Summary

The Compliance Director serves as the Horizon licensing and regulatory compliance expert and internal consultant. This position is responsible for the coordination and monitoring of organizational licensing status for all programs and services, ensuring that all programs and services operate under current licensing standards, as well as compliance with federal, state and local laws and regulations, and CARF standards. The employee serves as the organizational point person for these matters with DOJ, DBHDS, DMAS, CARF and any other pertinent regulatory and/or accreditation entity applicable to Horizon's programs and services. As the internal expert for licensing and regulatory compliance, the employee keeps abreast of all regulatory changes that may impact Horizon programs and services and disseminates information regarding regulatory changes to appropriate Horizon managers & staff in a timely manner. In addition, the employee provides training on regulatory matters to staff as needed to ensure compliance and audit preparedness and oversees Horizon's Policies and Procedures for quality and implementation.

Job description

Position Summary

The Compliance Director serves as the Horizon licensing and regulatory compliance expert and internal consultant. This position is responsible for the coordination and monitoring of organizational licensing status for all programs and services, ensuring that all programs and services operate under current licensing standards, as well as compliance with federal, state and local laws and regulations, and CARF standards. The employee serves as the organizational point person for these matters with DOJ, DBHDS, DMAS, CARF and any other pertinent regulatory and/or accreditation entity applicable to Horizon's programs and services. As the internal expert for licensing and regulatory compliance, the employee keeps abreast of all regulatory changes that may impact Horizon programs and services and disseminates information regarding regulatory changes to appropriate Horizon managers & staff in a timely manner. In addition, the employee provides training on regulatory matters to staff as needed to ensure compliance and audit preparedness and oversees Horizon's Policies and Procedures for quality and implementation.

This position will work alongside Horizon's Compliance Director for a period of time after assuming the position.

Required Education and Experience

Bachelor's degree in health care or related field. Master's degree preferred.
3 years of related experience or an equivalent combination of education and experience that provides the required knowledge, skills, and abilities.

Related Knowledge, Skills and Abilities

This individual is a subject matter expert on Medicaid and licensing issues and an internal consultant on licensing requirements and in the areas of quality assurance/improvement, Medicaid, state licensing, MCO requirements and related regulatory matters.

Knowledge and ability to conduct inspections and audits to determine compliance with external and internal regulations.

Ability to interact professionally and effectively with clients, staff, management and regulatory entities by addressing requests and needs related to the management of health information.

Ability to develop and/or produce reports either through the collection of qualitative data or with the help of Business Intelligence software resulting in reports that are timely and data-based that support ongoing continued quality improvement.

Ability to create concise, accurate reports and other necessary documentation.

Ability to interpret inspection results of audits as well as proffer compliance recommendations using appropriate language and expression.

Ability to effectively supervise and coach supervisee towards excellence, including the monitoring of productivity and outcomes contributed by supervisee.

Ability to collaborate and provide constructive feedback with recommendations for improvement.

Highly skilled in data collection methodologies and quantification. Strong documentation skills.

Willing and available to work modified schedules (weekends, holiday, etc.) as required. Ability to drive and must possess a valid driver's license. May be required to travel to different Horizon work sites during the day based on operational needs or provide admin support at other locations. Regular attendance at trainings and Horizon meetings may require travel to a variety of Horizon sites.

Requirements

Bachelor's degree in health care or related field
Master's degree preferred
3 years of related experience or equivalent combination of education and experience
Subject matter expert on Medicaid and licensing issues
Knowledge and ability to conduct inspections and audits
Ability to interact professionally with clients, staff, management and regulatory entities
Ability to develop and produce data-based reports
Ability to create concise, accurate reports and documentation
Ability to interpret audit results and proffer compliance recommendations
Ability to supervise and coach supervisees
Ability to collaborate and provide constructive feedback
Highly skilled in data collection methodologies and quantification
Strong documentation skills
Willing to work modified schedules including weekends and holidays
Valid driver's license
Ability to travel to different work sites

Benefits

Virginia Retirement System
Life Insurance
Health Insurance
Dental Insurance
Vision Insurance
Annual Leave
Sick Leave
Paid Holidays
Wellness Programs
Clinical Student Loan Repayment
Public Service Loan Forgiveness
Behavioral Health Loan Repayment
University Discounts

Company overview

Horizon Behavioral Heal is a mental health care organization dedicated to providing comprehensive behavioral health services to individuals and communities. As a healthcare provider specializing in mental wellness, the organization focuses on delivering evidence-based therapeutic interventions, counseling services, and psychological support programs. Their services likely encompass individual therapy, group counseling, crisis intervention, and community outreach initiatives aimed at addressing various mental health conditions including depression, anxiety, trauma-related disorders, and substance abuse issues. Operating within the mental health care sector, Horizon Behavioral Heal emphasizes a holistic approach to treatment, potentially incorporating both traditional psychotherapy techniques and innovative therapeutic modalities. The organization plays a crucial role in improving mental health outcomes by offering accessible, quality care while promoting mental health awareness and destigmatization within the communities they serve. Their commitment to patient-centered care and professional excellence positions them as an important contributor to the broader healthcare ecosystem focused on behavioral health and psychological well-being.