Senior Manager of Compliance (Home Care)
2 days ago
New York
Job DescriptionSalary: $100,000 - $120,000 Position Summary The Senior Manager of Compliance is responsible for leading and overseeing the organizations compliance program to ensure adherence to all applicable federal, state, and local laws governing Licensed Home Care Services Agencies (LHCSAs). This role provides strategic and operational compliance leadership for multi-state operations, with a primary focus on New York State Article 36 requirements and applicable Colorado regulations, ensuring regulatory readiness, risk mitigation, and a strong culture of compliance across the organization. Company Overview: True Care is a LHCSA providing outstanding home care service in the New York Metropolitan area, upstate New York, Westchester and Colorado (under the Andrea's Angels name). Our passionate dedication to our clients sets True Care apart. We work with our clients individually to ensure their satisfaction and comfort with the paraprofessionals caring for them. It is our mission to continue to raise the standard of homecare services. We are committed to providing the highest level of care by maintaining excellence in sta, procedures, and responsiveness. The True Care team is Healthcare professionals who are committed to helping our patients and caregivers experience the most excellent care. Key Responsibilities Regulatory Compliance & Oversight • Ensure compliance withNew York State Department of Health (NYSDOH) Article 36, applicable Department of Health regulations, and relevant Medicaid and managed care requirements impacting LHCSAs., • Oversee compliance withColorado Department of Public Health and Environment (CDPHE)regulations and applicable state licensure and operational requirements., • Monitor and interpret changes in federal, state, and local laws, including Medicaid, MLTC, wage parity, paid leave, labor,Workers Compensation, workplace safety, and incident reporting requirements impacting home care agencies., • Serve as the primary compliance liaison with regulatory agencies, external auditors, and insurers. Compliance Program Management • Develop, implement, and maintain a comprehensive compliance program tailored to LHCSA operations and multi-state regulatory requirements., • Oversee the organizationsCode of Conduct, compliance policies, and procedures to ensure alignment with NY and CO regulations., • Conduct enterprise-wide compliance risk assessments and oversee corrective action plans. Auditing, Monitoring, Incident Reporting & Investigations • Design and lead internal audits and monitoring activities related to caregiver onboarding, personnel files, service authorizations, timekeeping, billing support, workplace safety, and operational processes., • Oversee the organizationsincident reporting program, ensuring timely reporting, investigation, documentation, and trend analysis of caregiver and patient incidents, injuries, and safety events., • Investigate compliance concerns, complaints, and hotline reports, including alleged violations of NYSDOH regulations, wage parity, labor laws, Workers Compensation, safety standards, or agency policies., • Coordinate and manage responses to NYSDOH surveys, audits, investigations, and safety-related inquiries, including plans of correction and follow-up activities. Billing, Payroll, Wage Parity, Workers Compensation & Safety Oversight • Partner with Finance, Payroll, HR, and Operations to ensure compliance withNew York Wage Parity Law, overtime requirements, minimum wage laws, and related labor regulations., • Provide compliance oversight ofWorkers Compensation claims for caregivers, including monitoring reporting timeliness, documentation accuracy, claims trends, and return-to-work coordination., • Monitor documentation and processes supporting Medicaid, managed care, and private pay services, as applicable to LHCSA operations., • Identify and mitigate risks related to fraud, waste, abuse, injury reporting, and service delivery verification. Safety Committee Oversight • Provide oversight and guidance to the organizationsSafety Committee(s), including review of incident trends, root cause analyses, and corrective actions., • Ensure safety initiatives, policies, and training align with regulatory requirements and best practices., • Support continuous improvement efforts related to caregiver and patient safety. Education & Training • Oversight of ACD and PCA Training courses., • Develop and oversee compliance and safety training programs for leadership, administrative staff, and caregivers, including required in-service, incident reporting, and workplace safety training., • Ensure timely completion and documentation of compliance-related training in accordance with NYSDOH and other regulatory standards., • Promote awareness of compliance expectations, incident reporting, workplace safety, and ethical conduct throughout the organization. Leadership & Collaboration • Act as a strategic advisor to executive leadership on regulatory risk, compliance trends, incident and safety data, and mitigation strategies., • Collaborate closely with Human Resources, Legal, Operations, Quality, Payroll, and IT to embed compliance, safety, and risk management into daily operations., • Prepare and present compliance, incident, and safety reports, metrics, and risk assessments to executive leadership and the Board, as applicable. Qualifications Required • Bachelors degree in Healthcare Administration, Business, Law, Nursing, or a related field., • 5-7 years of progressive healthcare compliance experience, with significant experience inLHCSA or home care operations., • Strong working knowledge ofNYSDOH Article 36, Medicaid and MLTC requirements, labor laws, wage parity, Workers Compensation, and incident reporting requirements., • Experience managing regulatory surveys, audits, investigations, and insurer-related compliance matters., • Proven ability to build and maintain effective compliance and safety oversight programs in a regulated healthcare environment. Preferred • Masters degree, LPN, or RN license., • Compliance certification (e.g., CHC, CHPC)., • Experience supportingmulti-state home care operations. Skills & Competencies • Deep understanding of LHCSA regulatory requirements, risk management, and safety oversight., • Strong investigative, analytical, and problem-solving skills., • Excellent communication, training, and presentation abilities., • Ability to influence and partner across departments., • High level of integrity, discretion, and sound judgment., • Strong organizational skills and attention to detail.