Vice President of Compliance
About Us:
At Empower, we are proud to serve as a one-stop-shop business partner for healthcare organizations to support their administrative and employer needs. We strive to be more than a workplace, but also a community, where every voice is heard, and every team member is valued. Our team is driven by a shared mission to create a positive impact on healthcare organizations and the lives they touch. Join our team today to be part of our mission!
Job Summary:
Responsible for developing, leading, and overseeing the eco-system compliance programs, policies, and strategies to ensure adherence to all federal, state, and local regulations, as well as accreditation standards. This role ensures a culture of compliance and ethical integrity throughout the organization, providing strategic oversight to mitigate risk, maintain licensure, and adapt to regulatory changes affecting home health and hospice operations.
Essential Functions:
- Establishes and directs the compliance vision, strategy, and initiatives to ensure full adherence to applicable healthcare regulations and accreditation standards.
- Develops and maintains compliance policies, risk management strategies, and internal controls to proactively identify and address regulatory risks.
- Provides executive leadership and direction for compliance audits, regulatory reviews, and accreditation processes, ensuring successful outcomes.
- Collaborates with senior leadership and the board of directors to align compliance programs with organizational goals.
- Monitors and interpret changes in federal, state, and local laws, advising on necessary operational adjustments and policy updates.
- Oversee the licensure and credentialing process for all eco-system sites, ensuring continuous compliance with all requirements.
- Directs the collection, analysis, and reporting of compliance-related data to identify trends, ensure adherence, and support decision-making.
- Leads the organization’s compliance training and education initiatives, partnering with HR to promote regulatory awareness and ethical business practices.
- Manages internal investigations, privacy concerns, and regulatory complaints, ensuring timely and appropriate resolutions, including corrective action and process improvements.
- Serves as the primary liaison with external regulators, auditors, and accreditation bodies, ensuring open and transparent communication regarding compliance matters.
- Establishes and maintains compliance monitoring programs to proactively detect and mitigate potential risks.
Additional Responsibilities:
- Performs other duties as assigned or requested.
- Conforms to all applicable Agency policies and procedures.
- Participates actively in continuing education and in-services.
- Maintains confidentiality of patient information and business trade practices
- Assumes accountability for reporting incidents and complaints according to Agency policy.
Knowledge / Skills / Abilities:
- Strong leadership and executive decision-making skills, with the ability to drive organizational change.
- Ability to influence and engage stakeholders across all levels of the organization, including senior executives and board members.
- Strategic and analytical thinker with expertise in risk assessment and compliance program development.
- Exceptional communication and presentation skills, with the ability to educate, inspire, and create a culture of compliance.
- Proven ability to manage complex regulatory issues while balancing business objectives.
- Adept at managing multiple priorities and projects in a fast-paced environment.
- Strong ethical integrity and ability to handle confidential matters with discretion.
- Experience in developing healthcare innovations and best practices for regulatory compliance.
- Proficiency in compliance software, audit tools, and data analysis platforms.
Information Management:
Treats all information and data within the scope of the position with appropriate confidentiality and security.
Risk Management:
- Cooperates fully in all risk management activities and investigations.
- Keeps abreast of changes in health care law.
- Maintains Agency/program compliance with local, state, and federal laws as well as state accreditation standards.
Minimum Position Qualifications:
- Education:
- Bachelor's degree in a related field (Healthcare Administration, Business).
- Experience:
- 10 years of progressive experience in healthcare compliance, with at least 5 years in a senior leadership role.
- Extensive knowledge of Medicare, Medicaid, fraud and abuse laws, HIPAA and other applicable healthcare regulations.
- Experience leading compliance programs in a multi-state home health and hospice organization
- License / Certification:
- Registered Nurse required
- Driver’s license and proof of current auto liability insurance; no listing in the OIG Excluded Provider listing
Environmental Conditions:
Works under a variety of conditions in facilities and offices; ability to work flexible schedule, ability to travel locally; some exposure to unpleasant weather. Moderate noise level; tasks may involve exposure to bloodborne pathogens; moderate stress and emotional demands.
Physical Requirements:
Sitting is required. Requires ability to always handle stressful situations in a calm and courteous manner. Requires working under some stressful conditions to meet deadlines and agency needs. Ability to travel.
The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities.