Position Summary

Essential Duties

• Serve as the Corporate Compliance Officer, with direct access to the Board of Directors and legal counsel.
• Oversee and monitor the implementation of and adherence to the Corporate Compliance Program.
• Chair the agency Corporate Compliance Committee and provide regular reports on the progress of implementation of the Compliance Program to the CEO, Board of Directors, and Senior Administration.
• Participate in the Policy review committee.
• Develop, revise, maintain, implement, and distribute compliance-related policies, procedures, systems, and other materials for all Affected Individuals.
• Oversee development and distribution of annual vendor letters to meet DRA requirements.
• Develop, manage, and report on the annual compliance work plan, including routine identification of compliance risk areas and trends.
• Ensure the establishment of methods to reduce the agency’s vulnerability to fraud, abuse and waste in Medicare and Medicaid funded programs.
• Oversee the periodic revision of the Compliance Program and associated policies to meet the needs of the corporation as well as federal, state and local regulations.
• Foster appropriate environment within the organization to promote participation in the compliance program by all Affected Individuals.
• Establish and maintain open lines of communication within the organization so potential compliance and HIPAA problems may be reported promptly.
• Monitor all methods of communication regarding compliance concerns, including anonymous and confidential methods.
• Create and maintain appropriate documentation (e.g., logs, spreadsheets, and records) of compliance activities.
• Investigate or consult on potential and actual compliance issues, including root cause analyses.
• Ensure prompt and thorough resolution of compliance issues, including implementation of policies, procedures, systems and necessary training of all Affected Individuals to reduce the potential for recurrence.
• Collaborating with Security Officer and QA team members around investigation, mitigation, policies, systems, and training related to HIPAA related concerns.
• Monitor plans of correction to confirm problems have been resolved or new plans of correction are required.
• Monitor results of compliance-related disciplinary actions to confirm fair and firm enforcement.
• Report compliance issues to OCR, DOH and/or OMIG.
• Oversee self-disclosures and refunding of overpayments.
• Ensure the development, coordination and execution of an educational and training program that focuses on the elements of the compliance program and associated policies and seeks to ensure that all employees are knowledgeable of, and comply with, pertinent federal and state standards.
• Collaborate with Human Resources, Quality Assurance team members, and legal counsel to ensure the prompt investigation of and response to cross-departmental complaints, such as that fall under the Whistleblower and/or False Claims Act.
• Collaborate with the Internal Audit team, review results of internal and external audits and self-evaluations of compliance risk areas, as well as the resulting evaluations of potential or actual non-compliance.
• Ensure checks of the federal and state exclusion lists are completed upon engagement and on a monthly basis.
• Work with the certifying official to ensure accurate completion of annual SSL Compliance Program certification(s).
• Facilitate annual review of Notice of Privacy Practices and update as needed.
• Chair of the Safety Committee and Safety Ambassador Committee. Participant of the Safe Patient Handling Committee and Emergency Preparedness Committee.
• Oversee and monitor the implementation of and adherence to the Safety Program, collaborating with internal stakeholders, broker, and insurance company as needed.
• Ensure monitoring of driver behavior and work with management to mitigate safety concerns.
• Oversight of the Training Department and Health Information Management Department.
• Other duties as assigned

• At least 5 years of professional experience in compliance and /or internal auditing, to include demonstrated leadership.
• Bachelor’s degree required; Master’s preferred.
• Excellent communication skills, unquestioned integrity, superior organizational skills, and the ability to think creatively are necessary.
• Familiarity with operational, financial, quality assurance, and human resource procedures and regulations preferred.

• 401(k) matching
• Dental insurance
• Disability insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Summer Friday's
• Referral program
• Retirement plan
• Tuition reimbursement
• Vision insurance
• Learning Management System with free CE and CME for licensed staff.
• WLN is a qualifying employer for the Public Service Loan Forgiveness (PSLF) Program

ABOUT US: Since 1980, WellLife Network, has been meeting the growing challenges of individuals with intellectual/developmental disabilities and mental illness. Our multidisciplinary approach and centralized referral process help to ensure that each person we serve receives the appropriate range of services and level of care, with an individual treatment plan, coordinated by highly competent and supportive case management professionals. In its early years, WellLife Network operated and maintained community residential facilities for people with developmental disabilities and mental illness, and provided programs of care, service, habilitation, rehabilitation, and social and recreational activities, in a home-like environment. Partnerships Make It Happen For almost four decades, WellLife Network has changed, evolved, and expanded, while remaining true to its mission of meeting the diverse needs of New York communities, businesses, and society and assisting those we serve to achieve greater personal and economic independence. WellLife Network has a long and valued tradition of working in partnership with the government, the business community, private philanthropy, and our colleagues in the nonprofit sector to offer proactive responses to society’s social and economic challenges. Since its founding, the WellLife Network culture has been marked by program growth and organizational development. A Network of Services - A Culture of Caring and Best Practices Today, with an annual operating budget of $100 million, a workforce of 1,800 staff, interns, and volunteers, and an affiliate subsidiary company, WellLife Network delivers critical services in the areas of behavioral health, intellectual/developmental disabilities, housing, co-occurring substance abuse behaviors, family support, vocational training, and care management. These services meet the pressing needs of more than 25,000 individuals and families annually, some 2,000 New Yorkers every single day. A culture of caring, best practices models, a spirit of innovation, and a commitment to measuring results and producing high returns on investment drive our work. A key element to our successful growth is our focus on technology, financial viability, and quality assurance – critical infrastructure supports that enable WellLife Network to deliver services with cost-efficiency, effectiveness, transparency, and accountability in a manner that mirrors the standards of high-performing business enterprises.