VP, Compliance

Under the supervision of the Chief Compliance Officer, the Vice President of Compliance develops and maintains a comprehensive compliance, audit management, and facility oversight plan for InnovAge PACE/LIFE Programs. This role leads compliance oversight, including supervision of audit management and facility oversight programs, policy and procedure development, compliance education and training, and compliance projects to ensure organizational integrity.

Responsibilities

• Perform and manage audits of documentation, functions, and departments across all business lines to ensure adherence to regulatory guidance.
• Manage Regional Directors of Clinical Compliance, Audit Management; Director of Facility Oversight; Compliance Coordinator, and augmented audit staff to align with Compliance Department goals.
• Promote a culture of compliance by serving as a compliance expert resource across the enterprise.
• Oversee organizational practices to assess compliance with regulations and government agencies regarding service documentation.
• Increase communication with providers, operations, and nursing to establish consistent compliance practices and expectations.
• Lead discussions and develop projects to identify and mitigate compliance issues in practice areas.
• Ensure policies and procedures adhere to applicable laws, rules, and regulations.
• Participate in leadership meetings to promote compliance initiatives and address concerns.
• Promptly investigate reports of non-compliance or suspected violations and implement corrective actions.
• Assist with audit and compliance-related special projects as requested.
• Develop and maintain audit processes and tools for all lines of business.
• Collaborate with Corporate Compliance to build a culture of compliance across the organization.
• Stay current on federal and state regulations related to physician services and practices.
• Provide clear verbal and written communication, conveying complex ideas effectively.
• Translate complex clinical mandates into operational workflows.
• Lead compliance initiatives for State Ready Reviews (SRR) for new Centers.

Travel Requirements

• Estimated 40% travel between InnovAge worksites.
• Overnight out-of-state travel required.

Requirements

• Resourceful, highly organized self-starter with a bias toward action and efficiency.
• Trusted team player capable of driving success in a fast-paced environment.
• Solid computer skills, specifically using MS Word, Outlook, and Excel.
• Excellent oral, written, and interpersonal communication skills, including facilitation.
• Data analysis and interpretation aptitude.
• Innovative problem-solving skills.
• Excellent presentation skills for both clinical and non-clinical audiences.

Qualifications

• Eight to ten years of experience in 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; developing audit, utilization, and performance reporting tools; and communicating performance data to stakeholders.
• Experience with telecommuting and remote monitoring.
• Familiarity with navigating electronic medical record (EMR) systems to complete reviews.
• Strong analytical skills and ability to work with numbers using basic math.
• Ability to work with minimal supervision and manage multiple diverse projects.
• State-issued driver’s license, personal transportation, safe driving record, and auto insurance as required by law.
• Bachelor of Science or related field, or equivalent years of experience.
• Nursing License (RN) preferred, or clinical equivalent.
• Certification in Healthcare Compliance (CHC) preferred.

Benefits

• Medical, dental, and vision insurance.
• Short and long-term disability coverage.
• Life insurance and AD&D.
• Supplemental life insurance.
• Flexible spending accounts.
• 401(k) savings plan with company match.
• Paid time off and company-paid holidays.

Pay

Posted pay range: $200,000 - $240,000.