Director of Compliance

Company: NextCare
Location: Tempe
Posted on: May 23, 2023

Job Description:

NextCare IntroductionNextCare strives to be the leader in high access healthcare, offering urgent care, occupational health, virtual health and primary care services to our patients. With offering services in twelve states (Arizona, Colorado, Kansas, Michigan, Missouri, New Mexico, Nebraska, North Carolina, Oklahoma, Texas, Virginia and Wyoming) and over 170 urgent care clinic locations, we offer exceptional, affordable care to patients across the country.At NextCare, we constantly strive to provide you with the highest degree of caring, growth, integrity, results and teamwork. These essential core values form the foundation of our relationships with patients, customers, investors, partners and one another. Extraordinarily high-performance standards serve as critical guides for making important clinical and business decisions. The expression of these standards is evident in our behavior, our attitude, and our approach to our daily work. The product of our strict adherence to core values is the ability to harness tremendous organizational energy to achieve our goal of upholding the highest standard for quality and service within the high access healthcare. This unique combination of values, performance standards and commitment serves as the key to our success.What we are looking forNextCare is looking for a Director of Compliance to join our team.LocationJoin our team in Tempe, AZResponsibilitiesMeet the requirements of NextCare's Corporate Integrity Agreement.Maintain the effectiveness of the NextCare Compliance Program.Develop and deploy effective communication and education regarding the NextCare Compliance Program.Oversee NextCare reporting mechanisms, investigation and follow-up of reports of misconduct, questions or concerns.Review contracts for regulatory risk and compliance; draft contracts that meet regulatory requirements.Conduct an annual risk assessment and develop a workplan to address key risk areas.Coordinate response to incidents with NextCare's insurance carriers and develop measures to mitigate risks.Perform research, serve as an internal consultant and provide guidance on compliance matters to employees and management including the business office, coding, physician contracting, fraud & abuse laws, Medicare/Medicaid regulatory requirements or other compliance related subject matter.Implement and oversee activities designed to monitor high risk areas such as coding, billing, physician contracting, screening of employees and contractors and other areas vulnerable to compliance risk.Manage budget. Lead, mentor and develop talent within the organization at both corporate and clinic levels on compliance.Treat patients and co-workers consistent with the NextCare Mission Statement, Vision, Values and Performance Standards.Perform other related duties as assigned or described in Company policy.How you will make an impactThe Director of Compliance directs and coordinates the activities of the NextCare Compliance Program; oversees the deployment and overall operation of the compliance program, and functions as an independent and objective body that reviews and evaluates compliance issues/concerns within NextCare. The Director of Compliance monitors compliance trends, measures the effectiveness of the program, shares best practices, and manages compliance-related communications; monitors the compliance of the Board of Directors, management, and employees with the rules and regulations of regulatory agencies, company policies and procedures, and those compliance-related provisions of NextCare's Code of Conduct; monitors provider contract compliance, accuracy of billing, and appropriate payments; and directs corporate efforts for the detection, investigation, prevention, and prosecution of fraudulent/abusive acts.Essential Education, Experience and Skills:Education: Minium of Bachelors Degree and MBA in Health-related fieldsCertification: Certified in Health Care Compliance Experience & SkillsMinimum of seven (7) years' experience as a practicing lawyer in regulatory or corporate law.Exposure to and/or familiarity with the following areas of law: health care, HIPAA/HITECH, contracts, intellectual property, compliance, regulatory, employment and general business law.Experience managing compliance in a healthcare setting and corporate functions as well as experience with cost-effective management of outside legal resources.Experience in managing litigation, including dealing with insurers.Corporate governance exposure or experience is a plus.Excellent written and oral communication skills.Demonstrated achievement as a strategic leader in driving risk management and legal strategies that support the business imperatives of a high performance, high growth organization.Leadership experience in a multi-location organization with a distributed workforce.Experience interacting with a Board of Directors or similar governing body.Demonstrated achievements in driving change that effectively impacts an organization.Valued But Not Required Education, Experience and Skills:Education: Juris DoctorExperience: Multisite urgent care experienceLicense: Licensed to practice law in at least one jurisdictionBenefits:NextCare offers full time employees medical, health savings account, NextCare employee visit program, dental, vision, basic life, voluntary employee/spouse/child life, long term disability, short term disability, employee assistance program, critical illness, accident, legal, identity theft and paid time off benefits. Employees of all statuses are offered 401(k) Plan benefits. Employees in select positions are offered shift differential benefits. Benefits are offered per policy and plan rules.Equal Opportunity StatementNextCare Urgent Care is an Equal Opportunity Employer.

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