Compliance Policy Specialist

Details of the offer

About myPlace Health myPlace Health was founded in 2021 by mission-aligned healthcare leaders and organizations that are committed to drastically improving health outcomes, quality and experience for vulnerable older adults and frail seniors. We specialize in providing value-based, comprehensive care and coverage for older adults with significant needs so they can thrive in the homes they love and in the communities they cherish. 
Our mission is simple: to enable older adults to live the independent lives they deserve. We pursue this mission through our myPlace PACE (Program of All-Inclusive Care for the Elderly) model, which provides seamless primary care, integrated health plan coverage, personalized social engagement, and customized services delivered in the participant's preferred place.  
myPlace Health is building a mission-driven team that shares our passion for redefining the way older adults experience care as they "age in place" in the community. This is a unique opportunity to take on one of our country's most challenging healthcare problems and join a fast-growing, dynamic team as we prepare to scale our mission to serve more markets. 
As a Compliance Policy Specialist, you won't just be managing policies—you'll be shaping a culture of compliance that fosters safety, trust, and excellence across myPlace Health. This role goes beyond checking boxes; it's about minimizing risks and supporting the success of our entire organization. Reporting to the National Director of Quality and Compliance Programs, you'll collaborate with team members across departments to develop and refine policies that drive our mission forward.
Success in this role means being detail-oriented, staying ahead of regulatory changes, and continuously improving our compliance strategies. Your strong analytical skills and proactive approach will help keep us on the cutting edge of regulatory requirements, ensuring we create a safe and compliant environment for everyone we serve.
\n What does success look like as a Compliance Specialist?Regulatory Monitoring & Analysis: Meticulously monitor activities impacted by regulatory requirements, ensuring compliance with federal, state, and PACE-specific regulations. Review internal policies, procedures, and documentation to identify potential deviations from regulatory standards and recommend appropriate updates to align with compliance requirements.Compliance Program Development: Support the development, implementation, and continuous improvement of compliance programs, policies, and procedures. Analyze regulatory risks, report findings to leadership, and identify best regulatory practices to ensure the organization remains compliant with evolving healthcare regulations.Policy Review Committee Leadership: Lead the monthly policy review committee, including curating the agenda, preparing pre-reading materials, assigning tasks, and ensuring that all assigned tasks are completed in a timely manner. Facilitate discussions that align internal policies with current regulations.Subject Matter Expertise: Provide expert guidance on healthcare compliance topics, with a focus on PACE program compliance, HIPAA, and regulatory policies from the California Department of Health Care Services (DHCS). Stay updated on new developments and changes in relevant healthcare regulations.Internal Controls & Auditing: Establish and maintain robust internal controls and auditing systems. Regularly conduct audits to detect, identify, and correct areas of non-compliance. Provide recommendations for process improvements based on audit findings.Regulatory Reporting: Prepare and present comprehensive compliance reports to management, outlining any regulatory risks, non-compliance areas, and corrective actions taken.Collaboration & Communication: Collaborate cross-functionally with various departments, ensuring that compliance practices are integrated into all operational processes. Provide clear communication and training to staff on regulatory updates and internal policies.Decision-Making & Adaptability: Demonstrate a high level of motivation, self-direction, and adaptability in a rapidly changing regulatory environment. Make informed decisions in time-sensitive situations, often with minimal supervision.Contribute to Organizational Growth: Embrace additional opportunities and responsibilities as needed, actively participating in the continued growth and success of the organization. What does an ideal look like?5+ Years of Healthcare Writing Experience: Experience in healthcare writing, especially in clinical or managed care settings.Policy Development Expertise: At least five years in developing or implementing compliance policies, preferably in regulatory or legal topics.Compliance Program Success: Proven experience in creating and implementing compliance programs in healthcare settings.Leadership & Collaboration: Experience leading committees or cross-functional teams is highly desirable.Certifications Preferred: Certified in Healthcare Compliance (CHC) or similar certifications are a plus.Regulatory Knowledge: Strong understanding of federal, state, and local healthcare regulations, including PACE and HIPAA.Education: Bachelor's degree required, preferably in healthcare administration, law, or compliance. A Master's degree or JD is preferred, but 7 years of relevant experience may be substituted.Auditing & Reporting Skills: Proficient in auditing systems, reporting, and data analysis.Diverse Healthcare Experience: Experience in hospitals, skilled nursing, home health, hospice care, and PACE is preferred.
\n$96,000 - $115,000 a year
What's in it for you? myPlace Health offers a robust compensation package for this role that includes cash compensation and other total rewards. Base pay is based on several factors including but not limited to education, relevant work and industry experience, certifications, and location of the role. Onsite roles include appropriate geographic adjustments, while remote roles are typically priced off national pay data.
Competitive Incentive Plan: Performance-based incentive plan that is beyond the industry standard Preparing you for retirement:401k with Employer match Medical Plans to fit your needs: Your choice of 6 medical plans, with premium coverage of up to 80% for employees and 75% for all dependents Ancillary benefits to meet your other needs: Dental and vision plans to meet your needs of you and your dependents; health savings account, flexible spending accounts, short- and long-term disability coverages, as well as basic life insurance. myPlace is also proud to offer accident, hospital indemnity, and critical illness benefits for our team. Generous time off: PTO starting at 20 days per year; plus 12 paid holidays per year, and 2 floating holidays per year Professional Development top of mind: Generous CME/CEU budget and time off, and professional development opportunities Making your home office comfortable: A one-time stipend towards setting up your home office, if applicable. Family friendly environment: Family friendly policies, including paid new parent leave and new child care stipend \nYour Application Please submit your resume/CV.
Our Commitment to Diversity, Equity and Inclusion At myPlace Health, we value the diversity of our team members, and we are committed to building a culture of inclusion and belonging.  We pride ourselves to be an equal opportunity employer.  People seeking employment at myPlace Health are considered without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, marital or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information or characteristics (or those of a family member), pregnancy or other status protected by applicable law.
COVID-19 Vaccination Policy At myPlace Health, we provide safe and high-quality care to our participants. To achieve this, we have a policy that strongly recommends Covid-19 vaccination to keep both our team members and participants safe. Medical and religious exemptions can be granted based upon review of proper documentation. We adhere to all federal, state, and local regulations by obtaining necessary proof of vaccination prior to employment.
Beware of Scams and Fraud Please beware of scams that solicit interviews or promote jobs for opportunities that are not listed on our website or are not directly related to a job you applied for yourself. Please be advised that myPlace Health will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission by selecting the 'Rip-offs and Imposter Scams' option: https://reportfraud.ftc.gov/#/


Nominal Salary: To be agreed

Source: Grabsjobs_Co

Job Function:

Requirements

Judge Advocate General (Jag)

If the traditional civilian career path has left you wanting more, both personally and professionally, a JAG career will re-inspire your love of the law. Thi...


Air Force - California

Published 7 days ago

Judge Advocate General (Jag)

If the traditional civilian career path has left you wanting more, both personally and professionally, a JAG career will re-inspire your love of the law. Thi...


Air Force - California

Published 7 days ago

Judge Advocate General (Jag)

If the traditional civilian career path has left you wanting more, both personally and professionally, a JAG career will re-inspire your love of the law. Thi...


Air Force - California

Published 7 days ago

Paralegal

A prominent entertainment company is looking to hire a Paralegal. This position will be located at their corporate office in Century City. ** Draft, format,...


Solomon Page - California

Published 7 days ago

Built at: 2024-11-25T04:14:33.921Z