Job Posting for CHCF: Assistant Director of Compliance- Training and Development

Title: Assistant Director of Compliance- Training and Development

Organization:Commonwealth Medicine Center for Health Care Financing (CHCF)

Brief Summary of Position:

Located in Charlestown, MA, the Commonwealth Medicine Center for Health Care Financing (CHCF) helps state agencies, our primary clients, identify opportunities to increase savings and reimbursements through federal and other third party sources, establish effective savings and reimbursement programs and capitalize on all possible revenue streams. At the same time, we identify opportunities for our clients to increase health care related services and reduce the net cost of delivery.

The Provider Compliance Unit (PCU) ensures program integrity by identifying potential healthcare fraud, waste and abuse under federal and state regulations. Core activities of this unit include compliance with the Surveillance Utilization Review Subsystem (SURS), development and running of algorithms and conducting desk and onsite reviews (audits).

The PCU seeks an Assistant Director of Compliance – Training and Development to be responsible for developing and managing a compliance program to ensure that the business services, programs and client contracts are in accord with all applicable state and federal laws, regulations and policies. This position is also responsible for training staff and monitoring all program activities to ensure compliance with internal policies and procedures, as well as any applicable regulations.

RESPONSIBILITIES:

  • Develop, implement and manage a compliance program specific to the program/unit’s services
  • Develop and implement procedures to identify, assess and minimize risks such as performing periodic audits and implementing remedial action
  • Evaluate business activities and establish internal controls and business process adaptations to establish and improve alignment with compliance and regulatory requirements
  • Develop and implement educational and training initiatives to enhance staff compliance and regulatory awareness and alignment
  • Create an impartial environment to report and review information, problems, and potential risks
  • Create management reports that support program planning, prioritize risk areas and track resolutions
  • Collaborate with Commonwealth Medicine’s Office of Compliance
  • Develop, implement and evaluate program goals and objectives
  • Prepare, submit and monitor annual expense budget for operational area of responsibility
  • Identify and apply best business practices
  • Collaborate with the staff of  the Center for Health Care Financing,  state agencies and other organizations to improve client partnerships, business services and operations
  • Write, review and maintain business documents including reports, contracts, manuals, procedures and presentations
  • Participate in and implement continuous quality improvement initiatives
  • Foster compliance with state and federal rules and regulations
  • Work independently and as a team member and leader
  • Preserve confidential information and files
  • Fulfill additional duties as required or requested

QUALIFICATIONS:

  • Master’s degree in Finance, Business, Public or Health Care Administration or related field, or equivalent managerial experience
  • Ten years of solid experience and proven skills in program or operational management or health care
  • Proven administrative and management ability in complex environment
  • Strong management, leadership, team building and customer service skills
  • Demonstrated experience working with multiple public sector entities
  • Superior oral and written communication skills and strong public speaking abilities

TO APPLY: 

All candidates must apply on-line to be considered for positions.  For the full job posting and to submit your resume, please visit the website.