The Compliance & Audit Program Director is responsible for managing activities related to corporate compliance and coordinating Company-wide compliance monitoring and auditing activities, including audits of the Company’s internal business units and vendors. The Compliance & Audit Program Director will help ensure compliance with all applicable rules and laws, as well as internal policies/procedures, and assist with performing and managing special projects across multiple functional areas as requested.
Responsibilities:
- Assist with developing and implementing the Compliance Team’s goals, objectives, plans, policies and procedures.
- Assist with developing and implementing policies and procedures consistent with the Company’s contractual obligations.
- Perform proactive monitoring/auditing of potentially high-risk areas, prepare reports, and help implement and monitor any corrective actions.
- Assist with conducting annual conflict of interest assessment and help manage monitoring system.
- Manage and oversee Company’s Third-Party Assurance process, including coordinating the vendor risk assessment process and facilitating risk and compliance discussions in the remediation of issues.
- Support the IT organization with SOC 2 and HITRUST audit activities, as needed, and coordinate external audits, assessments, and surveys by Company clients.
- Manage the Company’s corporate insurance portfolio.
- Manage Company’s corporate registrations.
- Serve as a resource for Company personnel to continue to foster compliance and open communications.
- Perform other duties as may be required or assigned, including assistance with managing and overseeing special projects as they arise.
Requirements
- Bachelor's degree in health administration, communications, business administration or a related field
- Demonstrated current working knowledge of applicable auditing standards and techniques.
- Understanding of CMS compliance requirements helpful
- Working knowledge of SOC 2 and HITRUST requirements sufficient to support the IT organization and other cross-functional stakeholders.
- Excellent interpersonal skills that include the ability to effectively communicate with internal and external stakeholders, both verbally and in writing
- Ability to gather and analyze data, organize and write reports and organize work efficiently.
- Strong project management skills
- Flexible, energetic self-starter with the ability to work in a non-structured environment.
- Strong ability to organize, prioritize, make decisions, and work independently.
- Excellent organizational skills with the ability to multi-task
- Excellent technical knowledge of computers and applicable software (Outlook, Word, Excel & Power Point)
Benefits
WORKING AT VATICA HEALTH ADVANTAGES
Prosperity
- Competitive salary based on your experience and skills – we believe the top talent deserves the top dollar
- Bonus Potential (based on role and is discretionary) – if you go above and beyond, you should be rewarded
- 401k plans– we want to empower you to prepare for your future
- Room for growth and advancement- we love our employees and want to develop within
Good Health
- Comprehensive Medical, Dental, and Vision insurance plans
- Tax-free Dependent Care Account
- Life insurance, short-term, and long-term disability
Happiness
- Excellent PTO policy (everyone deserves a vacation now and then)
- Great work-life balance environment- We believe family comes first!
- Strong supportive teams- There is always a helping hand when you need it
Skills Required
- Bachelor's degree in health administration, communications, business administration, or a related field
- Current working knowledge of applicable auditing standards and techniques
- Understanding of CMS compliance requirements
- Working knowledge of SOC 2 and HITRUST requirements
- Excellent verbal and written communication skills with internal and external stakeholders
- Ability to gather and analyze data and prepare organized reports
- Strong project management skills
- Ability to work independently in a non-structured environment
- Strong organizational, prioritization, decision-making, and multitasking skills
- Excellent technical knowledge of Microsoft Outlook, Word, Excel, and PowerPoint
What We Do
Introducing the next generation of risk adjustment and quality of care Vatica Health offers a unique model that pairs expert clinical teams with cutting-edge technology at the point of care. By capturing more accurate and complete diagnosis codes, our solution helps improve revenue and reduce the risk associated with an audit. Learn more about how we help health plans, providers, and patients achieve better outcomes, together. Working at Vatica Health: We are seeking smart, hands-on, driven, collaborative team players with a thirst for learning and innovating. We leverage state-of-the-art technology to communicate, collaborate and get work done - fast. If you have an entrepreneurial spirit and a passion for producing amazing work that measurably impacts our industry, we want to talk with you. Connect with Vatica Health on Twitter @VaticaHealth. Specialties: Risk Adjustment, Value-based Care, Clinical and Quality Outcomes, Claims and Payment Integrity, Healthcare Data insights, Quality Improvement, Risk core Accuracy, Annual Wellness Visit, Medicare, CMS Star Ratings, NCQA, HEDIS, QRS, ICD-10
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