INTEGRA MLTC, INC.

Director of Compliance

General Information
Location  1981 MARCUS AVE STE 100
New Hyde Park, NY 11042
United States
Employee Type  Full-Time
Description

General Purpose/Scope:
The Director of Compliance is responsible for ensuring Integra complies with applicable New York State and federal laws, regulations and contractual requirements. To that end, under the direction of the VP, General Counsel and Compliance Officer, the Director of Compliance in coordination with the Manager of Compliance and Internal Audit, shall develop policies and procedures, training and education, and auditing and monitoring protocols to effectively implement the compliance program.

 

Responsibilities Include:
Policies and Procedures - The Director of Compliance shall be the keeper of records for all Integra policies and procedures by performing the following:

  • Maintaining a comprehensive policy manual containing all policies and procedures, which will be available and easily accessible to all Integra employees;
  • Facilitating review and regulatory approval, including chairing the P&P committee (see Committee Memberships section below); and
  • Facilitating regular review and revision of policies and procedures, at least once per year, and more often as needed.

 

Training and Education - The Director of Compliance shall conduct or provide material for compliance training, and ensure that other operational training courses are conducted by performing the following:

  • Conducting or providing material for Compliance training, such as HIPAA/PHI and FWA.
  • Keeping logs of all training including materials, sign-in sheets and knowledge checks.

 

Auditing and Monitoring - To ensure adherence to contractual and regulatory requirements, the Director of Compliance shall:

  • Perform regular contract assessments and identify areas of risk exposure;
  • Conduct focused operational and clinical audits (with the assistance of appropriate staff);
  • Develop and implement corrective actions to address deficiencies;
  • Assist regulators and their designees in their performance of audits

 

Reporting - The Director of Compliance shall track, and submit where appropriate, all regulatory and contractual reports by:

  • Maintaining a calendar of reports to ensure timely submission;
  • Ensuring reports are reviewed, and certified when appropriate, for accuracy and completeness prior to submission;
  • Performing preliminary investigations and submit to the appropriate agencies suspected and confirmed FWA cases

 

Employee Resource - employees are encouraged to contact the Director of Compliance with potential and actual compliance issues. The Director of Compliance will make a good faith investigation into allegations, facilitate resolution, and maintain confidentiality whenever possible.

 

System Administration - the Director of Compliance will act as the local system administrator of the system supporting the Compliance Program. Maintaining the system will require the following:

  • Uploading, maintaining and facilitating revision of all Company policies and procedures, contracts and other documents.
  • Maintaining an accurate employee roster, including uploading new employees, granting appropriate access and deactivating users as needed.
  • Developing a scheme to catalog regulator correspondence.
  • Systematizing and distributing training through the system, when possible.

 

Regulatory Affairs - in the absence of dedicated staff, the Director of Compliance will serve as the point of contact for regulatory interaction. As such, the Director of Compliance will attend meetings with and field questions from state and federal agencies. The Director of Compliance will also receive and catalog regular and ad hoc correspondence, triage and disseminate to appropriate staff.

 

Committee Memberships - the Director of Compliance will be a member or chair of the following committees:

  • Compliance Committee: governing body meets quarterly to discuss compliance issues and evaluate efficacy of the program.
  • Policy and Procedure Committee: tasked with review and approving all policies and procedures prior to Director of Compliance signature, State submission and implementation.

 

Qualifications:

  • Bachelor's degree in Law, Healthcare or Business Administration or related field
  • Master's preferred
  • In-depth knowledge of Medicare and Medicaid

 

Skills/Abilities:

  • Experience with internal and external audit processes
  • Exceptional written and verbal communication skills
  • Ability to effectively interact with all levels of the organization
  • Promotes ethical business behavior
  • Strict attention to detail
  • Strong decision-making capability
  • Proficiency to effectively problem solve
  • Excellent organizational skills
  • Attention to detail is crucial

 

Integra is an Equal Opportunity Employer and Prohibits Discrimination and Harassment of Any Kind.  Integra is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment. All employment decisions at Integra are based on business needs, job requirements and individual qualifications, without regard to race, color, religion or belief, sex, sexual orientation, gender identity, national origin, veteran or disability status, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. Integra will not tolerate discrimination or harassment based on any of these characteristics. Integra encourages applicants of all ages.

 

If this opportunity sounds exciting and challenging to you, please click “Apply” now!

 

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