Corporate Compliance Director

Corporate Compliance Director Overview

Corporate Compliance Director

Location:

Hybrid, based in Southeast Michigan | Travel:
Approximately 15-25% across Team Rehabilitation clinics

Reports to:

Chief Executive Officer | Board access:
Direct and independent access to the Board or its Audit & Compliance Committee

Team Rehab is an employee-a-owned network of outpatient clinics across Michigan, Illinois, Indiana, Wisconsin, and Georgia. Since our first clinic opened in 2001, weu
2019ve built a reputation for excellent outcomes, exceptional patient satisfaction, and a workplace where therapists love to work.

• Provide the best outpatient physical, and occupational therapy.
• Make therapy enjoyable for patients.
• Deliver measurable improvements in health and quality of life.

We believe that great therapy starts with great people — and weu
2019re committed to giving our team the tools, time, and support they need to succeed.

• Low-cost medical plan option, plus dental & vision coverage
• 401(k) match, profit sharing, and generous PTO
• Competitive salary with monthly bonus opportunities
• Bonus structure on KPIs for compliance
• Ownership opportunities

$175000 / year

Team Rehab is seeking a senior healthcare compliance leader to build, lead, and continuously improve an effective enterprise Compliance and Privacy Program. This leader will protect patients, clinicians, and the company by translating complex requirements into clear, workable standards; identifying risk early; leading fair and independent investigations; and helping teams correct problems at the root.

The Corporate Compliance Director will serve as a trusted advisor to the CEO, Board, and executive team while maintaining the independence required to challenge decisions, elevate concerns, and act when risk is not adequately addressed. This is a hands- on leadership role for someone who can move comfortably between strategy, analytics, policy, clinic operations, and difficult conversations.

• Lead and continuously improve Team Rehab’s enterprise Compliance and Privacy Program using the seven elements of an effective healthcare compliance program.
• Advise the CEO, Board, and senior leaders on regulatory risk, program effectiveness, significant investigations, corrective actions, and compliance implications of strategic decisions.
• Chair the management Compliance Committee and provide regular, direct reporting to the Board or Audit & Compliance Committee.
• Conduct an annual enterprise compliance risk assessment and maintain a risk-based audit, monitoring, training, and policy work plan.
• Oversee independent monitoring and audits related to medical necessity, plans of care and certifications, progress reports, timed-code documentation, units, therapy modifiers, PTA/OTA services, provider enrollment, payer requirements, denials, refunds, and over payments.
• Provide compliance oversight–not operational management–of credentialing and enrollment controls; review credentialing- related denials and trends at least monthly and recommend corrective action.
• Coordinate the compliance response to payer-­initiated medical-­necessity and utilization reviews and external payer audits with Clinical, Revenue Cycle, and Legal; monitor corrective actions through validation.
• Maintain effective reporting channels, including confidential and anonymous options; triage concerns; lead or coordinate investigations; protect against retaliation; and drive documented corrective action.
• Oversee HIPAA privacy compliance and coordinate closely with IT/Security, Legal, and operations on access, incident response, breach assessment, business associates, and workforce practices.
• Coordinate exclusion and…