Position Summary: The Vice President of Operations and Compliance (VPOC) is responsible for overseeing and managing operational aspects of the organization with a specific focus on the compliance program and interdepartmental integration within Pinnacle Rehabilitation Network. This role ensures operational efficiency and integration across departments and facilities, and that the organization adheres to all relevant laws, regulations, and internal policies. The VPOC will be a proactive, engaged individual who thrives in a dynamic work environment.
Essential Duties and Responsibilities: To perform this job successfully, an individual must be able to perform the following satisfactorily; other duties may be assigned. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. • Responsible for successful integration of departments and facilities including centralized office, billing and credentialing, and facility operations to ensure alignment and integration of operational initiatives. • Facilitates complex problem solving across stakeholders to maximize process improvements across the organization. • Monitor and analyze key performance indicators to identify areas for improvement and ensure operational excellence and efficiency as it relates to software usage and integration. • Develop, implement, and maintain the organization's compliance program, including policies, software integrations, and procedures. • Monitor and ensure compliance with all relevant federal, state, and local laws and regulations, including healthcare regulations and standards. • Conduct regular compliance audits and risk assessments to identify potential areas of vulnerability and implement corrective actions. Includes safety and risk management review of incident reports. • Track, develop, and modify Medbridge training and education to staff on compliance-related topics, including regulatory requirements and ethical standards. • Manage all aspects of professional contract management and cyber contract management. • Oversee HIPAA Security Assessments and Vendor Security Management. • Stay current with changes in laws and regulations that may affect the organization and update policies and procedures accordingly. • Manage budgets, allocate resources, and ensure cost-effective operations. • Foster a positive and inclusive company culture that promotes teamwork, innovation, and employee engagement.
Competencies: To perform the job successfully, an individual should demonstrate the following.
Achievement Focus - Demonstrates persistence and overcomes obstacles. Measures self against standard of excellence. Recognizes and acts on opportunities. Sets and achieves challenging goals. Takes calculated risks to accomplish goals.
Business Acumen - Aligns work with strategic goals. Demonstrates knowledge of the market and competition. Displays orientation to profitability. Understand business implications of decisions.
Business Ethics - Inspires the trust of others. Keeps Commitments. Treats people with respect. Upholds organizational values. Works with integrity and ethically.
Managing Customer Focus - Develops new approaches to meeting customer needs. Establishes customer service standards. Monitors customer satisfaction. Promotes customer focus. Provides training in customer service delivery.
Strategic Thinking - Adapts strategy to changing conditions. Solves complex problems and develops strategies to achieve organizational goals. Identifies external threats and opportunities. Understands organization's strengths and weaknesses.
Visionary Leadership - Acts in accordance with vision. Communicates vision and gains commitment. Creates a clear, compelling vision. Displays passion and optimism. Mobilizes others to fulfill the vision.
Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education/Experience: • Bachelor's degree in healthcare administration, business administration, law or related field required. Master's degree preferred. • Three (3) to five (5) of healthcare compliance experience. • Three (3) to five (5) years in a leadership role. • In-depth knowledge of healthcare laws and regulations, including HIPAA, Medicare, and Medicaid.
Language Ability:
Read, analyze, and interpret complex documents. Respond effectively to sensitive inquiries. Effectively present information and respond to questions from partners, clients, customers, and the public.
Mathematical Ability:
Works with mathematical concepts such as probability and statistical inference. Applies concepts such as fractions, percentages, ratios and proportions to practical situations. Develops mathematical or statistical models to analyze data. Interpret data and report conclusions from analyses. Uses data analysis to support and improve business decisions.
Reasoning Ability:
Defines problems, collects data, establishes facts and draws valid conclusions. Interprets an extensive variety of technical instructions and deal with several abstract and concrete variables.
Computer Skills:
Proficient in Microsoft Office Suite or similar software - especially Microsoft Excel and Word
Ability to conduct meetings remotely
Ability to learn and utilize Prompt, Dial Pad, Prediction Health, and Medbridge a plus.
Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. • Prolonged periods standing and working on a computer. • Must be able to lift 20-25 pounds at times. • Periodic travel required (New England). • Position is primarily on site with occasional remote work.