Compliance Jobs

Senior Director- Healthcare Compliance, Fortune 100

By October 9, 2019 No Comments

Senior Director – Healthcare Compliance

Global Fortune 100 Retail

Location: Arkansas (Comprehensive relocation package available)

We are recruiting for a global retail industry leader in their search for a Senior Director – Healthcare Compliance.

Why Join Us:

  • Opportunity to oversee a rapidly growing healthcare compliance program
  • High visibility position with strategic input
  • Opportunity to align the compliance program with the business and participate in strategic healthcare initiatives
  • Compliance culture built on integrity, partnerships and information sharing, accountability, rewards and recognition

Expectations first 12 months:

  • Establish self as business partner, building working relationships with international stakeholders
  • Continue maturity of health and wellness billing compliance program, based on compliance risk and maturity assessments
  • Formulate action plan to address risks and gaps in program and talent

Responsibilities:

  • Develop and oversee program by maintaining a thorough understanding of the regulatory requirements for Pharmacy, Optical, and Clinics to receive payments from 3rd party payers (Medicare, Medicaid, Tricare, Managed Care Plans)
  • Monitoring compliance with regulatory requirements performed by external providers, reviewing, assessing, and analyzing the overall billing and documentation system for potential compliance issues and non-compliance
  • Supporting the development of training related to billing activities (Fraud, Waste & Abuse requirements, False Claims Act, Anti-Kickback, Conflict of Interest)
  • Design strategies and procedures to manage new regulations and changing regulations
  • Directing the research and analysis of health and wellness state and federal statutes and regulations
  • Directing the design and execution of training and education on compliance policies and procedures
  • Leading cross-functional teams to direct response to compliance issues
  • Direct compliance investigations and audits by designing and developing strategies, protocols, and procedures for investigating and responding to compliance concerns
  • Advising leadership on compliance matters and trends; developing and directing implementation of mitigation strategies

Requirements:

  • Essential Education: Bachelor’s degree, JD preferred
  • Certification: CHC desirable
  • You should bring extensive healthcare compliance experience
  • Experience should include exposure to CMS compliance

Relocation:

 

  • Comprehensive relocation package available to qualified candidates, remote working option not available

 

Application Process for Senior Director – Healthcare Compliance – Qualified professionals are to submit resume to Steve Harrison at steve@conselium.com

Published by Conselium Executive Search, the global leader in compliance search.  
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