Director of Regulatory Compliance (Behavioral Health)

Arizona Autism United•Phoenix, AZ

2d•$108,000 - $140,000•Hybrid

About The Position

This is a great opportunity to join a Top Workplace winning, nonprofit organization, that believes in bringing people together to create meaningful change in the lives of individuals and families. We’re hiring a Director of Regulatory Compliance to help oversee our organization’s compliance program! The Director of Regulatory Compliance is responsible for developing, implementing, and overseeing the organization’s compliance program to ensure adherence to state and federal regulations, accreditation standards, contractual requirements, and organizational policies. The Director is responsible for ensuring the organization has the necessary infrastructure to monitor compliance and operational efficiency across the organization. This position works collaboratively across departments to identify and mitigate risk while promoting a culture of ethics, integrity, and accountability. The Director provides leadership and direct oversight of the organization’s compliance, quality assurance, investigations, training, and risk mitigation activities.

Requirements

Highly proficient with numerical and technical data; advanced Microsoft Excel skills.
A collaborator with excellent oral and written communication skills.
Highly experienced with healthcare regulations and reimbursement requirements.
An exceptional problem solver with superb analytical reasoning skills.
An expert with Leadership and Change Management.
Experienced conducting audits, investigations, and compliance risk assessments.
Skilled at developing, implementing and managing organizational training programs.
Bachelor’s degree in related field required (Healthcare Administration, Public Health, Business Administration, Health Information Management, etc.).
Minimum 5 years of leadership experience managing professional staff and cross-functional teams.
Minimum 5 years of experience in healthcare compliance, regulatory affairs, internal audits, risk management, etc.
Experience working with Medicaid-managed care, AHCCCS, DDD, behavioral health, home and community-based services, or related human service programs strongly preferred.
Experience with nonprofit, human services and/or healthcare organizations strongly preferred.
Successfully pass a background check, able to obtain a Fingerprint Clearance Card, and meet other related hiring requirements.
Computer Proficiency: Windows & MS Office (Outlook, Word, Excel, Power Point, etc.), other enterprise systems and databases.

Nice To Haves

Master’s degree preferred.
Preferred Certifications include Certified in Healthcare Compliance (CHC) or Certified in Healthcare Privacy Compliance (CHPC).

Responsibilities

Oversee the organization's compliance function, including compliance monitoring, auditing, investigations, reporting, and corrective action processes.
Develop, implement, and maintain an effective healthcare compliance program.
Monitor regulatory requirements and assess how they change the organization’s operations.
Establish and update compliance policies and procedures.
Maintain awareness of industry best practices and emerging compliance risks.
Conduct internal audits and investigations to ensure compliance with regulations and funding source standards.
Investigate reports of compliance violations, misconduct, fraud, waste or abuse; coordinate with regulatory bodies as needed.
Address the findings from audits and investigations; track remediation efforts to ensure deficiencies are resolved and documented.
Prepare and present compliance reports and metrics to executive leadership and the governing board.
Oversee the organizations quality assurance activities to ensure compliance with regulatory, contractual, accreditation, and organizational standards.
Conduct risk assessments to identify areas of regulatory and operational risk and make recommendations for controls.
Manage critical processes surrounding the health and safety of staff and clients in all work environments.
Manage the incident reporting process to comply with regulations and align with best practices.
Manage external licensing processes and requirements as well as funding source or regulator audits.
Oversee systems for reporting, investigating, trending, and corrective action planning related to incidents, complaints, critical events, and regulatory disclosures.
In conjunction with the IT department, oversee organizational compliance with HIPAA privacy and security requirements to ensure proper handling of protected health information.
Develop, implement, and oversee the organization's training and workforce development programs.
Ensure all required training programs meet regulatory, contractual, accreditation, and organizational requirements.
Evaluate training effectiveness and implement improvements based on organizational needs, compliance requirements, quality outcomes, and employee feedback.
Partner with operational and clinical leaders to identify training needs and develop targeted learning initiatives.
Develop, implement, and oversee the organization’s compliance and ethics training program for employees and providers.
Foster a culture of compliance throughout the organization.
Ensure all staff maintain required certification and compliance requirements, from the time of hire through termination.
Oversee the organization's Learning Management System (LMS) and related training records.
Provide training, serve as direct supervisor, and manage performance for members of the Compliance team.
Help team members solve day-to-day issues with clients, staff, vendors, funding entities or other related parties.
Perform supervisee-level duties as needed to ensure completion, either temporarily or ongoing.
Develop extensive expertise related to the organization’s compliance requirements.
Demonstrate and reinforce behavior with teammates that is consistent with our organizational values: Grow with purpose. Stay informed. Be of service. Bring people together.

Benefits

Comprehensive health package
PTO/PST
12 paid holidays
401(k)
paid parental leave
Scheduled Raise Program
health, dental and vision
employer contributions to your health savings account
company paid Short-Term/Long-Term Disability
employer-paid basic life insurance
401K plan with up to 4% match after one year of service
Generous paid sick time and PTO
Student Loan Forgiveness: As a non-profit organization, your employment (when consistently working at least 30 hours a week) meets requirements under the Public Service Loan Forgiveness program (for student loan forgiveness).
Paid Maternity/Paternity Leave