Summary: The Vice President for Compliance and Quality Improvement serves as the Corporate Compliance Liaison for CDS Monarch, Unistel, CDS Housing, Warrior Salute Veteran Services, CDS Rx, CDS Veteran Support Services and Prime Care Coordination. The incumbent will design, develop, implement, and monitor quality and compliance activities and strategies in accordance with state and federal regulations governing these operations. Act as support to the EVP of Corporate Compliance and CEO/EVP of Operations by reporting results of the compliance and quality of operational programs. Essential Job Functions:
- Manage the established Compliance Program and Compliance Plans for designated business units. Monitor the performance and effectiveness of the Compliance Program.
- Provide training on the Compliance Program and associated policies.
- Conduct compliance fraud, waste, and abuse investigations and reviews.
- Respond to alleged violations of rules, regulations, policies, procedures, and Standards of Conduct by evaluating, recommending the initiation of investigative procedures as assigned. Conduct/oversee investigation as assigned.
- Provide subject matter expertise on regulatory compliance and quality strategies.
- Initiate process for identification and communication of regulatory changes affecting areas of operation and programs.
- Identify potential areas of compliance vulnerability and risk; develop/implement plans for mitigation.
- Demonstrate and encourages the use of quality management theories, concepts and tools, and best practices into all work performed by self, direct reports, and agency staff as appropriate.
- Design, implement, and track the success of compliance and quality management programs driven by statistics and analytics that ensure operations can meet high quality standards to its clients.
- Communicate an overall vision for quality within the business units. Set goals and recommend organizational changes to achieve goals.
- Provide reports on a regular basis, and as requested, to keep Executive Management informed of the operations and progress of compliance and quality efforts.
- Act as HIPAA Privacy Liaison for designated affiliates. Conduct HIPAA Privacy incident investigations/analysis.
- Develop, maintain, train, and revise policies and procedures for HIPAA Privacy in accordance with federal law and state regulations.
- Provide direct oversight and supervision to Compliance/Quality Improvement Directors and Associate Directors as assigned.
- Manage CDSLT Policy and Procedure.
- Attend and serve on committees as assigned, including Compliance, Quality Management Oversight Committee, CDSLT Policy and Procedure Committee.
- Perform all other necessary duties relevant to the position as requested by the supervisor.
Knowledge, Skills, and Abilities
- Proficient in the use of all Microsoft applications (excel, work, power point, Microsoft outlook and access).
- Ability to work independently under minimal supervision.
- Ability to communicate effectively, both orally and in writing.
- Ability to be efficient and productive in a fast-paced environment.
- Detailed orientated and can multi-task.
Education and Experience:
- Bachelor's degree required, Master's degree is preferred.
- Healthcare Compliance Certification - CCEP, CHC, and/or CHPC is preferred.
- 7+ years' management experience in the field of healthcare regulatory compliance and quality improvement to include demonstrated leadership. Knowledge of Office of People with Developmental Disabilities (OPWDD) and/or NYS Department of Health (DOH) regulation is preferred.
- Familiarity with operational, financial, quality assurance, quality improvement, and human resource processes and regulations desired.
The listed salary range represents the organization's good faith and reasonable estimate of the range of possible compensation at the time of posting. The offered salary will be determined by: Applicant qualifications and experience, education, position specific licensing/training and departmental budgets. CDS Life Transitions is an Equal Opportunity Employer, and as such affirms the right of every person to participate in all aspects of employment without regard to gender, race, color, religion, national origin, ancestry, age, marital status, sexual orientation, pregnancy, disability, citizenship, military or veteran status, gender expression and/or identity, or any other status or characteristic protected by federal, state, or local law.CDS Life Transitions will make reasonable accommodations for known physical or mental limitations of otherwise qualified employees and applicants with disabilities unless the accommodation would impose an undue hardship on the operation of our business. If you are interested in applying for an employment opportunity and feel you need a reasonable accommodation pursuant to the ADA, please contact us at 585-###-####.