Compliance Director - Healthcare jobs in Tampa, FL

Responsible for overseeing Cove’s compliance with government laws and regulations. Coordinating with Cove’s management to identify potential risks, implementing policies and procedures to uphold laws and regulations and monitoring Cove’s adherence to those policies and procedures. Responsible for overseeing, managing, and maximizing contractual obligations including monitoring contract progress and performance to ensure services conform to the contract requirements. Participates in developing, soliciting, drafting, and executing contract documents. Supports relationships with funders, payers, and organizations. Acts as Point of Contact for Cove on contractual matters.

Scope of Work:

The duties listed below are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position.

• Serves as Cove's Corporate Compliance Officer
• Develops and implements Cove's Corporate Compliance Program including plan, trainings, risk assessments, auditing/monitoring, and reporting processes.
• Provides education to Cove's teammates at hire and annually on Corporate Compliance program
• Conducts routine assessments/audits of Cove's compliance to billing requirements, contract requirements, documentation requirements including 65D-30/CARF/contract manuals as well as compliance to contract for subcontractors. Identifies and addresses any weaknesses or non-compliance issues identified during the audits
• Initiates investigations on allegations or complaints of illegal, fraudulent, or unethical conduct within Cove.
• Conducts Corporate Compliance risk assessment annually.
• Submits annual report to VP of Operations, CEO and Board of Trustees which includes summary of monitoring/assessments of compliance, trainings conducted, allegations, investigations, complaints for the past 12 months, explanation of corrective actions taken, and recommendations to changes to the Corporate Compliance program.
• Acts as key contact and subject matter expert on applicable regulations and regulatory guidance, best industry practices, and internal processes/protocols
• Drafts, evaluates, negotiates, and executes contracts including formal contracts, sub-contracts, consulting agreements, QSOA/BAA, contract employees, etc.
• Serves as the Point of Contact for funders, payors, organizations, and customers on contractual matters. Acts as contractual "middleman" between Cove teammates and funders/payors/ organizations/customers ensuring timely review and approval/reconciliation of variations.
• Provides feedback and recommendations on contracts to the CEO and Executive Management and assists in negotiating changes to the contracts.
• Creates contract review process to ensure individuals needing to review and approve contracts are part of the feedback loop.
• Ensures signed contracts are communicated to all relevant parties to provide contract visibility, awareness, interpretation, and to support implementation.
• Maintains contractual records and documentation including contract correspondence, contact information sheets, contractual changes, status reports, and other contract documents.
• Provides guidance on contract matters to Cove teammates including training on new contract requirements.
• Develops and implements procedures for, compliance, contract management and administration in compliance with Cove policy.
• Monitors compliance to contract requirements and address any areas out of compliance with the appropriate individuals.
• Develops and maintains a tracking/reminder system for contract deliverables.
• Completes annual DCF, AHCA, Pharmacy, DEA, etc licensing applications for the company as well as the CARF accreditation.
• Coordinates onsite contract monitoring and licensing audits by all funders, payers, and organizations.
• Coordinates contract implementation meetings for new contracts or major changes to contracts.
• Ensures dissemination of annual financial audit to the appropriate parties as required by contracts.
• Understands 65D-30 (licensing requirements) and 65E-14 (financial requirements) and the impact on the contracts and funding.
• Coordinates with the insurance broker on adding funders as additional insured on the certificate of insurance when required by the contracts.
• Manage staffing, supervision, scheduling, development, evaluation, and performance for QI Director, Data Analyst, and SOR Admin Specialist
• Performs other related duties as assigned.

Supervisory Responsibilities:

• 1-5 employees.
• Supervises teammates in the quality improvement department, data analyst, and SOR Admin Specialist. Carries out supervisory responsibilities in accordance with the company's policies and any applicable laws. Responsibilities include interviewing, hiring, and training new teammates; planning, assigning, and directing work; appraising performance; rewarding and disciplining teammates; addressing complaints and resolving problems.

Standards of Performance:

• Makes decisions consistent with all established company policies and procedures.
• Maintains the highest standards in ethical conduct, confidentiality, and quality.
• Models ideals of integrity, loyalty, and teamwork.
• Applies resources efficiently and responsibly.
• Sustain a positive, caring, supportive, and recovery-oriented environment.
• Identifies department and company needs and facilitates acquisition of resources to achieve these needs.

Knowledge, Skills, & Abilities:

Ability to read, analyze, and interpret reports and documents. Ability to respond to inquiries from funders, payers, organizations, customers, or regulatory agencies. Ability to effectively present information to top management and/or teammates. Ability to work with and apply mathematical concepts such as proportions, ratios, and percentages to practical situations. Ability to apply principles of logical or scientific thinking to a wide range of practical problems. Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret a variety of instructions and deal with several abstract and concrete variables. Knowledge of clinical and financial applications including planning, design, implementation, and maintenance. Ability to work with Microsoft products including Excel, Word, and Outlook. Ability to work within a management team framework.

Education and Experience:

• Undergraduate degree with minimum of 2 years of experience in a similar role (required).
• Must be able to pass background and drug screen prior to start date.

Compensation: $65,000.00 USD per year.

Benefits: - 403(b) with company match - Medical, Dental and Vision (Eligibility 1st of month after 60 days) - Employer Paid Short Term Disability - Paid time off - Life insurance - Up to 10 paid holidays - Assistance with certification and licensure.

If you are interested, please apply in our website:https: //covebh.e3applicants.com/redirect?action=apply&ap_postid=119&frmid=2&usesNewFormBuilderForm=Y &source=indeed&sourceid=indeed

Cove Behavioral Health is a nonprofit organization with over 48 years of providing behavioral health treatment services to the greater Tampa Bay area. COVE will offer you opportunities that you wouldn't have with other organizations, once you become one of our team mates. Cove Behavioral Health is a HRSA approved site and you may be eligible to apply for Public Service Loan Forgiveness. We also offer free Clinical Supervision, Tuition Reimbursement, CEU's, and many other ways to show appreciation to our teammates! COVE is a full-service provider of SA services. We are Nationally Accredited and have won numerous national and state awards for premier services. We serve all ages and take all insurances. We have board certified MD's that will provide a consultation of what an individual plan might look like when people don't know what to do, much like other Doctor consultations. We have a private adult detox and are known for our specialties in pregnant women and women's services, Opiate Addiction treatment, residential treatment and community prevention as Centers of Excellence.

At Cove Behavioral health we value diversity and inclusion. Cove Behavioral Health provides equal employment and advancement opportunities to all individuals, in accordance with Title VII of the 1964 Civil Rights Act. Employment decisions at Cove will be based on merit, qualifications, and abilities. Cove does not discriminate in employment opportunities or practices on the basis of race, color, religion, sex, national origin, age, disability, or any characteristic protected by law. Cove will make reasonable accommodations for qualified individuals with known disabilities unless doing so would result in an undue hardship. Cove is an Equal Opportunity Employer and a Drug & Tobacco Free Facility.

Job Type: Full-time

Pay: $65,000.00 per year

Benefits:

• Dental insurance
• Health insurance
• Life insurance
• Retirement plan
• Tuition reimbursement
• Vision insurance

Experience level:

• 2 years

Schedule:

• 8 hour shift

Work Location: In person