Vice President of Operations and Compliance

Position Summary: The Vice President of Operations and Compliance (VPOC) oversees operational aspects of the organization, focusing on compliance and interdepartmental integration within Pinnacle Rehabilitation Network. This role ensures operational efficiency and integration across departments and facilities, adhering to relevant laws, regulations, and internal policies.

Essential Duties and Responsibilities:

• Responsible for successful integration of departments and facilities, including centralized office, billing and credentialing, and facility operations, to ensure alignment and integration of operational initiatives.
• Facilitates complex problem solving across stakeholders to maximize process improvements across the organization.
• Monitors and analyzes key performance indicators to identify areas for improvement and ensure operational excellence and efficiency as it relates to software usage and integration.
• Develops, implements, and maintains the organization's compliance program, including policies, software integrations, and procedures.
• Monitors and ensures compliance with all relevant federal, state, and local laws and regulations, including healthcare regulations and standards.
• Conducts regular compliance audits and risk assessments to identify potential areas of vulnerability and implement corrective actions. Includes safety and risk management review of incident reports.
• Tracks, develops, and modifies Medbridge training and education to staff on compliance-related topics, including regulatory requirements and ethical standards.
• Oversees HIPAA Security Assessments and Vendor Security Management.
• Stays current with changes in laws and regulations that may affect the organization and updates policies and procedures accordingly.
• Manages budgets, allocates resources, and ensures cost-effective operations.
• Fosters a positive and inclusive company culture that promotes teamwork, innovation, and employee engagement.

Competencies: To perform the job successfully, an individual should demonstrate the following.

• Achievement Focus – Demonstrates persistence and overcomes obstacles. Measures self against standard of excellence. Recognizes and acts on opportunities. Sets and achieves challenging goals. Takes calculated risks to accomplish goals.
• Business Acumen – Aligns work with strategic goals. Demonstrates knowledge of the market and competition. Displays orientation to profitability. Understand business implications of decisions.
• Business Ethics – Inspires the trust of others. Keeps Commitments. Treats people with respect. Upholds organizational values. Works with integrity and ethically.
• Managing Customer Focus – Develops new approaches to meeting customer needs. Establishes customer service standards. Monitors customer satisfaction. Promotes customer focus. Provides training in customer service delivery.
• Strategic Thinking – Adapts strategy to changing conditions. Solves complex problems and develops strategies to achieve organizational goals. Identifies external threats and opportunities. Understands organization's strengths and weaknesses.
• Visionary Leadership – Acts in accordance with vision. Communicates vision and gains commitment. Creates a clear, compelling vision. Displays passion and optimism. Mobilizes others to fulfill the vision.

Qualifications:

• Bachelor's degree in healthcare administration, business administration, law or related field required. Master's degree preferred.
• Three (3) to five (5) years of healthcare compliance experience.
• Three (3) to five (5) years in a leadership role.
• In-depth knowledge of healthcare laws and regulations, including HIPAA, Medicare, and Medicaid.

Language Ability:

• Read, analyze, and interpret complex documents.
• Respond effectively to sensitive inquiries.
• Effectively present information and respond to questions from partners, clients, customers, and the public.

• Works with mathematical concepts such as probability and statistical inference.
• Develops mathematical or statistical models to analyze data.
• Interprets data and reports conclusions from analyses.
• Uses data analysis to support and improve business decisions.

Reasoning Ability:

• Defines problems, collects data, establishes facts, and draws valid conclusions.
• Interprets an extensive variety of technical instructions and deals with several abstract and concrete variables.

Computer Skills:

• Proficient in Microsoft Office Suite or similar software – especially Microsoft Excel and Word.
• Ability to conduct meetings remotely.
• Ability to learn and utilize Prompt, Dial Pad, Prediction Health, and Medbridge a plus.

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.

• Prolonged periods standing and working on a computer.
• Must be able to lift 20-25 pounds at times.
• Periodic travel required (New England).
• Position is primarily on site with occasional remote work.