Director of Compliance Health Home

CINQCARE

Director of Compliance Health Home

Position Description

Overview

The Director of Compliance Health Home, with accountability for providing strategy, judgment, organization, and evidenced-based analysis to influence decisions, and directly to meet CINQCARE’s requirements. They should embody CINQCARE’s core values, including, Trusted, Empathetic, Committed, Humble, Creative and Community-Minded. At CINQCARE, we don’t have patients or customers – we have Family Members.

Primary Responsibilities

The Director of Compliance- Health Home will have the following responsibilities:

• The Director will make sure internal practices and programs comply with legal and regulatory criteria, including HIPAA, JCAHO, and other applicable healthcare policies.

• Accurately measure organizational compliance through internal audits and investigations. Based on the results, suggest efficient strategies for implementing the highest quality industry standards in CINQCARE’s practices.

• Serve as a compliance confidant to employees and institute secure communication channels for reporting compliance breaches and violations.

• Create a robust framework that outlines the necessary steps to address regulatory breaches.

• Develop and implement company-wide practices and programs to ensure the company’s procedures comply with the set standards.

• Institute an exemplary standard of conduct that outlines appropriate behaviors and practices.

• Prepare and oversee the execution of employee training programs and materials to make sure all staff levels are briefed on compliance guidelines.
• Ensure the integrity and confidentiality of patients’ medical records and personal information by proposing clear guidelines on the proper storing and protection of data.

• Create effective communication lines for employees to enable them to seek compliance advice and report related issues, concerns, and breaches with impunity.

• Investigate compliance concerns and misconduct reports to verify whether regulatory violations took place.

• Institute a special framework that stipulates corrective action plans in case of breaches and enables employees to report abuses without fear of retaliation.

• Oversee compliance audits and investigations to identify risk areas and vulnerabilities that may lead to noncompliance.

• Perform other job-related duties as assigned.

General Duties

The Director of Compliance- Health Home will have the following duties:

• Leadership: The Director of Compliance- Health Home will lead in defining and executing strategies and solutions to create business value in the clinical practice, including building a team to design, develop, and execute those strategies and solutions to deliver desired outcomes.
• Strategy: The Director of Compliance- Health Home will establish the business strategy and roadmap: (1) improve outcomes for CINQCARE Family Members; (2) enhance the efficacy of other CINQCARE. business divisions; and (3) develop and deliver external market opportunities for CINQCARE products and services. In establishing the business strategy, the Director of Compliance- Health Home will define and innovate sustainable revenue models to drive the profitability of the Company.
• Collaboration: The Director of Compliance- Health Home will ensure that our clinical capabilities form a cohesive offering, including by working closely with other business divisions to learn their needs, internalize their knowledge, and define solutions to achieve the business objectives of CINQCARE.

• Knowledge: The Director of Compliance- Health Home will provide subject matter expertise in Network solutions, including determining and recommended approaches for highest quality medical care, solution deployment and performance evaluation.

• Culture: The Director of Compliance- Health Home is accountable for creating a productive, collaborative, safe and inclusive work environment for the clinical team and as part of the larger Company.

Qualifications

The Director of Compliance- Health Home should have the following qualifications:

• Required Education:
  • Bachelor’s degree in Business, Healthcare Administration, or a similar field. Master’s Preferred.
  • Certified HIPAA Compliance Professional (CHCP) Certification.

• Required Experience:

• 7+ years of experience in a supervisory healthcare compliance role.
• Exhaustive knowledge of HIPAA, federal, state, and local laws, and other applicable healthcare regulations.
• Excellent interpersonal skills and the ability to effectively communicate at all organizational levels.
• Strong managerial and supervisory skills

• Entrepreneurial: CINQCARE seeks to fix gaps that have persisted for generations in the delivery of care to Black and Brown populations. This position is accountable for ensuring CINQCARE is positioned to innovatively deliver on its promise. The Director of Compliance- Health Home will possess the ability to work independently and initiate change within their responsibilities.
• Communication: Excellent verbal, written communication, and presentation skills; ability to clearly articulate and present concepts and models in an accessible manner.
• Relationships: Ability to build and effectively manage relationships with patients, the community business leaders, and external constituents.
• Culture: Good judgement, impeccable ethics, and a strong team player; desire to succeed and grow in a fast-paced, demanding, and entrepreneurial Company.

Location: New York State

Compensation: $65k to $85k