Ennoble Care - Director of Compliance (Remote)

Remote3w ago

Remote Director WW Life Insurance Insurance Compliance Manager Associate Regulatory Affairs Governance Reporting Regulatory Compliance Documentation

Requirements

• Bachelor's degree in Nursing, Healthcare Administration, or related field. • Clinical background in hospice or home health required. • Minimum 5 years of experience in healthcare compliance, quality, or regulatory affairs, with at least 2 years in a leadership role. • Demonstrated knowledge of Medicare hospice Conditions of Participation, state licensing requirements, and CMS audit processes (TPE, CERT, UPIC). • Experience developing and managing corrective action plans and policy governance programs. • Strong analytical skills with the ability to identify patterns in audit data and translate findings into actionable recommendations. • Preferred • Master's degree in Healthcare Administration, Nursing, or related field. • Certification in Healthcare Compliance (CHC) or equivalent. • Experience with MatrixCare or comparable EMR systems. • Multi-state hospice compliance experience. • Experience conducting internal investigations. • Full-time employees qualify for the following benefits: • Medical, Dental, Vision and supplementary benefits such as Life Insurance, Short Term and Long Term Disability, Flexible Spending Accounts for Medical and Dependent Care, Accident, Critical Illness, and Hospital Indemnity. • Paid Office Holidays • All employees qualify for these benefits: • 401(k) with up to 3% company match • Referral Program • Payactiv: pay-on-demand. Cash out earned money when and where you need it! • Candidates must disclose any current or future need for employment-based immigration sponsorship (including, but not limited to, OPT, STEM OPT, or visa sponsorship) before an offer of employment is extended.

Responsibilities

• Escalate matters requiring external or legal investigation to the VP of Compliance and Quality. • Maintain investigation documentation in accordance with organizational and regulatory requirements. • Incident, Complaint, and Grievance Oversight • Provide operational oversight of the incident, complaint, and grievance process, with administrative management performed by the Associate Director of Regulatory Compliance and Quality. • Review trends in incident and grievance data and recommend process improvements. • Report on incident and grievance trends to the VP of Compliance and Quality for executive-level reporting. • External Audit Response • Coordinate the organization's response to external audits including TPE, CERT, and UPIC reviews. • Prepare documentation and manage timelines for audit responses and appeals. • Track external audit outcomes and incorporate lessons learned into the internal audit plan and education priorities.