NPA’s mission is to provide leadership and support for the growth, innovation, quality, and success of the Programs of All-Inclusive Care for the Elderly (PACE) model of care.
The Director of Compliance will have the primary responsibility for developing and leading activities to ensure NPA members’ compliance with relevant laws, regulations, and standards applicable to PACE. This position requires a high level of expertise in interpreting audit and compliance requirements applicable to PACE organizations, combined with an understanding of PACE operations. This includes serving as a subject matter expert with a thorough understanding of regulatory requirements with which PACE organizations must comply and state and federal policies and protocols for assessing compliance; effective education of PACE staff; and the development of procedures and systems to achieve high levels of compliance, all of which are critical to the success of PACE.
To perform this job successfully, each essential duty and responsibility must be performed satisfactorily. Reasonable accommodation may be made to enable an individual with disabilities to perform the essential functions. Other duties may be assigned to meet organizational goals.
Interpret audit and compliance requirements applicable to PACE organizations and gain a thorough understanding of PACE program operations.
Develop and provide NPA members with resources and best practices to strengthen their compliance programs. Such resources would include self-audit tools, peer-to-peer education and sharing, model policies and procedures, etc.
Serve as NPA’s leading expert and resource to PACE organizations and CMS regarding compliance-related issues.
Lead NPA’s strategic efforts to respond to compliance related materials (e.g., PACE audit protocol materials) issued by federal regulatory agencies.
Support PACE organizations' efforts in preparing for and undergoing CMS program audits through the development and ongoing revision of audit resources and educational programs to advance PACE compliance and audit readiness activities.
Serve as a subject matter expert and resource on compliance related matters to NPA committees and subcommittees, e-communities, and related contact lists.
Understand the evolving health care regulatory and policy environment and identify and assess the impacts to PACE organizations.
Serve as NPA’s subject matter expert and liaison to external audiences on matters relating to compliance.
Notify NPA members of compliance issues and related association activities, resources, and opportunities for assistance utilizing NPA communication forums, newsletters, and distribution lists.
Provide leadership in identifying trends and emerging PACE compliance issues.
Collaborate with NPA policy and data teams and NPA legal counsel on related matters.
This position is not authorized to access, utilize, or view protected health information (PHI).
Knowledge, Skills and Abilities
Knowledge of the laws, standards, and regulations that apply to PACE, Medicare, Medicaid, managed care, and long-term care.
Experience interacting with regulatory authorities.
Excellent written, verbal, and analytical skills.
Ability to work professionally with sensitive, proprietary data and information, while maintaining confidentiality.
Strong interpersonal skills and ability to work in a team-focused environment.
Demonstrated ability to work in an association membership organization is desirable.
Must be able to manage multiple tasks/projects simultaneously. Ability to adapt to frequent priority changes.
Certification in healthcare compliance preferred.
Bachelor’s degree required; advanced degree in health care administration, health care policy, clinical discipline, or related field strongly preferred.
A minimum of 5 years of relevant experience, e.g., development, implementation, and oversight of a compliance program in or for a healthcare setting.
A minimum of 5 years’ experience working with federal government agencies and policy makers.
Knowledge of federal and state laws and industry requirements affecting PACE strongly preferred.
Small, fast-paced team office environment with moderate noise levels. Normal sitting and standing activities for an office environment. Use of phones and computers for extended periods of time. Utilize office equipment and communication technologies for conference calls and teleconference meetings/webinars.
Ability to travel locally and to other cities for meetings and conferences throughout the year.
This position description should not be construed to imply that the requirements are the sole standards for the position. Incumbents are expected to perform all other duties as required.
Please submit a cover letter and resume to email@example.com After December 2, 2022, we will no longer accept resumes for this position.
Due to the large volume of resumes expected to be received, only those candidates selected for an interview will be contacted.
The National PACE Association is an equal opportunity employer committed to the principles of diversity, equity and inclusion.
NPA provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
Individuals must be vaccinated against COVID-19 upon commencing employment, subject to legally required medical and religious exemptions.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
The mission of the National PACE Association (NPA) is the sustainability, growth, and expansion of PACE (Programs of All-Inclusive Care for the Elderly). This is accomplished by achieving a legislative and regulatory environment that supports PACE programs, and by ensuring that members have the information, knowledge, tools and skills they need to succeed. NPA is a dynamic, innovative, cause-oriented association with a small staff and great working environment. NPA offers a competitive salary and benefits. Located in Old Town Alexandria.