Director of Compliance - 1447
Director of Compliance - 1447
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Job Description
A company is seeking an experienced Director of Compliance to manage compliance functions within an MLTC (Managed LongTerm Care) organization. The ideal candidate will have a strong background in regulatory affairs internal auditing and oversight of delegated functions. This role requires exceptional organizational leadership and communication skills to ensure adherence to compliance standards and regulations.
Responsibilities Include:
- Collaborate with the VP of Compliance and Regulatory Affairs to investigate suspected compliance issues.
- Manage the internal audit process and coordinate audits conducted by the SIU.
- Implement and oversee key delegated functions including Magellan Beacon and DentaQuest.
- Work with operational supervisors to coordinate internal audit and monitoring programs.
- Provide added depth and expertise for auditing processes.
- Coordinate external reporting to regulatory agencies such as DOH CMS and others.
- Ensure compliance with HIPAA when coordinating member record requests.
- Chair the Policy and Procedure Subcommittee and oversee policy and procedure development.
- Manage the creation and maintenance of approved member notices.
- Participate in and assist with compliance committee coordination.
- Support external audits conducted by agencies such as CMS DOH and DFS.
- Oversee corporate compliance education and training initiatives.
Ideal Qualifications:
- Extensive experience in compliance roles preferably within an MLTC or healthcare setting.
- Strong understanding of regulatory requirements and standards including HIPAA DOH and CMS guidelines.
- Proven ability to manage audits investigations and compliance oversight functions.
- Excellent leadership organizational and communication skills.
- Ability to develop policies and procedures and manage compliance education programs.
Whats Offered:
- Competitive salary and benefits package.
- Opportunity to contribute to a missiondriven organization.
- Work at either the Spring Valley or Brooklyn location.
This position is ideal for a compliance professional with a proven track record in managing complex regulatory frameworks. Apply today to take on this impactful leadership role!
Required Experience:
Director
Employment Type
Full-Time
