VP, Compliance

Under the supervision of the Chief Compliance Officer the Vice President of Compliance is responsible for developing and maintaining a comprehensive compliance audit management and facility oversight plan for InnovAge PACE/LIFE Programs. The Vice President of Compliance leads the direction and management of compliance oversight including supervision of the audit management program and resources; supervision of the facility oversight program; development of policy and procedure management; implementation of compliance education and training as well as initiation of compliance projects to ensure organizational integrity. The position supports the Chief Compliance Officer in fulfilling her/his oversight role by providing management oversight and assessment of the organizations clinical and operational practices compared to regulatory requirements. The Vice President of Clinical Compliance will be tasked with implementing corrective action plans (internal and external) to address risk areas identified.

Essential Functions and Work Responsibilities

Functional Category: Risk Management and Compliance Auditing and Oversight

Estimated Percent of time Spent 100%

Perform and manage audits of documentation functions and departments in 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 as needed in alignment with the goals of the Compliance Department.

Promote a culture of compliance across the enterprise by serving as a compliance expert resource.

Oversee the organizational practices to assess compliance with regulations and government agencies regarding service documentation.

Increase communications with providers operations and nursing to establish working relationships which encourage consistency with compliance practices and expectations.

Lead discussions and develop projects to identify and mitigate compliance issues in practice areas.

Ensure policies and procedures in the practice setting to ensure adherence to applicable laws rules and regulations.

Participate in leadership meetings to promote compliance initiatives and respond to concerns raised.

Promptly investigate reports of non-compliance or suspected violations of non-compliance and implement corrective actions as deemed appropriate.

Assist with audit & compliance related special projects as requested.

Develop audit processes and maintain audit tools for use in all lines of business.

Collaborate with members of Corporate Compliance as part of the compliance team to share expertise and experience in building a culture of compliance across the organization.

Remain current on federal and state regulations related to physician services and practices.

Provide strong clear verbal and written communication with an ability to convey complex ideas and information.

Translate complex clinical mandates into operational workflows.

Assists and leads compliance initiatives for State Ready Reviews (SRR) for new Centers.

Travel Requirements

Travel - estimated 40%

Travel between InnovAge worksites

Overnight travel out of state

Relocation

N/A

Qualifications

To perform this job successfully an individual must be able to perform each essential duty satisfactorily. Requirements listed below are representative of the knowledge skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions

Job Requirements

Resourceful highly organized self-starter with a bias towards action and efficiency

Trusted team player looking to drive success in a fast-paced environment

Solid computer skills specifically using MS Word Outlook and Excel

Excellent oral written and interpersonal communication skills facilitation skills

Data analysis and interpretation aptitude

Innovative problem-solving skills

Excellent presentation skills for both clinical and non-clinical audiences

Work Experience:

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 with integration of clinical operations and financial data; development of audit utilization and performance reporting tools; and communication of performance data to healthcare stakeholders

Experience with telecommuting and remote monitoring

Knowledge Skills & Abilities:

Familiar with navigating the electronic medical record (EMR) systems to complete reviews

Strong analytical skills

Works well with numbers using basic math skills

Formidable team player

Ability to work with multiple and diverse clients and projects

Ability to work with minimal supervision

Licensure Certification Registration or Designation

Must have a state-issued drivers 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

InnovAge is dedicated to empowering seniors to live independently allowing them to age in their own homes and communities safely. InnovAge offers an alternative to nursing homes through its Program of All-inclusive Care for the Elderly (PACE) which provides enrolled seniors with customized healthcare and social support at PACE Adult Day Health Centers. These centers are staffed by medical professionals who are committed to creating personalized care plans for each participant. At InnovAge our team members are our greatest asset and have a significant impact on the lives of our participants every day. When you join InnovAge youll work alongside talented respectful and passionate colleagues within a patient-centered care model.

InnovAge is committed to equal opportunity and affirmative action and we strive to create a diverse and inclusive workplace. We consider all qualified candidates for employment without discrimination based on race color religion sex sexual orientation gender identity/expression national origin disability protected veteran status pregnancy or any other protected status. Salaries are determined by various factors such as qualifications experience and location and do not include potential bonuses or benefits. Our extensive benefits package includes medical/dental/vision insurance short and long-term disability life insurance and AD&D supplemental life insurance flexible spending accounts 401(k) savings paid time off and company-paid holidays.

Applicants are considered until the position is filled.

Compensation Disclaimer

The pay may vary depending on job related factors such as work location experience knowledge skills education certifications training and internal equity. InnovAge offers a comprehensive benefits package which includes medical dental vision 401(k) plan with company match short and long-term disability life insurance supplemental life insurance ADD flexible spending account paid time off and company paid holidays.

Attention Florida Applicants
This position requires a background screening through the Florida Care Provider Background Screening Clearinghouse.
For more information please visit the Clearinghouse Education and Awareness website:

Agency Disclaimer

InnovAge will not accept unsolicited resumes from search firms for this employment opportunity. Regardless of past practices all candidates/resumes submitted by search firms to InnovAge by any means without a valid written search agreement in place for that position will be deemed the property of InnovAge and no fee will be paid in the event such candidate is hired by InnovAge.

Fraud Disclaimer

InnovAge is committed to maintaining a safe transparent and respectful hiring process for all candidates.

Please be aware that all legitimate email communication regarding InnovAge job opportunities will come exclusively from an email address ending in @.

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• Request payment from candidates for equipment background checks onboarding training or any other employmentrelated purpose
• Ask for financial information (such as bank account details) before a formal offer and onboarding process is completed through our official systems

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Your trust matters to us and we appreciate your interest in joining InnovAge.