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Assistant Director, Compliance at INTEGRA MLTC, INC.

Posted in Management 30+ days ago.

This job brought to you by eQuest

Type: Full-Time
Location: Lake Success, New York

Job Description:

General Purpose/Scope:

The Assistant Director, Compliance is a member of Integras Corporate Compliance team reporting to the Chief Compliance and Privacy Officer partnering with compliance department staff and Integra management members. The Assistant Director, Compliance is accountable for a broad range of critical corporate compliance activities, including ensuring all Medicaid healthcare legal and compliance requirements are met through ongoing development and expansion of our current program, compliance education, conducting audits and investigations, maintaining the Code of Conduct and Compliance Plan, preparing reports for the Compliance Committee, and collaborating with internal business partners and external individuals, including delegated entities and the New York State Department of Health (NYSDOH) Plan Manager.

Responsibilities include:
Developing the annual risk assessment and audit work plan for the Medicaid lines of business, in collaboration with other staff in the Compliance Department.Reviewing plans of correction in response to NYSDOH statements of deficiencies, and ensuring the plans of correction are implemented. Continually monitoring and improving internal and external audit and monitoring processes to ensure that the organization, as well as vendors, are compliant with applicable New York State Department of Health regulations.Actively involved in daily operations to meet deadlines or resolve problems, including managing the implementation of policies and corrective action plans for all known compliance deficiencies for the Medicaid lines of businessIdentifying and presenting issues potentially impacting Integras Medicaid lines of business to the attention of the appropriate business leaders. Proactively identifying Medicaid lines of business process gaps, weaknesses and deficiencies and/or business productivity/efficiency opportunities.Managing the planning, scheduling and implementation of procedural changes required for meeting organizational compliance program effectiveness.Oversight and supervision of a Compliance Auditor/Analyst.Developing, updating and implementing corporate compliance awareness programs, materials, training modules designed to increase awareness of existing, new or changing policies, regulations, etc.Responding to alleged violation of company rules, the Code of Conduct, policies, procedures, state or federal laws or regulations by conducting or guiding investigations when appropriate, ensuring the implementation of corrective actions.Provide quarterly and annual reporting as required by the Compliance Committee regarding compliance program activities.Responsible for strategic and proactive hiring, performance management and coaching/mentoring/training to enhance professional development.Performs other duties as assigned.

Bachelor's degree preferably in Accounting, Business, or Healthcare Administration5+ years of compliance experience in a healthcare environment; managed care experience preferredMust have proven compliance, payor, regulatory/audit, privacy background

Strong oral and written communication skills, as well as excellent presentation skillsAbility to manage competing priorities and deadlines that are subject to change frequentlyDemonstrated knowledge of Medicaid compliance practices and regulationsStrong facilitation, critical thinking, collaboration and interpersonal skills with the ability to build productive cross-functional partnerships to drive business resultsDemonstrated knowledge of Medicaid healthcare compliance laws and regulationsExcellent problem solving, analytical and critical thinking skillsMust be proficient with MS Office including Word, Outlook, Excel and PowerPointMust have the ability to make sound and evaluative judgementsOutstanding planning and organizational skillsProven self-starter with the ability to lead multiple projects in a fast-paced environmentAbility to manage multiple projectsAbility to manage conflict effectively while being receptive to the ideas and concerns of othersStrong leadership and mentoring skills


Certification in Healthcare Compliance (CHC) from the Compliance Certification Board (CCB) preferred

Integra is an Equal Opportunity Employer and prohibits discrimination or harassment based on any characteristics protected by the laws or regulations in the locations where we operate.

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