Compliance Director

Horizon Behavioral Health; Lynchburg (VA); On-site; USD 75,000 - 102,000; Full time

Benefits offered by this job

Virginia Retirement System (VRS)

Life, health, dental, and vision insur

Generous annual leave and paid holid

Wellness programs and community

Job summary

Horizon Behavioral Health in Lynchburg, VA seeks a Compliance Director to lead licensing and regulatory compliance across all programs. You will coordinate licensing status, ensure adherence to federal, state and local laws and CARF standards, and serve as the internal consultant to Horizon managers.

The role requires a Bachelor's in health care or related field, 3 years of related experience, and strong skills in audits, reporting, and staff training to ensure audit readiness.

Qualifications

• Bachelor's in health care or related field; master’s preferred.
• 3 years of related experience or equivalent.
• Subject matter expert on Medicaid and licensing issues.

Responsibilities

• Coordinate and monitor organizational licensing status for all programs and services.
• Ensure compliance with federal, state and local laws and CARF standards.
• Provide training on regulatory matters to staff and ensure audit readiness.
• Oversee policies and procedures for quality and implementation.

Skills

Medicaid knowledge

Licensing compliance

Quality assurance

Audits

Data analysis

Regulatory reporting

Education

Bachelor's degree in health care or related field

Master’s degree preferred

Tools

Business Intelligence software

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Compliance Director

CQI/Compliance Full Time Professional Lynchburg, VA, US

Salary Range: $74,582.00 To $102,024.00 Annually

Hours: full-time (37.5 hours per week)

Classification: Exempt

Reports to: Chief Executive Officer

Location: Lynchburg, VA 24501

Position Summary

The Compliance Director serves as the Horizon licensing and regulatory compliance expert and internal consultant. This position is responsible for the coordination and monitoring of organizational licensing status for all programs and services, ensuring that all programs and services operate under current licensing standards, as well as compliance with federal, state and local laws and regulations, and CARF standards. The employee serves as the organizational point person for these matters with DOJ, DBHDS, DMAS, CARF and any other pertinent regulatory and/or accreditation entity applicable to Horizon's programs and services.

As the internal expert for licensing and regulatory compliance, the employee keeps abreast of all regulatory changes that may impact Horizon programs and services and disseminates information regarding regulatory changes to appropriate Horizon managers & staff in a timely manner. In addition, the employee provides training on regulatory matters to staff as needed to ensure compliance and audit preparedness and oversees Horizon's Policies and Procedures for quality and implementation.

This position will work alongside Horizon’s Compliance Director for a period of time after assuming the position.

Required Education and Experience

• Bachelor's degree in health care or related field. Master’s degree preferred.
• 3 years of related experience or an equivalent combination of education and experience that provides the required knowledge, skills, and abilities.

Related Knowledge, Skills and Abilities

• This individual is a subject matter expert on Medicaid and licensing issues and an internal consultant on licensing requirements and in the areas of quality assurance/improvement, Medicaid, state licensing, MCO requirements and related regulatory matters.
• Knowledge and ability to conduct inspections and audits to determine compliance with external and internal regulations.
• Ability to interact professionally and effectively with clients, staff, management and regulatory entities by addressing requests and needs related to the management of health information.
• Ability to develop and/or produce reports either through the collection of qualitative data or with the help of Business Intelligence software resulting in reports that are timely and data-based that support ongoing continued quality improvement.
• Ability to create concise, accurate reports and other necessary documentation.
• Ability to interpret inspection results of audits as well as proffer compliance recommendations using appropriate language and expression.
• Ability to effectively supervise and coach supervisee towards excellence, including the monitoring of productivity and outcomes contributed by supervisee.
• Ability to collaborate and provide constructive feedback with recommendations for improvement.
• Highly skilled in data collection methodologies and quantification. Strong documentation skills.
• Willing and available to work modified schedules (weekends, holiday, etc.) as required. Ability to drive and must possess a valid driver's license. May be required to travel to different Horizon work sites during the day based on operational needs or provide admin support at other locations. Regular attendance at trainings and Horizon meetings may require travel to a variety of Horizon sites.

THE BEST BENEFITS FOR THOSE WHO TAKE CARE OF THE COMMUNITY

• We’re proud to offer some of the best benefits options in Central Virginia. Participation in the Virginia Retirement System (VRS) is exclusively for public service workers in Virginia, while several options exist for life, health, dental, and vision insurance. Emphasis on work‑life balance means a generous annual leave policy ensuring time for wellness with separate time allocated for sick leave and additionally for paid holidays. Stay active with Horizon’s annual wellness programs and various opportunities to interact with the community throughout the year. Horizon’s clinical sites are NHSC/HRSA approved for clinical student loan repayment, and qualify for both the Public Service Loan Forgiveness (PSLF) and the Behavioral Health State Loan Repayment (BHLRP) programs. If you are interested in continuing your education, working at Horizon qualifies you to receive discounts at some local universities.

Horizon Behavioral Health is an Equal Opportunity Employer (EOE).