Director Of Compliance And Lead Internal Auditor

Vinfen Cambridge , MA 02138

Posted 2 weeks ago

Schedule: Monday- Friday 9 am - 5 pm (Hybrid work schedule)

The Director of Compliance and Lead Internal Auditor is responsible for the successful operation of Vinfen's compliance plan through persistent diligence, evaluation, and enhancement of processes. Vinfen's compliance plan includes monitoring and auditing Vinfen's compliance with applicable state (both Massachusetts and Connecticut) and federal regulatory requirements, as well as state funder and third-party payor contracts, investigating allegations of non-compliance, creating and enforcing written policies, procedures and standards of conduct and creating and providing training to staff on compliance-related topics.

The Director of Compliance and Lead Internal Auditor will conduct compliance risk assessments and develop responsive action plans to address identified concerns, including multi-year plans.

The Director will identify and inform organization of relevant changes in federal, state, or local regulations which may impact operational or administrative processes and work with cross-division teams to implement regulatory changes as needed. In addition, the Director will analyze and synthesize compliance-related data, including audit and monitoring results, for Vinfen's Compliance Committee and Chief Legal and Compliance Officer.

The Director of Compliance and Lead Auditor also:

  • Works with the Chief Legal and Compliance Officer and Vinfen's Compliance Committee to develop and oversee Vinfen's compliance plan and conduct periodic compliance risk assessments and develop responsive action plans to address any identified concerns.

  • Monitors and tracks progress of responsive action plans. Identifies and evaluates potential compliance risks to the organization.

  • Remains familiar, and stay current, with applicable state and federal rules governing behavioral health providers and health and human service organizations including regulations issued by the Centers for Medicare and Medicaid Services (CMS), MassHealth, the Massachusetts Department of Mental Health, the Massachusetts Department of Developmental Services, the Connecticut Department of Developmental Services and the Connecticut Department of Mental Health and Addiction Services.

  • Remains familiar, and stay current, with applicable state and federal fraud, waste and abuse laws.

  • Independently designs and conducts audits to ensure Vinfen's compliance with applicable requirements, including payor and funder billing and documentation requirements. Develops, issues, and tracks corrective actions plans to address adverse audit findings.

  • Develops and implements internal controls to improve Vinfen's compliance performance.

  • Creates and edits policies, procedures and standards of conduct to ensure compliance with applicable regulatory requirements.

  • Creates and provides training to staff on compliance-related matters, including billing requirements and fraud, waste and abuse laws.

  • Serves as Vinfen's liaison with outside regulators and payors and provide information and documents responsive to external requests.

  • Facilitate Vinfen's Compliance Committee meetings, including analyzing compliance-related data and creating related reports.

  • Works with cross-division teams to identify and respond to compliance-related issues, including creating and documenting internal processes and procedures and implementing new regulatory changes.

  • Ensures timely completion of assignments in an organized and efficient manner.

  • Establishes and maintain effective communication and interpersonal skills to contribute to a positive work environment.

  • Adheres to Vinfen's policies and procedures.

  • Serves as internal expert resource.

  • Performs other duties, as assigned.

Due to the nature of this position, candidates must reside within driving distance to Vinfen's programs. No relocation assistance available.

Why Vinfen?

We are committed to you! We offer great training, great benefits, career growth and job security!

  • Medical, Dental and Vision Insurance for employees working 30 hours or more

  • 15 days of Vacation, 12 Paid Holidays, 10 Sick Days and 3 Personal Days per year (for employees scheduled for 20 hours or more)

  • Education Assistance and Tuition Remission Programs as well as innovative Student Loan Payment Programs. Employment with Vinfen counts toward your Public Student Loan Forgiveness eligibility

  • Professional Development programs including year-round online training courses and opportunities to earn CEUs

  • Retirement savings programs, including a fully funded, employer sponsored retirement plan and an employee funded 403 (b) plan

  • Company paid Life, Accidental Death & Dismemberment and Long-Term Disability Insurance

  • Voluntary Term, Whole Life, Accident and Critical Care Insurance

  • Flexible Spending Reimbursement Accounts (Health and Dependent care)

  • $500 -- $1,000+ Employee Referral Bonuses with no annual cap!

  • Other generous benefits including discounted memberships, access to wellness programs and more!

About Us

Founded in 1977, for over 40 years Vinfen has been a leading nonprofit human services organization that "transforms lives" by building the capacity of individuals, families, organizations and communities to learn, thrive and achieve their goals. Vinfen supports thousands of adolescents and adults with psychiatric, developmental and behavioral disabilities at more than 200 sites with over 3,000 employees in eastern Massachusetts and Connecticut. www.vinfen.org/careers

Vinfen is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.

  • Bachelor's degree in business or related field required. JD or other advanced degree a plus but not required

  • At least three to five years of relevant compliance experience

  • At least three to five years of internal audit experience

  • Knowledge of applicable federal and state regulations

  • Familiarity with applicable Connecticut regulations a plus but not required

  • Relevant experience working in a healthcare and/or health and human services environment a plus but not required

  • Must have strong attention to detiail, excellent verbal and written communication skills

  • Must have strong analytical skills, strong organizational skills, including the ability to multi-task and prioritize assignments

  • Knowledge of auditing and monitoring processes and evaluation techniques

  • Must be proficient and knowledgable personal computer applications, including Microsoft Excel and Word, and equipment

  • Knowledge of and ability to research federal and state regulations and payor specifications

  • Must have leadership skills and be able to work with a wide r

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