Director of Compliance

Job Locations US
Job Post Information* : Posted Date 5 months ago(6/10/2021 11:54 AM)
ID
2021-1500
# of Openings
1
Career Area
Legal

Overview

Chronic disease is the dominant cause of avoidable healthcare spending and death in the United States and worldwide.  Fortunately, much of this disease burden and associated spending is potentially avoidable through delivery of more proactive, prevention-focused care. Novocardia is on a mission to empower clinicians across the United States to consistently deliver higher-quality, prevention-focused, patient-centered care, and enable clinicians to be rewarded for focusing on these services for their patients, and delivering care now that avoids more advanced disease down the line.  

 

Our founding team has decades of experience in clinical medicine, payer and provider leadership, government, data science, and clinical operations.  We are deeply passionate about improving care quality, and providing more Americans with access to great, evidence-based chronic disease care. We are also deeply committed to building more sustainable and durable payment models for this care – models that reward clinicians for delivering the right care, in the right place at the right time.  

 

We are looking for a talented and experienced individual to join our growing team as a Director, Compliance.  This role affords a truly singular opportunity to work closely with a world-class team to help build a disruptive, mission-driven, physician-led clinical delivery organization from the ground up! 

   

We are looking for high integrity, mission-oriented people who are passionate about improving the quality and value of chronic disease care in America, excited to join a dynamic, rapidly-growing, and diverse team, and want to build a disruptive, world-class business.  We are humble, ambitious, learning-oriented, focused on execution, and all in on this venture and vision.  Come join us! 

 

Overview

 

The Director, Compliance will assist in the continued development and successful administration of an effective Corporate Compliance Program (the “Program”), including assuming primarily responsibility for the development of objectives for the Program and completion of an annual effectiveness review of the Program. 

 

The Director, Compliance must maintain a comprehensive understanding of the values and ethical principles within the Company, as well as the highest level of personal and professional conduct. The Director, Compliance must also remain objective and independent when completing assignments, and consistently demonstrate the ability to hold information in confidence and ensure that all employees of the Company are accountable for adhering to the Program.

Responsibilities

Primary Responsibilities

  • Partner with the General Counsel and Chief Compliance Officer to:
    • Oversee and manage all aspects of the Program.
    • Continuously develop and administer the Program, including collaborating with key internal stakeholders and subject matter experts.
    • Establish, evaluate, enforce, continuously update, and maintain all compliance policies, procedures and best practices that facilitate the administration of the Program, ensuring compliance with all applicable laws, regulations, and requirements.
    • Develop and continuously refine key performance indicators that measure the effectiveness of the Program.
    • Assist with creating and managing the Company’s Compliance Committee (the “Committee”), including leading remediation efforts for areas of improvement identified by the Committee, preparing meeting minutes, establishing sub-committees or work groups as needed.
  • Collaborate with the Company’s Senior Leadership Team and internal and external auditors to establish internal auditing capabilities and develop appropriate action plans that address audit findings and introduce controls likely to prevent non-compliance performance. This includes tracking management and corrective action plans to ensure timely and effective resolution of identified deficiencies.
  • Coordinate an annual independent assessment of the effectiveness of the Program and prepare these results for the Committee.
  • Coordinate with departments across the Company to provide oversight of material risk areas such as physician relationships, CMS General Compliance and Fraud, Waste, and Abuse prevention (both as a provider and an FDR entity), coding and billing activities, privacy and security, and sales and marketing activities.
  • Maintain strong professional and technical knowledge of applicable laws, regulatory requirements and best practices in healthcare that impact physician practices and management services organizations, including CMS and State Medicaid Agency regulatory requirements.
  • Maintain subject matter expertise and serve as the primary Company resource for First Tier, Downstream and Related entity (“FDR”) services, supporting the education and oversight of all FDR-related compliance matters across the organization.
  • Maintain working knowledge of applicable healthcare and patient privacy laws, regulatory requirements, and best practices, with an emphasis on the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”), the Health Information Technology for Economic and Clinical Health (“HITECH”) Act, and related federal and state rules and regulations.
  • Oversee completion of all required background and exclusions screens.
  • Establish and administer open lines of communication for all employees within the Company, including but not limited to publishing and posting information on how to access the Company’s anonymous reporting hotline.
  • Champion compliance with the Company’s Code of Conduct and take appropriate actions against suspected violations of the Code and accompanying internal policies and procedures.
  • Oversee the completion of required compliance education and training by all employees within the Company. This would not include clinical education and training.
  • Participate in preparation of mergers and acquisitions by providing guidance on necessary compliance and privacy-related diligence, collaborating with external partners to establish standards of practice in this area.
  • Performs other duties as assigned/necessary.

 

Qualifications

Education and Qualifications

  • Bachelor’s degree required; advanced degree preferred.
  • Active compliance certification(s) with CHC and/or CHPC preferred.
  • At least 8 years of experience managing compliance in health care companies and/or companies that are active in mergers and acquisitions (with a strong preference for experience with health care services/delivery companies that are active in mergers and acquisitions).
  • Experience supervising staff and developing compliance programs, plans, and infrastructure.
  • Significant experience drafting, editing, and implementing healthcare-focused compliance policies and procedures.
  • Strong knowledge of internal control and risk assessment techniques.
  • Demonstrated ability to lead diverse groups in implementing programs and ideas.
  • Outstanding written and oral communications skills that reflect the ability to communicate across functions in a way that promotes trust and credibility between clients, colleagues, leaders, and internal and external customers.
  • Acts with honor, integrity, and a high level of professionalism; demonstrates emotional intelligence.
  • Adaptable, excited to join, and able to function within a dynamic, high-integrity, mission-oriented, early-stage start-up that is focused on improving care quality and building value-based reimbursement models.

 

Novocardia provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to religion, race, creed, color, sex, sexual orientation, alienage or citizenship status, national origin, age, marital status, pregnancy, disability, veteran, or military status, predisposing genetic characteristics or any other characteristic protected by applicable federal, state, or local law. 

 

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