Vice President, Compliance

It’s fun to work in a company where people truly BELIEVE in what they’re doing!

We’re committed to bringing passion and customer focus to the business.

Public Partnerships LLC supports individuals with disabilities or chronic illnesses and aging adults, to remain in their homes and communities and “self” direct their own long-term home care. Our role as the nation’s largest and most experienced Financial Management Service provider is to assist those eligible Medicaid recipients to choose and pay for their own support workers and services within their state-approved personalized budget. We are appointed by states and managed healthcare organizations to better serve more of their residents and members requiring long-term care and ensure the efficient use of taxpayer funded services.

Our culture attracts and rewards people who are results-oriented and strive to exceed customer expectations. We desire motivated candidates who are excited to join our fast-paced, entrepreneurial environment, and who want to make a difference in helping transform the lives of the consumers we serve. (learn more at www.pplfirst.com).

Job Summary

Responsible for overseeing the organization’s compliance program, ensuring adherence to all applicable laws, regulations, and internal policies. Provides leadership and guidance to maintain ethical standards and regulatory compliance across all operations.

Key Responsibilities

Compliance Program Leadership

Designs, implements, oversees and continually enhances the Company’s comprehensive Compliance Program.

Establishes strategic priorities, multi-year compliance roadmaps, and measurable program outcomes.

Oversees the development and implementation of compliance policies, standards and processes, including the Compliance Program Plan and the Employee Code of Conduct.

Ensures that compliance policies, standards and processes are up to date and reflect best practices as they develop throughout the industry.

Collaborates with cross-functional teams, including legal, finance and operations, to ensure alignment of of compliance efforts with business objectives.

Regulatory Oversight

Provides strategic guidance to C-suite leaders on compliance matters, including risk, regulatory trends and enforcement activity.

Monitors regulatory developments, changes in the compliance landscape, and advises company leadership accordingly.

Oversees mandatory compliance reporting to third parties (including suspected incidents of fraud,

waste and abuse).

Oversees regulatory examinations and audits.

Manages the company’s relationships with regulatory authorities and external auditors.

Prepares compliance-related materials for Board of Directors meetings, including annual training and attestations.

Risk Management

Oversees the Company’s enterprise risk management program, ensures that the risk registry remains up to date and advises senior leaders on risk mitigation strategies.

Ensures organizational readiness for audits, investigations, risk assessments, and external regulatory reviews.

Oversees the implementation of corrective actions needed in response to compliance-related incidents and internal and external audits.

Prepares recommendations for operational, strategic and policy changes as a result of external and internal audits.

Privacy & Security

Oversees the Company’s privacy program and supervises the Company’s Privacy Officer.

Oversees investigations and responses to compliance-related incidents, including privacy and security incidents.

Ensures that all aspects of the investigation are reviewed and documented, including root cause analyses.

Oversees reporting incidents to clients and third parties, when applicable.

Ensures that identified remedial actions are implemented and monitored.

Vendor Management

Oversees the company’s vendor management program.

Reviews and analyzes contract procurement documents for compliance issues and advises leadership accordingly.

Audits & Reporting

Prepares and delivers quarterly compliance reports to C-suite leaders.

Oversees required client-required compliance attestations, certifications and disclosures.

Oversees required client-required enrollment processes.

Oversees insurance claims processes.

In coordination with Quality Improvement personnel, develops and oversees internal audits of various company operations.

Training & Communication

Oversees employee compliance training and awareness programs.

Oversees initial and monthly employee screening processes.

Fosters throughout the company a culture of ethics, integrity and continuous improvement.

Acts as a champion for a culture of compliance and ethical conduct throughout the organization.

Required Skills:

Executive presence and board-facing capability.

Strong work ethic and ability to prioritize tasks in a fast-paced, dynamic environment.

Excellent knowledge of relevant laws, regulations, and industry standards.

Demonstrated competence in reviewing contracts and other legal and regulatory documents.

Exceptional ability to communicate complex compliance issues clearly and effectively.

Excellent written and oral communication skills.

Strong analytical, interpersonal, and organizational skills.

Strong attention to detail.

Proficiency in Microsoft Office technology.

Qualifications:

Education:

Bachelor’s degree required. JD, MHA, MPH, MBA or related advanced degree strongly preferred.

Experience:

15+ years of progressive responsibility in a compliance leadership role.

Prior leadership experience in a large health care or home care organization preferred.

Demonstrated success designing and managing enterprise-level compliance program.

Experience managing regulatory relationships and audits required.

Ability to draft clear and concise policies, standards and memos required.

Experience with government contracts and familiarity with Medicaid preferred.

Certifications:

CHC, CHPC, or similar professional certification strongly preferred.

Working Conditions:

Remote with occasional business travel

Supervisory Responsibility:

Direct leadership over the Compliance Department which may include Compliance Managers, Compliance Auditors, Credentialing Managers, and Privacy Officers

Compensation range: $180,000 – $205,000 annually

The above is intended to describe the general contents and requirements of work being performed by people assigned to this classification. It is not intended to be construed as an exhaustive statement of all duties, responsibilities, or skills of personnel so classified.

PPL is an Equal Opportunity Employer dedicated to celebrating diversity and intentionally creating a culture of inclusion. We believe that we work best when our employees feel empowered and accepted, and that starts by honoring each of our unique life experiences. At PPL, all aspects of employment regarding recruitment, hiring, training, promotion, compensation, benefits, transfers, layoffs, return from layoff, company-sponsored training, education, and social and recreational programs are based on merit, business needs, job requirements, and individual qualifications. We do not discriminate on the basis of race, color, religion or belief, national, social, or ethnic origin, sex, gender identity and/or expression, age, physical, mental, or sensory disability, sexual orientation, marital, civil union, or domestic partnership status, past or present military service, citizenship status, family medical history or genetic information, family or parental status, or any other status protected under federal, state, or local law. PPL will not tolerate discrimination or harassment based on any of these characteristics.

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