THE POSITION

Company: Advanced Medical Management, Inc. (AMM)

Title: Director – Compliance and Ethics Operations

Location: Long Beach, CA

Reporting Lines: The Chief Compliance and Ethics Officer (the CCEO)

ABOUT AMM

AMM’s mission is to offer flexible administrative healthcare services that improve patient health, obtain profitability, maintain independence, and achieve 5-Star Quality. Our core values of Integrity, Collaboration, and Quality have driven our evolution from a physician practice management company to an Independent Physician Association (IPA) management company and fiscal intermediary administering and servicing a variety of commercial and government agency clients.

THE ROLE

As a member of AMM’s Compliance and Ethics team, the Director – Compliance and Ethics Operations is a catalyst for our mission. They are responsible for the daily operation of the Company’s Compliance and Ethics Program (the Program). The Program must fulfill the expectations of key stakeholders, including patients and their families and government agencies, and AMM is committed to exceeding those expectations. The Program is led by AMM’s CCEO, who reports to AMM’s Chief Executive Officer and the AMM Board, and who oversees and manages the AMM Compliance Committee, consistent with industry best practices.

The Director – Compliance and Ethics Operations is expected to exemplify the Company’s culture and core values. This is a leadership role that requires sound and risk-aware judgment, productive collaboration across the Company, and demonstrated success in leading a team of in-house compliance and ethics professionals.

ESSENTIAL DUTIES & RESPONSIBILITIES

The following description provides an overview of primary responsibilities for this director position; it should not be interpreted as all-encompassing.

General Responsibilities

- Ensures that the CCEO is timely informed of all significant compliance and ethics developments, including those involving internal and external allegations and reports of compliance and ethics concerns.

- Works closely with the CCEO to facilitate Program initiatives, including managing multiple ongoing projects.

- Undertakes to remain informed of relevant developments and trends in healthcare compliance and ethics by, among other things, reviewing relevant enforcement notices, attending seminars, reviewing professional journals, and actively participating in professional organizations, and leverages that insight and knowledge to enhance the Program.

Compliance and Ethics-Specific Responsibilities

- Leads the day-to-day operations of the Program in light of applicable state and federal agency guidance to ensure that the Company fulfills stakeholder expectations.

- Under the CCEO’s direction, performs an annual assessment of compliance and ethics risks and develops and implements an Annual Program Work Plan, and provides the CCEO with periodic updates as items are executed.

- Ensures that the Code of Conduct and policies and procedures are accessible to all AMM personnel and, in collaboration with the appropriate business unit or corporate function leader, timely updated to reflect changes in law or policy.

- Develops and administers training and education to enable AMM personnel to perform their job duties while fulfilling stakeholder compliance and ethics expectations.

- Leads and oversees the Disclosure Program which includes a protocol for assessing and investigating internal and external reports of compliance and ethics concerns, including possible violations of law or corporate policy.

- Ensures the Company periodically conducts sanctions screenings to identify individuals excluded from working in government-sponsored healthcare programs, and collaborates with the CCEO and, if and as appropriate, with the assistance of counsel, to take appropriate action.

- Under the CCEO’s direction, produces and distributes compliance and ethics communications and leads engagement initiatives.

- Oversees the process for responding to health plan audit requests and ensures the CCEO is apprised of all audit activities.

- Develops and maintains compliance and ethics metrics to report progress to the CCEO and the AMM Compliance Committee.

EDUCATION & EXPERIENCE

- Five to ten years of relevant professional experience in healthcare with at least three years of experience in a leadership role. Experience in medical practice management and/or health insurance administration.

- An undergraduate degree.

- Recommended top-tier healthcare Compliance Certification, such as Certified in Healthcare Compliance (CHC) Certificate from the Health Care Compliance Association (HCCA) along with a fundamental understanding of regulatory framework and coding practices.

- Fundamental understanding of managed government healthcare programs (i.e., Medicare and Medicaid).

- Demonstrated ability to work effectively with key internal and external stakeholders.

PROFESSIONAL PROFILE

Key Leadership and Management Skills

- The professional judgment to know when a matter should be escalated to the CCEO.

- A demonstrated ability to cultivate highly productive working relationships with senior leaders, peers, and government agencies.

- An ability to operate successfully in a flat culture, with the courage and competence to engage on multiple fronts and tackle challenges head-on.

- An ability to prioritize effectively, and exercise sound judgment, in a fast-paced, physician-driven environment.

- A successful track record of advocating for a position while remaining receptive to the views of others, with the intellectual flexibility to craft alternate paths and solutions.

Personal Characteristics

- Exemplary integrity with courage and an unwavering ethical compass.

- Pragmatic, risk-aware professional judgment.

- An ability to analyze complex matters and situations three-dimensionally, while distilling relevant information and identifying viable paths forward.

- Demonstrated tact, trustworthiness, and diplomacy skills needed to manage sensitive and confidential information such as protected health information.

- An adept listener with a sense of humility.

- An approachable, empathetic professional with the capability of understanding different values across a wide range of perspectives.

AAP/EEO Statement

It is the policy of Advanced Medical Management to provide equal opportunity for all applicants and employees. The Company does not unlawfully discriminate on the basis of race, creed, color, religion, sex sexual orientation, gender, gender identity, national origin, ancestry, age, medical condition or genetic characteristic, physical or mental disability, family care or medical leave status, military status, pregnancy, marital or domestic partner status, veteran status, or any other status protected by state or federal law.

Job Type: Full-time

Pay: $120,000.00 - $150,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Ability to Commute:

• Long Beach, CA 90815 (Required)

Work Location: In person