also supporting quality programs at the time of patient visits. With seamless integration into provider workflows, Vatica Health focuses on increasing coding accuracy, compliance, and efficiency, ultimately benefiting health plans, providers, and patients. Their EMR-agnostic technology and on-site clinical consultants ensure improved care delivery and wellness outcomes, particularly through services like Annual Wellness Visits.

📋 Description

• Manage activities related to corporate compliance • Coordinate company-wide compliance monitoring and auditing activities, including audits of internal business units and vendors • Help ensure compliance with applicable rules, laws, and internal policies and procedures • Assist with developing and implementing the Compliance Team's goals, objectives, plans, policies, and procedures • Develop and implement policies and procedures consistent with the Company's contractual obligations • Perform proactive monitoring and auditing of potentially high-risk areas • Prepare reports and help implement and monitor corrective actions • Assist with the annual conflict of interest assessment and manage the monitoring system • Manage and oversee the Company's Third-Party Assurance process, including vendor risk assessments and remediation discussions • Support the IT organization with SOC 2 and HITRUST audit activities • Coordinate external audits, assessments, and surveys by Company clients • Manage the Company's corporate insurance portfolio • Manage the Company's corporate registrations • Serve as a compliance resource for Company personnel and foster open communication • Assist with managing and overseeing special projects

🎯 Requirements

• Bachelor's degree in health administration, communications, business administration or a related field • Demonstrated current working knowledge of applicable auditing standards and techniques • Understanding of CMS compliance requirements helpful • Working knowledge of SOC 2 and HITRUST requirements sufficient to support the IT organization and other cross-functional stakeholders • Excellent interpersonal skills and ability to effectively communicate with internal and external stakeholders, verbally and in writing • Ability to gather and analyze data, organize and write reports, and organize work efficiently • Strong project management skills • Flexible, energetic self-starter able to work in a non-structured environment • Ability to organize, prioritize, make decisions, and work independently • Excellent organizational skills with ability to multi-task • Excellent technical knowledge of computers and applicable software, including Outlook, Word, Excel, and PowerPoint

🏖️ Benefits

• Competitive salary based on your experience and skills • Bonus Potential (based on role and is discretionary) • 401k plans • Room for growth and advancement • Comprehensive Medical, Dental, and Vision insurance plans • Tax-free Dependent Care Account • Life insurance, short-term, and long-term disability • Excellent PTO policy • Great work-life balance environment • Strong supportive teams