Behavioral Health Compliance Director
Company: APLUSCARE LLC
Location: East Brunswick
Posted on: May 2, 2021
Job DescriptionWe are seeking an experienced healthcare
compliance expert to direct program level compliance for Behavioral
Health group homes, residential, and in-home programs.This is a
position that requires someone with the ability to be extremely
organized and task--completion oriented in a very challenging
environment.This director level position requires strong
supervisory, quality assurance, management, and organizational
skills. Exceptional interpersonal skills are also required.
- Oversees and monitors the implementation and operation of an
effective compliance program covering all elements of the system,
including but not limited to residential programs, in-home
programs, day habilitation programs, wellness programs, and
- Develops, implements and periodically reviews/updates
compliance policies and compliance procedures to ensure that they
appropriately address material areas of compliance risk impacting
every Agency component.
- Implements governing body's directives, and agency policies and
- Develops and oversees the implementation of an annual
compliance education curriculum that includes mandatory general
compliance education for all employees focused on compliance
program elements and annually thereafter, as well as annual
role-based compliance training regarding pertinent legal standards
- Serves as a resource to executives and management for
compliance guidance and assistance in establishing and implementing
compliance risk minimization strategies that reduce the Agency---s
vulnerability to fraud and abuse.
- Monitors changes in laws, regulations, rules, enforcement
agency guidance/initiatives and case law developments and
- Responsible for reading, knowing, and complying with all
appropriate governing documents in the administration of Agency
programs be it contracts, agency policies and procedures, State or
Federal standards, specific program operations manuals and
circulars both internal and external, and the like.
- Completes and/or reviews all reports, forms, schedules and
other documentation as required by the agency.
- Tracks all QA reporting and forms, ensuring all necessary
follow-ups are completed that were noted.
- Responsible for ensuring the complete training and onboarding
and completion of Orientation for all new hire employees.
- Ensures and supports appropriate staff supervision during all
- Performs all other duties as assigned by the Executive Director
or his/her designee.Qualifications-- Bachelor---s Degree is
required.-- Advanced degree in law, business or healthcare
administration is preferred.-- 7 to 10 years progressive managerial
experience and comprehensive experience or training in internal
auditing and regulatory compliance in healthcare.-- Certified in
Healthcare Compliance (CHC) by the Health Care Compliance
Association preferred.-- Must possess thorough knowledge of laws,
rules and regulations pertaining to DDD and provider operations
(including Stark, antikickback and other fraud and abuse laws), and
principles, practices and techniques of compliance management,
including program planning and implementation, fiscal/financial
analysis and basic accounting.-- 5-7 years of experience working in
the field with individuals with developmental disabilities.-- 5+
years of experience in health care administration.
Keywords: APLUSCARE LLC, East Brunswick , Behavioral Health Compliance Director, Executive , East Brunswick, New Jersey
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