AlohaCare
Compliance Director
AlohaCare, Honolulu, Hawaii, United States, 96814
Apply on line at
http://www.alohacare.org/Careers/Default.aspx
The Company:
AlohaCare is a local, non-profit health plan serving the Medicaid and Medicare dual eligible population. We provide comprehensive managed care to qualifying health plan members through well-established partnerships with quality health care providers and community-governed health centers. Our mission is to serve individuals and communities in the true spirit of aloha by ensuring and advocating access to quality health care for all.
The Culture:
AlohaCare employees share a passion for helping Hawaii’s most underserved communities. This passion for helping and caring for others is internalized and applied to our employees through a supportive and positive work environment, healthy work/life balance, continuous communication and a generous benefits package.
AlohaCare’s leadership empowers and engages its employees through frequent diversity, recognition, community, and educational events and programs. AlohaCare has a strong commitment to support Hawaii’s families and reinforces a healthy work/home balance for its employees.
The Opportunity:
Position Summary:
The Compliance Director promotes a culture of compliance, ethics, and integrity is responsible for supporting the Senior Vice President, Compliance and Quality (Compliance Officer) in implementing AlohaCare’s Compliance Program. The position leads and manages the Compliance Department staff. Responsibilities include: directing Compliance programs, policies, and practices to ensure that all business units are in compliance with Medicaid and Medicare policy and reporting regulations; identifying and resolving compliance related issues; developing and implementing compliance work plans, policies and procedures; monitoring and auditing division and/or department functions against regulatory requirements; educating staff on compliance and regulations; and communicating compliance issues or regulatory and/or legislative changes.
Primary Duties & Responsibilities:
Manages the day-to-day operations of the organization’s corporate compliance program and plan.
Leads enterprise-wide risk assessments and develops auditing and monitoring plans.
Manages policies and procedures (P&P) program management ensuring departments review, update, and publish P&Ps timely.
Coordinates and responds to regulatory audits and inquiries.
Acts as a liaison with State departments to obtain regulatory approval of all policy documents.
Assists with the development and management of the Compliance Workplan.
Leads development and deployment Compliance communications and education.
Supports AlohaCare’s efforts to ensure compliance objectives are met.
Provides guidance to various departments regarding compliance issues and implementation of new compliance requirements.
Active oversight of employee and vendor completion of Compliance & Ethics, Risk Management, FWA, and Privacy & Security training.
Develops Regulatory Compliance reports and provides information to the board of directors and executive management as necessary.
Supports compliance team members in conducting compliance investigations, audits and reviews.
Performs other duties and responsibilities, as assigned.
Required Competencies & Qualifications:
Bachelor's Degree.
Minimum of 4 years managerial/leadership position experience.
3-5 years of experience in health plan operations.
Experience with Medicare and Medicaid programs required.
Knowledge of managing an effective compliance program.
Strong written, verbal, and presentation skills.
Ability to work independently and manage own work assignments with minimal supervision.
Working knowledge of Microsoft Excel, Word, and PowerPoint.
Strong analytical skills, communication skills, and relationship skills.
Ability to work on multiple projects concurrently and prioritize tasks appropriately.
Preferred Qualifications:
Juris Doctor Degree.
Physical Demands/Working Conditions:
Requires operation of computer workstation, including keyboard and video display terminal.
Sedentary Work: Exerting up to 20 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects.
Salary range: $110,000 - $140,000 annually
AlohaCare is committed to providing equal employment opportunity to all applicants in accordance with sound practices and federal and state laws.
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http://www.alohacare.org/Careers/Default.aspx
The Company:
AlohaCare is a local, non-profit health plan serving the Medicaid and Medicare dual eligible population. We provide comprehensive managed care to qualifying health plan members through well-established partnerships with quality health care providers and community-governed health centers. Our mission is to serve individuals and communities in the true spirit of aloha by ensuring and advocating access to quality health care for all.
The Culture:
AlohaCare employees share a passion for helping Hawaii’s most underserved communities. This passion for helping and caring for others is internalized and applied to our employees through a supportive and positive work environment, healthy work/life balance, continuous communication and a generous benefits package.
AlohaCare’s leadership empowers and engages its employees through frequent diversity, recognition, community, and educational events and programs. AlohaCare has a strong commitment to support Hawaii’s families and reinforces a healthy work/home balance for its employees.
The Opportunity:
Position Summary:
The Compliance Director promotes a culture of compliance, ethics, and integrity is responsible for supporting the Senior Vice President, Compliance and Quality (Compliance Officer) in implementing AlohaCare’s Compliance Program. The position leads and manages the Compliance Department staff. Responsibilities include: directing Compliance programs, policies, and practices to ensure that all business units are in compliance with Medicaid and Medicare policy and reporting regulations; identifying and resolving compliance related issues; developing and implementing compliance work plans, policies and procedures; monitoring and auditing division and/or department functions against regulatory requirements; educating staff on compliance and regulations; and communicating compliance issues or regulatory and/or legislative changes.
Primary Duties & Responsibilities:
Manages the day-to-day operations of the organization’s corporate compliance program and plan.
Leads enterprise-wide risk assessments and develops auditing and monitoring plans.
Manages policies and procedures (P&P) program management ensuring departments review, update, and publish P&Ps timely.
Coordinates and responds to regulatory audits and inquiries.
Acts as a liaison with State departments to obtain regulatory approval of all policy documents.
Assists with the development and management of the Compliance Workplan.
Leads development and deployment Compliance communications and education.
Supports AlohaCare’s efforts to ensure compliance objectives are met.
Provides guidance to various departments regarding compliance issues and implementation of new compliance requirements.
Active oversight of employee and vendor completion of Compliance & Ethics, Risk Management, FWA, and Privacy & Security training.
Develops Regulatory Compliance reports and provides information to the board of directors and executive management as necessary.
Supports compliance team members in conducting compliance investigations, audits and reviews.
Performs other duties and responsibilities, as assigned.
Required Competencies & Qualifications:
Bachelor's Degree.
Minimum of 4 years managerial/leadership position experience.
3-5 years of experience in health plan operations.
Experience with Medicare and Medicaid programs required.
Knowledge of managing an effective compliance program.
Strong written, verbal, and presentation skills.
Ability to work independently and manage own work assignments with minimal supervision.
Working knowledge of Microsoft Excel, Word, and PowerPoint.
Strong analytical skills, communication skills, and relationship skills.
Ability to work on multiple projects concurrently and prioritize tasks appropriately.
Preferred Qualifications:
Juris Doctor Degree.
Physical Demands/Working Conditions:
Requires operation of computer workstation, including keyboard and video display terminal.
Sedentary Work: Exerting up to 20 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects.
Salary range: $110,000 - $140,000 annually
AlohaCare is committed to providing equal employment opportunity to all applicants in accordance with sound practices and federal and state laws.
#J-18808-Ljbffr