Director of Compliance & Risk

Position Summary

Qualifications

• Exemplifies characteristics of The BAYADA Way: compassion, excellence and reliability
• Four (4) year college degree. Juris Doctor or advanced degree in Healthcare preferred.
• Five (5) to seven (7) years of work experience in a compliance function, preferably with a home health or healthcare organization.
• Executive presence to represent BAYADA Home Health Care internally and externally.
• A working understanding of the home health industry's legal and regulatory system, including the various organizations that administer the regulations, statutes, and related guidance.
• Ability to collaborate effectively with Compliance colleagues, Enterprise Support teams, executive and practice leaders, senior management, and service offices to advance the organization’s strategic priorities.
• Preferred Technical Skills:
  • Proficiency in working with and developing reporting and dashboard tools (Power BI, Tableau, or similar) for compliance tracking and executive reporting.
  • Familiarity with compliance and risk-based systems, such as GRC platforms, LMS platforms, policy and contract management systems, and risk management applications.
• Demonstrated project management skills and ability to simultaneously manage multiple projects effectively and respond to urgent matters promptly and concisely.
• Ability to work independently, motivate, and be self-motivated, flexible, versatile, and creative.
• Ability to develop professional reports, business communications, and procedural documentation, and confidently present and respond to questions from employees, leaders, and clients. 
• Ability to work successfully and productively both remotely and in the office

Responsibilities

• Manage the operational execution of core compliance functions, including the compliance hotline, investigation of incidents and complaints, exclusion screening, policy and procedure development/oversight, compliance training and education, and ongoing risk assessments
• Monitor and identify potential areas of compliance vulnerability and risk; provide advice on corrective action plans for resolution of problematic issues; provide general guidance on how to avoid or deal with similar situations in the future.
• Review external regulatory and accreditation audit requests; guide Compliance team responses and appeals; and collaborate with other enterprise support and practice teams to respond and negotiate with payors and government entities, as needed.
• Interpret relevant laws, statutes, and policies governing the implementation of an adequate and effective Compliance Program based on OIG guidance.
• Oversee team members in the daily execution of the Compliance and Ethics program and provide strategic guidance, coaching, and support to drive program effectiveness and accountability.
• Monitor federal, state, and local regulatory requirements and perform related research, as requested, helping to interpret and communicate changes across the organization.
• Assist in developing and revising policies and procedures for the Compliance Program, ensuring alignment with legal and ethical standards. Build consensus on policy positions and responses to proposed regulations.
• Assist with the development of training and education materials and education related to the Compliance Program based upon the needs of the organization and with changes in laws, regulations, and guidelines of federal, state, and private payors.
• Under the general direction of the Chief Compliance Officer, conduct compliance investigations and collaborate with other departments to investigate, direct, and resolve compliance issues through appropriate channels for investigation and resolution. Assist in response to government investigations and facilitate communication and negotiation with external regulatory bodies (ex. OIG) for proper response, reporting and resolution, as necessary.
• Collaborate with IT to integrate and enhance current applications (e.g., GRC, LMS, ERM platform, incident management systems) to improve efficiency, reporting accuracy, and user adoption.
• Collaborate with IT and data governance teams to design, deploy, and maintain compliance dashboard to track KPI, such as incident resolution, audit readiness, training completion, and policy utilization.
• Serve as project manager for key compliance program initiatives, ensuring milestones are met, stakeholders are engaged, and outcomes are aligned with organizational goals

Other Responsibilities

• Adept at addressing ethics, compliance, and client matters in a big-picture context based on applied
• Ability to command respect because advice and analyses are incisive, well-reasoned, and timely
• Work collaboratively with Enterprise Support and Service offices, Enterprise and Service Divisions, and other departments to ensure alignment and standards are followed and enforced.

BAYADA believes that our employees are our greatest asset:

• Base Salary: $160,000-180,000 / year depending on qualifications
• Bonus Opportunity
• BAYADA offers a comprehensive benefits plan that includes the following: Paid holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance, 401k with company match, direct deposit and employee assistance program
• To learn more about BAYADA Benefits, click here