What are the responsibilities and job description for the Vice President, Health Plan Compliance position at Independent Living Systems?
About the Role:
We are seeking a highly qualified Vice President, Health Plan Compliance to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations. The successful candidate will be responsible for ensuring that our health plans comply with all relevant laws, regulations, and policies related to health plan compliance. They will oversee the development and implementation of compliance programs, policies, and procedures, and will work closely with other departments to ensure that all compliance requirements are met. The Vice President of Health Plan Compliance will also be responsible for monitoring and reporting on compliance-related issues, and for providing guidance and training to staff on compliance matters.
Minimum Qualifications:
- Bachelor's degree in a related field.
- 10 years of experience in health plan compliance.
- Strong knowledge of laws, regulations, and policies related to health plan compliance.
- Excellent leadership and management skills.
- Strong communication and interpersonal skills.
- Relevant experience may substitute for the educational requirement on a year-for-year basis.
Preferred Qualifications:
- Master's degree in a related field.
- Certification in health plan compliance.
- Experience working in a large health care organization.
- Experience managing a team of compliance professionals.
- Experience developing and implementing compliance programs, policies, and procedures.
Responsibilities:
- Develop and implement compliance programs, policies, and procedures to ensure that our health plans comply with all relevant laws, regulations, and policies related to health plan compliance.
- Monitor and report on compliance-related issues, and provide guidance and training to staff on compliance matters.
- Collaborate with other departments to ensure that all compliance requirements are met.
- Stay up-to-date on changes to laws, regulations, and policies related to health plan compliance, and ensure that the organization is in compliance with these changes.
- Lead and manage a team of compliance professionals.
Skills:
The successful candidate will use their strong knowledge of laws, regulations, and policies related to health plan compliance to develop and implement compliance programs, policies, and procedures. They will also use their excellent leadership and management skills to lead and manage a team of compliance professionals. Strong communication and interpersonal skills will be essential for collaborating with other departments and providing guidance and training to staff on compliance matters. Additionally, the preferred qualifications of certification in health plan compliance and experience developing and implementing compliance programs, policies, and procedures will be beneficial in this role.
