Manager, Compliance

Compliance Program Manager

MedImpact Healthcare Systems, Inc. is looking for extraordinary people to join our team!

Why join MedImpact? Because our success is dependent on you; innovative professionals with top notch skills who thrive on opportunity, high performance, and teamwork. We look for individuals who want to work on a team that cares about making a difference in the value of healthcare.

At MedImpact, we deliver leading edge pharmaceutical and technology related solutions that dramatically improve the value of health care. We provide superior outcomes to those we serve through innovative products, systems, and services that provide transparency and promote choice in decision making. Our vision is to set the standard in providing solutions that optimize satisfaction, service, cost, and quality in the healthcare industry. We are the premier Pharmacy Benefits Management solution!

Job Description

Summary :

Responsible for supporting MedImpact Health & Wellness ("MH&W") Compliance Program, including providing support of the HIPAA compliance program with a focus on privacy and security. Manages and oversees regulatory compliance activities to ensure that MH&W services are provided in accord with applicable laws, regulations, and accreditation standards pertaining to applicable federal and state regulatory and licensure requirements. This position manages requests from vendors, clients, regulatory authorities, MH&W subsidiaries, and internal customers relating to MH&W regulatory compliance initiatives, licensing, and related processes. Relies on experience and judgment to plan and accomplish goals.

Essential Duties and Responsibilities include the following. Other duties may be assigned.

• Independently and in collaboration with the Director, Compliance and HIPAA Privacy & Security Officer addresses MH&W and oversees subsidiaries. Ensures company HIPAA policies and procedures are appropriate to meet HIPAA requirements and identifies operational obstacles to compliance and working with other employees to identify and implement solutions. Viewed as a HIPAA Compliance subject matter expert.
• Research applicable state and federal laws and agency regulations. Tracks applicable legislation / regulations, analyzes impact on company and subsidiaries, and communicates relevant information to the organization, with minimal management supervision. Keeps apprised of new regulatory developments by reviewing regulatory publications and applicable industry trade publications. Monitors and keeps up-to-date on assigned state's changing healthcare regulations, legal requirements, or pending legislation.
• Obtains, maintains and reviews new licenses, licensing renewals, and reporting requirements for regulatory changes and updates. Participates in MH&W subsidiary licensing oversight efforts.
• Interfaces with regulatory authorities on matters relating to compliance with applicable laws or regulations, and prepares correction in response to negative findings of regulatory agencies.
• Responsible for writing applicable regulatory compliance policy and procedure documentation.
• Manages assigned corporate state filings subsidiaries and affiliate entities to include, but not limited to, submission of required documents, ensuring invoices are paid, and submission of license applications and renewals. Actively maintains and manages corporate records for corporations, subsidiaries, and, as required, affiliate entities, including tracking ownership information, qualified jurisdictions, board / manager information, etc. Collaborates and consults with department management, Finance Department team members, and others as needed to ensure entity management.
• Serves as the administrator for vendors and the associated tools used by the Compliance Department. Manages training needs and instructions for departments, subsidiaries, and affiliate entities, as needed, on vendor tools. Handles ongoing oversight of Compliance vendors, including vetting current and potential vendors. Works with the Contracting department on compliance vendor contracting needs. Ensure appropriate documentation is maintained on Compliance vendors to ensure appropriate management is in place.
• Assists the Corporate Compliance Director with the administration of the Corporate Compliance Program.
• Identifies needs and participates in internal workgroup compliance initiatives to advise and assist company compliance implementation efforts. Facilitates inter-departmental meetings as needed.
• Maintains expertise in assigned research topic(s) to support identified company compliance needs.
• Monitors and advises on company practices and documentation related to regulatory compliance.
• Independently (or with minimal management supervision) accurately assesses and responds to internal and external requests and responds to complaints from external customers (clients, vendors, regulatory agencies, etc.).
• Acts as an internal liaison to support regulatory audits. Facilitates and handles regulatory audits on behalf of the department for external clients, as assigned.
• Manages assigned projects by planning, researching, and auditing deliverables.
• Reads, analyzes, and interprets contracts and legal documents. Advises company on contractual issues and concerns.
• Mentors and assists less experienced Regulatory Compliance personnel.

Client Responsibilities

This is an internal and external client facing position that requires excellent customer service skills and interpersonal communication skills. One must be able to; manage difficult or emotional client situations; respond promptly to client needs; solicit client feedback to improve service; respond to requests for service and assistance from clients; meet commitments to clients.

Supervisory Responsibilities :

Manages assigned staff in the segment area. Responsible for the overall direction, coordination, and evaluation of the unit. Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. Supports and enforces all company policies and procedures in a fair and consistent manner, taking corrective action whenever necessary.

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and / or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education and / or Experience

Bachelor's degree in Business, Law, or a related field (or equivalent combination of experience and education) along with 5+ years' of proven experience in compliance management, with a focus on licensing and regulatory requirements. 1 year of SME in respective area(s); and 3+ years of supervisory experience; 4 years of MedImpact experience plus an appropriate external leadership training program and internal mentorship with a seasoned leader (Dir+) that must completed within 12 months in new position may substitute for the supervisory experience requirement.

Computer Skills

To perform this job successfully, an individual should have expert skills of Microsoft Office Suite, especially Excel, Word, and PowerPoint.

Other Skills and Abilities

Excellent skills in written and oral communication; organization / prioritization; decision-making; problem analysis and resolution; negotiation; team building; and leadership. Ability to maintain a high degree of confidentiality using, tact, discretion, and professionalism in all aspects of the job. Strong attention to detail and follow-through skills.

Reasoning

Mathematical Skills

Language Skills

Competencies

Physical Demands

The physical demands 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.

While performing the duties of this Job, the employee is regularly required to sit and talk or hear. The employee is occasionally required to stand; walk and reach with hands and arms. The employee must occasionally lift and / or move up to 10 pounds. Specific vision abilities required by this job include close vision and distance vision.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable