Founded in 2016, our Client is a pioneering healthcare company transforming the delivery of home care. They are dedicated to providing dignity and support to patients in their homes and to the caregivers who assist them. As the largest consumer-directed home care agency in the state, they are continuously expanding our focus areas, including operations in other states and tech-based innovations.
Department & Position Overview
Reporting to the General Counsel, the Sr. Manager of Regulatory Affairs & Compliance will play a crucial role in advancing the compliance program. Responsibilities include providing updates on key compliance initiatives, identifying and mitigating risks, communicating audit outcomes, and staying ahead of regulatory changes.
With a deep understanding of healthcare regulatory frameworks and risk management, the Sr. Manager will ensure that our policies, procedures, and operations comply with all relevant laws and regulations. This role will also address the growing compliance needs driven by our expansion, ensuring the company not only meets but exceeds industry standards.
Key Responsibilities
- Leadership: Manage and guide the Compliance team, fostering a culture of operational excellence and accountability.
- Regulatory Compliance Management: Ensure compliance with relevant regulations (CMS, OMIG, HIPAA, etc.).
- Multi-state Medicaid Compliance: Oversee compliance with Medicaid regulations across multiple states, ensuring accurate and timely reporting.
- Risk Management: Support the company's readiness for healthcare regulations, technology, data, finance, and privacy-related risks.
- Audit Management: Manage internal and external audits of policies, procedures, and compliance programs, ensuring alignment with regulatory changes.
- Due Diligence: Participate in regulatory due diligence assessments for new business opportunities to ensure compliance from the onset.
- Training: Partner with Learning & Talent Development to design and execute compliance training programs that promote business ethics and regulatory adherence.
- Cross-functional Collaboration: Work with internal teams to ensure cohesive compliance efforts.
- Regulatory Updates: Keep stakeholders informed of changes in the regulatory landscape and support strategic adjustments as necessary.
- Industry Expertise: Maintain up-to-date knowledge of laws and regulations impacting Medicaid and home care.
Ideal Candidate Qualifications
- Bachelor's degree in healthcare administration, business, or a related field (Master's degree preferred).
- Proven ability to manage and develop regulatory programs and strategies in a healthcare setting.
- Experience in managing audits with a strong understanding of internal and external audit processes.
- 7+ years of senior regulatory compliance management experience within the healthcare industry, with expertise in Medicaid regulatory standards and corporate compliance programs.
- Effective project management skills with the ability to oversee multiple workstreams and drive project completion.
- Solution-oriented approach to addressing complex regulatory challenges and implementing continuous compliance solutions.
- Strong communication and presentation skills with the ability to build and maintain relationships across the organization.
