Compliance Director
A PlusCare behavioral Health, East Brunswick, NJ, United States
The Director of Compliance is responsible for designing, implementing, and maintaining a comprehensive compliance program that supports ethical, legal, and regulatory practices across all operations at APluscare. This role ensures the organization maintains effective compliance policies, reporting systems, education initiatives, monitoring procedures, and corrective action processes.
The Director of Compliance works closely with executive leadership and the Board to identify risk areas, strengthen internal controls, and ensure adherence to federal, state, and organizational requirements.
Key Responsibilities
Lead and oversee the development, implementation, and ongoing management of the organization’s compliance program across all services, including residential services, day habilitation, wellness programs, and behavioral health operations. Conduct weekly supervision meetings with program leadership to ensure all regulatory and organizational compliance standards are maintained. Ensure department leaders complete all required documentation, operational responsibilities, and regulatory obligations. Perform an annual organizational risk assessment and develop a comprehensive compliance work plan that includes audit activities and staff training initiatives. Provide regular compliance updates and formal reports to the CEO, leadership team, and Board of Directors regarding compliance program progress, audit findings, emerging trends, and regulatory developments. Develop, review, and update compliance policies and procedures to maintain alignment with current regulations and best practices. Create and manage an annual compliance education program that includes mandatory compliance training for all staff members. Maintain systems for reporting, documenting, and investigating potential compliance concerns, including root cause analysis and corrective action planning when issues are identified. Ensure appropriate reporting of confirmed compliance violations to government agencies when required by law. Serve as a compliance advisor to executive leadership and management, offering guidance on strategies to minimize regulatory risks and reduce exposure to fraud or abuse. Monitor changes in laws, regulations, enforcement guidance, and legal developments that may impact agency operations. Oversee the organization’s privacy program, ensuring the protection of protected health information and compliance with applicable privacy regulations and agency policies. Supervise internal audit processes, including the development and execution of an annual audit work plan. Maintain knowledge of and ensure adherence to all governing documents relevant to agency operations, including contracts, policies, state and federal regulations, and program guidelines. Complete and review required reports, documentation, schedules, and compliance records as required by the agency. Track quality assurance reporting and ensure appropriate follow-up actions are completed when issues are identified. Ensure proper onboarding and orientation processes are completed for new employees. Conduct probationary reviews and employee performance evaluations. Ensure staff training requirements are met, particularly those related to DDD regulations and the College of Direct Support (CDS). Maintain flexible availability when necessary to support program operations. Participate in recruitment and interviewing to ensure adequate staffing and qualified personnel. Monitor quality improvement initiatives and recommend operational improvements across programs. Represent APluscare in interactions with external organizations, partners, and the public while maintaining accurate representation of agency information. Ensure that nursing and therapeutic services are delivered under the supervision of qualified medical professionals, including registered nurses or physicians. Support appropriate supervision of staff during all operating hours. Uphold and enforce company policies, confidentiality requirements, and quality standards. Perform additional duties as assigned by the Executive Director or designated leadership. Qualifications
Bachelor's degree in behavioral health, Healthcare Administration, or a related field preferred. Minimum of two years of experience working with individuals with developmental disabilities. Strong knowledge of regulatory requirements related to DDD services and healthcare provider operations, including Stark Law, Anti-Kickback regulations, and other fraud and abuse laws. Understanding of compliance program management, including risk assessment, program planning, regulatory monitoring, and financial oversight. Ability to cooperate fully with licensing authorities and regulatory agencies during inspections or investigations. Successful completion of all required training and demonstration of competency in mandated training areas. Valid driver's license required. Must be at least 18 years of age. Ability to push, pull, or lift up to 50 pounds when necessary.
#J-18808-Ljbffr
Lead and oversee the development, implementation, and ongoing management of the organization’s compliance program across all services, including residential services, day habilitation, wellness programs, and behavioral health operations. Conduct weekly supervision meetings with program leadership to ensure all regulatory and organizational compliance standards are maintained. Ensure department leaders complete all required documentation, operational responsibilities, and regulatory obligations. Perform an annual organizational risk assessment and develop a comprehensive compliance work plan that includes audit activities and staff training initiatives. Provide regular compliance updates and formal reports to the CEO, leadership team, and Board of Directors regarding compliance program progress, audit findings, emerging trends, and regulatory developments. Develop, review, and update compliance policies and procedures to maintain alignment with current regulations and best practices. Create and manage an annual compliance education program that includes mandatory compliance training for all staff members. Maintain systems for reporting, documenting, and investigating potential compliance concerns, including root cause analysis and corrective action planning when issues are identified. Ensure appropriate reporting of confirmed compliance violations to government agencies when required by law. Serve as a compliance advisor to executive leadership and management, offering guidance on strategies to minimize regulatory risks and reduce exposure to fraud or abuse. Monitor changes in laws, regulations, enforcement guidance, and legal developments that may impact agency operations. Oversee the organization’s privacy program, ensuring the protection of protected health information and compliance with applicable privacy regulations and agency policies. Supervise internal audit processes, including the development and execution of an annual audit work plan. Maintain knowledge of and ensure adherence to all governing documents relevant to agency operations, including contracts, policies, state and federal regulations, and program guidelines. Complete and review required reports, documentation, schedules, and compliance records as required by the agency. Track quality assurance reporting and ensure appropriate follow-up actions are completed when issues are identified. Ensure proper onboarding and orientation processes are completed for new employees. Conduct probationary reviews and employee performance evaluations. Ensure staff training requirements are met, particularly those related to DDD regulations and the College of Direct Support (CDS). Maintain flexible availability when necessary to support program operations. Participate in recruitment and interviewing to ensure adequate staffing and qualified personnel. Monitor quality improvement initiatives and recommend operational improvements across programs. Represent APluscare in interactions with external organizations, partners, and the public while maintaining accurate representation of agency information. Ensure that nursing and therapeutic services are delivered under the supervision of qualified medical professionals, including registered nurses or physicians. Support appropriate supervision of staff during all operating hours. Uphold and enforce company policies, confidentiality requirements, and quality standards. Perform additional duties as assigned by the Executive Director or designated leadership. Qualifications
Bachelor's degree in behavioral health, Healthcare Administration, or a related field preferred. Minimum of two years of experience working with individuals with developmental disabilities. Strong knowledge of regulatory requirements related to DDD services and healthcare provider operations, including Stark Law, Anti-Kickback regulations, and other fraud and abuse laws. Understanding of compliance program management, including risk assessment, program planning, regulatory monitoring, and financial oversight. Ability to cooperate fully with licensing authorities and regulatory agencies during inspections or investigations. Successful completion of all required training and demonstration of competency in mandated training areas. Valid driver's license required. Must be at least 18 years of age. Ability to push, pull, or lift up to 50 pounds when necessary.
#J-18808-Ljbffr