Compliance Director - Home Health Care
Family Home Health Services - Jacksonville, FLThis job is no longer active. View similar jobs
- Family Home Health Se... Family Home Health Services
- Jacksonville, FL
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- Full Time
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WHO WE ARE
Family Home Health Services
Anywhere in Florida (Tampa, Orlando, Jacksonville preferred)
Family Home Health Services (andldquo;FHHSandrdquo;) provides health care services to clients in their homes assisting them to achieve the highest level of potential in their day-to-day self care activities. We currently have 15 offices in Florida, 5 in Michigan, 3 in Indiana and 2 in Missouri, with further expansion expected in 2011.
We offer a wide range of services including: Registered Nurses, Physical Therapists, Occupational Therapists, Speech Therapists, Medical Social Workers, and Specialized programs focused on Diabetic Management, Fall Prevention, Emotional Wellness, and Transition Care. For more information please visit our website, www.fhhs.us
In January 2010, Valor Equity Partners completed a recapitalization of FHHS. Valor Equity Partners is a private equity firm headquartered in Chicago, IL.
The Compliance Director will report to both the Chief Executive Officer (CEO) and the Board of Directors.
The Compliance Director will service as a focal point for all compliance activities and exercise independent judgment. The Compliance Director will develop comprehensive policies and procedures, compliance training, protocols and internal investigations.
KEY SUCCESS FACTORS
Improve the corporate compliance program to be best-in-class and re-educate staff within the first six months.
Meet and exceed standards in states where our Company has a presence.
Develop the risk management practice into a fully formed unit; identify and track instances of non-compliance, meet conditions of participation for state compliance and all regulations
Develop relationships with regulatory bodies in states where the Company has a presence.
Create a culture of compliance at the Company.
Report to the CEO and Board of Directors with respect to the progress of improvements.
Establish methods to improve efficiency and quality of services, and reduce the vulnerability to fraud, abuse, and waste.
Periodically revise the program in light of changes in the needs of the organization, and in the law and policies and procedures of government and health plans.
Develop, coordinate, and participate in a multifaceted educational and training program that focuses on the elements of the compliance program, and seek to ensure that all appropriate employees and management are knowledgeable of, and comply with, pertinent federal and state standards.
Create a structured quality assurance process for all aspects of the business; provide billing and coding audits, provide oversight of departmental reports to verify the company is billing correctly.
Ensure through purchasing that independent contractors and agents who furnish services to the Company are aware of the requirements of the compliance program with respect to coding, coverage, billing, and marketing, etc.
Coordinate internal compliance review and monitor activities, including periodic reviews of departments.
Respond to government investigations and queries as the principal point of contact.
Independently investigate and act on matters related to compliance, including the flexibility to design and coordinate internal investigations (e.g. responding to reports of problems, 'hot-line' calls, or suspected violations) and any resulting corrective actions with all Company departments, providers and sub-providers, agents and, if appropriate, independent contractors.
Develop policies and programs that encourage managers and employees to report suspected fraud and other improprieties without fear of retaliation.
Authority to review all documents and other information that are related to compliance activities.
Review contracts and obligations that could violate statutes and other legal or obligatory requirements.
Respond promptly to detected offenses to develop corrective actions, reporting findings to the government via established channels.CANDIDATE PROFILE
Minimum of 10 years experience in healthcare compliance or related consulting, with demonstrated ability in compliance and/or auditing.
High level of integrity, ensuring that all other duties do not conflict with the compliance goals.
Experience in auditing, quality assurance, corporate compliance, regulatory matters or other related experience.
Proven ability to implement written policies, procedures, and standards of conduct.
Track Record in overseeing and monitoring the implementation of compliance programs.
Deep understanding of federal regulations and third party insurance.
Demonstrated knowledge and understanding of compliance programs and processes, including audit activities, and the legal issues associated with them.
Strong planning, organizational and change management skills.
Ability to work effectively in a team environment.
Clear, concise and persuasive writing, communication and presentation skills.
An orientation to deadlines and details.
Demonstrated ability to work effectively with employees at diverse levels.
Excellent and detailed research and analytical skills.
Able to interpret complex rules and regulations.
Decisive and exercises good judgment under pressure.
Ability to manage a diverse and demanding workload.
Ability to work in a fast-paced and stressful environment.
The successful candidate will possess a JD. CHC is considered advantageous.