Director of Compliance - Sioux Falls or Rapid City
$89,170 per year
ApplyDirector of Compliance - Sioux Falls or Rapid City
Posted 2 days ago
SENIORITY
Manager
SALARY
$89,170 per year
About the role
- Verify and Maintain Credentials: Confirm the accuracy of provider licenses, certifications, education, and work history.
- Manage Enrollment & Recredentialing: Prepare, submit, and track initial and re-credentialing applications with insurance payers, hospitals, and regulatory bodies.
- Compliance Monitoring: Track license, DEA, and board certification expirations; initiate timely renewals to avoid service disruptions.
- Data Management: Compile and maintain current provider data in online credentialing databases.
- Documentation & Audits: Maintain copies of all required credentialing documents (licenses, malpractice coverage, CME records) and audit applications for completeness
- Policy Development and Implementation:
- Assist in developing comprehensive policies and procedures to ensure compliance across all programs.
- Ensure policies reflect current best practices and meet regulatory requirements for programs.
- Guide leadership on the organization's program compliance policies and provide ongoing education.
- Program Risk Management and Quality Improvement:
- Identify areas of program compliance risk and assist leadership in developing strategies to mitigate those risks.
- Review compliance-related incidents, audits, findings, and corrective actions.
- Respond to compliance-related concerns, complaints, or breaches in a timely manner, including investigating and addressing allegations of non-compliance.
- Facilitate follow-up and documentation related to corrective actions, accreditation findings, licensing deficiencies, and compliance improvement initiatives.
- Support agency quality improvement initiatives and ensure documentation required for compliance and accreditation activities is maintained.
- Coordinate licensing applications, renewals, inspections, and plans of correction related to programs.
- Training and Education:
- Collaborate with Department Directors to develop and deliver regular compliance training for staff at all levels to ensure understanding of regulatory requirements, ethical standards, and best practices.
- Stay updated on changes to regulations and best practices, ensuring training materials reflect current standards.
- Reporting and Documentation:
- Maintain records of compliance activities, including audits, corrective actions, training, and policy updates.
- Generate reports for leadership, funders, and external partners regarding compliance metrics through the Business Intelligence Analyst and outcomes given by leaders.
- Ensure that all documentation and reporting meet the requirements of regulatory and funding bodies.
- Facilitate quality assurance meetings and maintain QI data including project improvement plans throughout the agency.
- Collaboration and Support:
- Collaborate with various departments (clinical, administrative, human resources, etc.) to support the development and implementation of compliant practices across the organization.
- Provide guidance and support to leadership on complex compliance issues, offering solutions to enhance operations while remaining compliant with regulations.
- Partner with program leaders to promote continuous readiness for accreditation reviews, licensing inspections, and regulatory audits.
Before you apply
Applying takes about a minute. These four things decide how fast it moves after that.
Your profile is current
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Two examples you can talk through
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A number in mind
What you're on now and what would make you move. We negotiate better when we know both.
Your notice period
Employers plan around it, and it's the question that stalls offers most often.
Once you apply, someone reads it and calls you before anything reaches the employer — usually within two working days.
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