Vice President, Compliance

Position Summary: The Vice President of Compliance manages quality, safety, regulatory compliance, risk management at Mental Health Cooperative. They are responsible for the development and effective operation of MHCs’ quality & compliance programs. They are accountable for the operations, outcomes, and financial productivity for the offices of compliance, quality & safety, risk management and quality training. They provide overall quality guidance and support to all lines of business to ensure the agency is meeting its quality, accreditation, regulatory and compliance goals.
 

Position Responsibilities:

• Responsible for the development and effective operation of Quality & Compliance Programs to ensure consumer safety, champion continuous quality improvement, monitor, and control risks, and meet regulatory and compliance requirements.

• Provides divisional support and leadership in collaboration with operations for all government payor initiatives including, but not limited to, TennCare and all value- based care initiatives.

• Accountable for maintaining company compliance of all applicable Federal and State laws, regulations, rules, and requirements (including Medicaid) affecting the delivery and payment of health care to the population, including those that prohibit fraud, waste, and abuse (FWA) of health care resources. Responds promptly to regulatory inquiries.

• Responsible for providing oversight and direction to staff for the offices of quality& safety, compliance, risk management, and quality training.

• Responsible for overseeing quality & compliance functions to meet full reaccreditation requirements with The Joint Commission.

• Assures compliance with The Joint Commission and other licensing/quality standards.

• Advises senior leadership and MHC board of key issues, emerging risks, and risk mitigation and quality activities.

• Cultivates and maintains an organizational culture that provides a safe, satisfying, and enriching environment where all personnel understand that compliance and quality is everyone’s responsibility.

• Evaluates and analyzes regulations/requirements, interprets significance, and recommends policies to comply with the highest degree of quality.

• Oversees quality & compliance reviews including all agency audits.

• Creates meaningful quality metrics & strategies to advance quality effectiveness.

• Collaborates with department/service area leaders to define and support the achievement of quality goals, consistent with the agency goals.

• Ensures the most effective quality operation of the agency through service development, process improvement and coordination of quality activities across all lines of business.

• Executes strategic quality plans to achieve goals or establish effective quality priorities collaboratively across the agency.

Other Responsibilities:

• Responsible for attending all mandatory in-services, continuing education, and annual health requirements

• Comply with all Corporate Compliance policies, practices, and procedures Report all unethical activities to supervisor, Corporate Compliance Office, Values Hotline number or Human Resource Director

• Comply with all OSHA and safety policies, practices, and procedures. Report all unsafe practices or accidents to supervisor, Safety Supervisor and/or OSHA Coordinator

• Will be compliant with the relevant regulations concerning the privacy and security of consumer’s protected health information (PHI) as established by the Health Insurance Portability and Accountability Act of 1996 (HIPAA)

• Perform other duties as assigned.

• Follow all policies and procedures set by the Agency.

Essential Skills and Experience:

• Master of Business Administration (MBA), Master of Nursing (MSN) or relevant competencies

• If Master of Business, BSN required

• Five plus years’ experience in quality, knowledge and experience in compliance, operations, The Joint Commission accreditation, quality improvement and fiscal management

• Excellent communication and leadership skills supervising staff

• Passion for underserved populations with integrated care needs

• Quality certification preferred

• Experience in value-based payment programs preferred.

• Behavioral health experience preferred

Essential Requirements for the Position:

• Active Registered Nurse License, Tennessee or compact preferred

• Valid Tennessee Driver’s License

• Acceptable Criminal Background Investigation

• Must have either of these certifications: CHC, CCEP, CHPC, CPCO

Reporting to this Position:

All quality divisions: Compliance, Quality & Safety, Risk Management, and Policies & Training

Physical Demands and Work Environment:

The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Physical demands: While performing duties of job, employee is occasionally required to stand; walk; sit; use hands to finger, handle or feel objects, tools, or controls; reach with hands and arms; talk and hear. Employee must occasionally lift and/or move up to 15 pounds. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception and the ability to adjust focus.

• Work environment: The noise level in the work environment is usually moderate.

BENEFITS: Mental Health Cooperative offers a full comprehensive benefit plan for you to participate in. The following products are available:

• Medical Insurance/Prescription Drug Coverage

• Health Savings Account

• Dental & Vision Insurance

• Basic Life and AD&D Insurance

• Short- & Long-Term Disability

• Supplemental Life Insurance

• Cancer & Accident Insurance

• Critical Illness Insurance

• 403b - Retirement Plan

• Calm App for medication and mental health

• Gym membership discounts

• Pet Insurance

Mental Health Cooperative embraces inclusion, diversity and equal opportunity. We're committed to building a team that represents a variety of backgrounds, perspectives, and skills. Mental Health Cooperative is an equal opportunity employer and does not discriminate on the basis of race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age, or other legally protected status.