Job Description

Job Description

Job Description

Who we are:

Access TeleCare is the largest national provider of telemedicine technology and solutions to hospitals and health systems. The Access TeleCare technology platform, Telemed IQ, enables life-saving patient care through telemedicine and empowers healthcare organizations to build telemedicine programs in any clinical specialty. We provide healthcare teams with industry-leading solutions that drive improved clinical care, patient outcomes, and organizational health. We are proud to be the first provider of acute clinical telemedicine services to earn The Joint Commission’s Gold Seal of Approval and has maintained that accreditation every year since inception.

We love what we do and if you want to know more about our vision, mission and values go to accesstelecare.com to check us out.

What you’ll be responsible for:

Reporting to the Chief Clinical Innovations Officer, the Senior Vice President, Compliance Officer (SVP) is responsible for leading Access TeleCare’s Corporate Compliance Program, providing oversight and direction for all activities related to the development, implementation, communication and maintenance of the program. The SVP has authority to carry out all compliance responsibilities and is responsible for ensuring Access TeleCare maintains business integrity and that all applicable processes, trainings and policies are designed to ensure compliance with state and federal healthcare program requirements.

The SVP works collaboratively with the Data Privacy Officer (who oversees IT, HIPAA, and Privacy) and with other related departments including legal, human resources, information security, revenue cycle, credentialing/licensure/privileging, clinical quality, and accounting. Additionally, the SVP provides regular reports and information to the Company’s leadership and at least quarterly to the Board of Directors.

What you’ll work on:

• Responsible for the overall leadership, management and direction of the Company’s Compliance Program
• Create, implement and regularly review and update policies and procedures designed to meet the compliance requirements of the Company, federal healthcare programs or other applicable fraud and abuse agencies
• Work collaboratively with the Data Privacy Officer and other departments
• Lead the Compliance team and oversee the tactical day-to-day operation of the compliance department
• Ensure monthly, quarterly and/or annual reporting as appropriate to the Board of Directors, Company Compliance Committee, and Company leadership
• Ensure compliance reporting, hotline maintenance, education and documentation activities are efficiently and effectively completed and that encourage employees, leadership, contractors, and physicians to report suspected fraud or other improprieties without the fear of retaliation
• Review, at least annually, the implementation and execution the Company Compliance Program in accordance with OIG and industry standards, including an assessment of each of the basic elements individually and the overall success of the program, and a comprehensive review of the compliance department
• Develop, coordinate and deliver awareness campaigns and, educational/training programs with the goal of ensuring that all appropriate personnel are knowledgeable about, and act in accordance with, the Company’s Compliance Program and all pertinent federal and state requirements
• Define the necessary level of knowledge on existing and emerging regulatory compliance requirements across the organization
• Act as a consultative resource and strategic partner on compliance and ethics matters. Advise leadership on issues concerning compliance, ethics and privacy/security matters including recommending controls designed to ensure compliance. Provide subject matter expertise on healthcare regulatory, security and clinical matters (Including HIPAA, Fraud & Abuse, Stark, Anti Kickback Statute, HITRUST, The Joint Commission, DEA requirements, clinician scope of practice.)
• Respond to alleged violations of relevant Company policies and procedures and/or local, state, and federal laws or regulations including conducting or overseeing regulatory compliance investigations, when appropriate
• Stay abreast of relevant laws, rules, regulations, and industry best practices and advise Company on the same while creating or modifying policies and trainings to adhere to any relevant enactments or changes
• Implement corrective actions and monitoring in response to identified issues and audits, including but not limited to assisting with revenue cycle, credentialing/licensure/privileging, The Joint Commission, and HITRUST related audits and surveys
• Manage Compliance team (1-2 direct reports)
• Other duties as assigned

What you’ll bring to Access TeleCare:

• Bachelor’s Degree in a related field
• A minimum of (10) ten years of experience in a compliance department of a healthcare Company
• Certification in Healthcare Compliance (CHC)
• Ability to understand, interpret and apply complex state and federal health care compliance laws, rules, regulations and guidelines and related governing boards and agencies
• Proven ability to successfully navigate and thrive in a fast-paced and rapidly evolving environment with an eagerness to drive results
• A "hands-on" individual who understands the need for involvement at all levels of activity within a growing and dynamic Company environment
• Familiarity with compliance issues related to the telemedicine space including but not limited to relevant laws, rules, and regulations and billing and coding requirements. Comprehensive knowledge of U.S. healthcare fraud and abuse laws.
• In-depth working knowledge of current HIPAA and HITECH privacy regulations and other pertinent and applicable federal and state regulations related to protected health information and provisions of healthcare services is required, along with experience implementing such regulations
• Experience in identifying compliance training needs and developing, designing and facilitating compliance training
• Extensive experience in conducting and oversight of investigations.
• Experience deploying a Compliance Program in an organization and managing others
• Exceptional communication and collaboration skills. An inclusive individual who thrives in a team-oriented environment
• Ability to apply a risk-based analysis to compliance issues and demonstrate creativity and flexibility in developing solutions that satisfy both business requirements and legal obligation
• Strong understanding of healthcare coding, billing, and documentation standards as well as revenue cycle processes and procedures
• Travel, as needed, for corporate and board meetings and business needs
• Must be able to remain in a stationary position 50% of the time

Company perks:

• Remote Work
• Health Insurance (Medical, Dental, Vision)
• Health Savings Account
• Flexible Spending (Medical and Dependent Care)
• Employer Paid Life and AD&D (Supplemental available)
• Flexible Vacation Policy, Wellness Days, and Paid Holidays

About our recruitment process: We don’t expect a perfect fit for every requirement we’ve outlined. If you can see yourself contributing to the team, we would like to speak with you. You can expect up to 4 interviews via Zoom. Access TeleCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration without regard to race, age, religion, color, marital status, national origin, gender, gender identity or expression, sexual orientation, disability, or veteran status.

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