Summary/Objective: 

The Director of Compliance will lead AleraCare’s compliance program company-wide and ensure that all operations adhere to regulatory requirements and internal policies while fostering a culture of compliance. This role requires a deep understanding of healthcare regulations at the state and federal levels, infusion therapy standards, and risk management practices. The director is also responsible for conducting internal compliance reviews, coding reviews, and audits, ensuring all state, federal, and employee-specific licensing is reviewed and maintained.

Key Responsibilities:

• Oversee and maintain a robust compliance program tailored to the company’s pharmacy and infusion therapy healthcare industry needs, backed by a strong commitment to compliance and the resources necessary for its success.
• Regularly update and refine the compliance program to reflect changes in laws, regulations, and industry standards.
• Chair the Compliance Committee, ensuring adherence to regulatory requirements and promoting a culture of compliance.
• Research recommendations instrumental in establishing business operations, processes, and policies compliant with state-specific program requirements.
• Develop strategic compliance-related communications that foster transparency and trust throughout the company and respond to inquiries or requests from external agencies.
• Manage the submission of required regulatory reports, including performing high-level quality reviews before submission and maintaining tracking systems and tools to document ownership and reporting requirements, while monitoring reports' timely delivery and acceptance.

Essential Functions: (These are the required duties and responsibilities.)

• Regulatory Compliance: Develop, implement, and maintain compliance programs that align with federal, state, and local regulations governing the healthcare and infusion industry, including but not limited to the Pharmacy, FDA, HIPAA, and other relevant agencies.
• Policy Development: Create and update compliance policies and procedures to ensure adherence to legal standards and best practices. Ensure effective communication and training on compliance policies.
• Compliance Training: Design and deliver comprehensive compliance training programs for employees at all levels to promote awareness and understanding of compliance issues and responsibilities.
• Risk Assessment: Conduct regular compliance audits and assessments to identify potential risks and areas for improvement. Report findings to senior management and recommend corrective actions as needed.
• Reporting: Prepare and present compliance reports to senior management and the board of directors, highlighting compliance metrics, initiatives, and action plans.
• Investigation: oversee the investigation of compliance violations and implement corrective action plans and mitigate compliance-related risks.
• Leadership and collaborative skills: Ability to lead and manage a compliance project or team and collaborate with other departments.

Reasonable accommodations may be made to enable individuals with disabilities to perform their essential functions.

Competencies (Knowledge, Skills, and Abilities)

• In-depth knowledge of healthcare regulations and other federal and state laws.
• Excellent verbal and written communication skills.
• Excellent interpersonal and customer service skills.
• Excellent organizational skills and attention to detail.
• Excellent time management skills with a proven ability to meet deadlines.
• Strong analytical and problem-solving skills.
• Strong supervisory and leadership skills.
• Ability to prioritize tasks and to delegate them when appropriate.
• Ability to function well in a high-paced and, at times, stressful environment.
• Proficient with Microsoft Office Suite or related software.

Required Education and Experience:

• Bachelor’s degree in healthcare administration, public health, law, master's degree preferred
• 8 years of healthcare compliance experience or at least 5 years plus education or certification in the healthcare industry
• Certified in Healthcare Compliance (CHC), Certified Compliance and Ethics Professional (CCEP), and equivalent education or certifications are highly desirable.
• Proficient in using compliance software and other relevant technology.

Supervisory Responsibilities: Yes

Work Environment: Office setting 

Travel Required: less than 10% travel

Work Authorization Requirements: Authorized to work in the USA.

Physical Demands:

Prolonged periods of sitting at a desk and working on a computer. Must be able to lift up to 15 pounds at times.

EEO Statement

The Company is committed to hiring a diverse and qualified workforce. We will not consider any characteristic or category protected by state or federal law in hiring or employment decisions, including but not limited to race, national origin, color, religion, sex, sexual orientation, gender identity, disability, age, status as a parent, or genetic information.

Other Duties: Please note that this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time, with or without notice.