Sr. Director Compliance - NY

Public Partnerships LLC (PPL) helps people with disabilities, chronic illnesses, or other long-term health conditions stay at home and “self-direct” their care. Known as consumer direction in New York, this long-term care model empowers people to take control of who provides their services and where. PPL was selected to be the Statewide Fiscal Intermediary for the New York Consumer Directed Personal Assistance Program (CDPAP) starting in 2025. We, along with a diverse alliance of service partners across the state, will be supporting the delivery of culturally sensitive and disability competent care to CDPAP participants. We are looking for people who share our passion for helping New Yorkers live happy, healthy, and independent lives to support CDPAP consumers and their personal assistants across a broad spectrum of services and functions.

Our culture attracts and rewards people who are compassionate, results-oriented, and driven to exceed customer expectations. We desire motivated candidates who are excited to join our fast-paced, consumer-focused environment, and who want to make a difference in helping transform the lives of the people we serve.

Learn more about PPL and CDPAP at https://pplfirst.com/cdpap. 

Duties & Responsibilities:

• Provides oversight and governance for the company’s Compliance Program.  
  1. Provides strategic guidance to company leadership on compliance matters. 
  2. Promotes and fosters compliance with appliable laws, regulations, contractual requirements and industry standards
• Develops, implements and updates compliance policies, standards and processes, including the Compliance Program Plan and the Employee Code of Conduct. 
• Ensures that  compliance policies, standards and processes are reviewed annually and updated accordingly.   
• Oversees employee compliance training and awareness programs.
• Oversees initial and monthly employee screening processes. 
• Oversees investigations and responses to compliance-related incidents, including privacy and security incidents. 
  1. Ensures that all aspects of the investigation are reviewed and documented, including root cause analyses.  
  2. Oversees reporting incidents to clients and third parties, when applicable
  3. Ensures that identified remedial actions are implemented and monitored. 
• Oversees required client-required compliance attestations, certifications and disclosures. 
• Oversees required client-required enrollment processes 
• Oversees compliance with contractual insurance requirements. 
• Oversees insurance claims processes. 
• Manages the company’s risk assessment program and implements measures to mitigate compliance and operational risks.
  1. Maintains the company’s risk registry
  2. Facilitates and documents Risk Management Committee meetings
  3. Manages action items from Risk Management Committee meetings
• Oversees the company’s vendor management program. 
• Prepares compliance related materials for Board of Directors meetings, including annual training and attestations. 
• In coordination with Quality Improvement personnel, develops and oversees internal audits of various company operations. 
• Oversees mandatory compliance reporting to third parties (including suspected incidents of fraud, waste and abuse). 
• Oversees regulatory examinations and audits.
• Oversees the implementation of corrective actions needed in response to compliance-related incidents and internal and external audits. 
• Oversees the company’s relationships with regulatory authorities and external auditors.
• Prepares recommendations for operational, strategic and policy changes as a result of external and internal audits.
• Collaborates with cross-functional teams, including legal, finance and operations, to ensure alignment of compliance efforts with business objectives
• Monitors regulatory developments and changes in the compliance landscape and advises company leadership accordingly. 
• Provides regular reporting and updates on compliance activities, issues and trends to company leadership 
• Acts as a champion for a culture of compliance and ethical conduct throughout the organization

Required Skills:

• Excellent knowledge of relevant laws, regulations and industry standards
• Ability to communicate complex compliance issues clearly and effectively
• Strong analytical, interpersonal, and organizational skills.
• Proficiency in Microsoft Office technology.
• Demonstrated competence in reviewing contracts and other legal and regulatory documents.
• Strong attention to detail.
• Excellent written and oral communication skills.
• Strong work ethic and ability to prioritize tasks in a fast-paced, dynamic environment.

Qualifications:

Education:

Bachelor’s degree required.  JD or advanced degree preferred

Experience:

10+ years of relevant work experience in a compliance leadership role required

Experience managing regulatory relationships and audits required

Ability to draft clear and concise policies, standards and memos required

Experience with government contracts and familiarity with Medicaid preferred

Working Conditions:    

Remote setting   

*** This position is remote in NY.  Candidates must reside in the state of NY to be considered. ***

Supervisory Responsibility:

Supervision of between 5-7 compliance staff. 

The above is intended to describe the general contents and requirements of work being performed by people assigned to this classification.  It is not intended to be construed as an exhaustive statement of all duties, responsibilities, or skills of personnel so classified.