Hospice - VP of Compliance

Job Type Full-time Description

Our people are the difference.

Transitions Care is a leading hospice organization that has changed the hospice experience for patients, families, and team members. Imagine a healthcare company that provides 24/7 access to services in the comfort of the patient's home - providing the physical, emotional, and spiritual support that allows a patient to focus on living.

At Transitions, you don't have to imagine! Apply now to join our team and experience the Transitions difference!

As a VP of Compliance at Transitions Care will play a critical role in monitoring compliance with federal and state regulations, focusing on the CMS CoPs for hospice care, documentation standards, and operational excellence. This role will also involve ensuring our necessary licensure, accreditation, and various requirements are up to date with state, federal and accrediting bodies. Additionally, the VP of Compliance will be the project manager for all 3rd party audits, helping to coordinate and providing oversight of the response to any inquiry.

Major Responsibilities

• Oversee and maintain all necessary hospice, branch office, and agency licenses, ensuring compliance with state and federal requirements.
• Manage Medicare and Medicaid provider enrollment, revalidation, and credentialing processes to maintain active status and compliance.
• Coordinate and maintain accreditation certifications and related compliance documentation.
• Ensure controlled substances and pharmacy licenses are current and compliant with applicable laws and regulations.
• Maintain business entity filings and work with the Controller on Certificates of Insurance to ensure organizational compliance.
• Oversee and manage contracts with skilled nursing facilities, assisted living facilities, therapy providers, DME suppliers, ambulatory providers, and other core direct non-labor vendors.
• Manage relationships and contracts with medical directors and other healthcare providers to ensure contractual and regulatory compliance.
• Oversee audits including TPE, SMRC, CERTS, RAC, UPIC, ADR, ZPIC/UPIC, and other regulatory reviews, ensuring timely and accurate responses.
• Review and submit Plans of Correction (POCs) for identified deficiencies, ensuring implementation and ongoing compliance.
• Ensure compliance with facility requirements and standards for hospice operations.
• Work with leadership to maintain survey readiness and respond to survey findings in accordance with applicable regulations.
• Collaborate with internal teams to maintain compliance with managed care contracts and credentialing requirements.

Benefits We Offer

• Competitive salary
• Medical / Dental / Vision Insurance plans
• Life Insurance
• 401(k) matching
• Company Equipment
• Paid Time Off

Requirements

Education & Experience:

• Bachelor’s degree in Healthcare Administration, Nursing, Public Health, or related field.
• Minimum of 3-5 years of experience in healthcare compliance or internal auditing, with hospice-specific experience preferred.
• Extensive knowledge of CMS Conditions of Participation for hospice care and state health department regulations.

Certifications (Preferred But Not Required):

• Certified Healthcare Compliance (CHC)
• Certified Hospice and Palliative Care Administrator (CHPCA)

Skills & Competencies:

• Strong understanding of hospice operations and CMS CoPs requirements.
• Experience conducting on-premises compliance surveys and audits.
• Proficiency in analyzing documentation for compliance with federal and state regulations.
• Excellent written and verbal communication skills to create clear reports and recommendations.
• Detail-oriented with strong organizational and analytical skills.

Work Environment

• Up to 25% Travel required for on-premises surveys at hospice locations.
• Ability to work in a fast-paced environment and respond to regulatory changes or organizational needs.

Salary Description $150,000 - $170,000 a year