SUMMARY:  

Responsible for management and oversight of all provider network compliance functions to ensure that non-emergency medical transportation (NEMT) service providers meet contract requirements regarding driver, vehicle, and business operational standards. Ensure all incidents/accidents are reported accurately and timely to the clients that occurred while operating under the Verida agreement. 

ESSENTIAL FUNCTIONS: 

• Generates and maintains executed contractual agreements for provider network 
• Build and maintain positive relationships with the client, providers, and other staff managers
• Manage all aspects of the compliance operation including record maintenance, vehicle inspections, field observations, and database management.
• Development and coordination of vehicle inspection activities and other Compliance staff functions to ensure timely inspections by contract requirements.
• Develop, and implement compliance audit models, methodologies and policies and procedures to assess, monitor, and report NEMT network compliance.
• Identify, analyze, and report areas of non-compliance to the organization; produce reports that outline findings, explain risk positions, and recommend changes.
• Responsible for coordinating and reporting accidents and incident investigations and resolutions.
• Respond to alleged violations of rules, regulations, policies, and procedures by evaluating or recommending the initiation of investigative procedures.
• Monitors and as necessary coordinates compliance activities of other departments to remain abreast of the status of all compliance activities and to identify trends.
• Identifies potential areas of compliance vulnerability; develops/implements correction action plans for resolution of problematic issues and provides general guidance on how to avoid or deal with similar situations in the future.
• Investigate and analyze root causes, patterns or trends that could result in liquidated damages; help to identify and implement corrective action where appropriate.
• Provides reports regularly, as directed, requested, or required to keep senior management informed of the progress of compliance efforts.
• Serves as the organization’s liaison with clients on matters related to network compliance
•  Verifies and maintains current and valid documentation to assure that NEMT Providers are compliant with all contract requirements, including, but not limited to:
  • NEMT Education
  • Ensure all required training programs are developed and implemented per the contractual agreements
•  Ensures that all current and valid data is uploaded into Verida database in a timely and efficient manner
•  Communicates information to key staff and departments
•  Establishes and maintains regular contact with all contracted NEMT providers to ensure compliance with all contract requirements.
  • Conduct annual, bi-annual, monthly, and spot inspections on authorized NEMT vehicles to ensure compliance to the executed provider agreement
  • Investigation of various activities for fraud and abuse as well as quality assurance
•  Ensure that information is documented and submitted in a timely manner.
•  Ensures all photos/videos must be downloaded to Verida server within one business day.
•  Ensures all providers are performing to the guidelines of Verida, Inc. standards
•  Ensures all authorized NET Drivers/Attendants are performing according to Verida, Inc. standards
•  Ensures all Compliance Operation Specialists (Coordinators, Trainers, etc) are performing according to Verida, Inc. standards
•  Ensures all Compliance Field Officers are performing according to Verida, Inc. standards
•  Perform onboarding and training of new employees
•  Perform annual reviews for employee performance and progressive disciplinary actions as needed
•  Responsible for managing safety and security programs
•  Accountable for the preparation and submission of reports to satisfy internal and regulatory requirements
• Regular and predictable attendance
• Assists with reconciliation issues
• All other duties as assigned

QUALIFICATIONS REQUIRED: 

•  Excellent written and verbal communication skills
•  Excellent problem-solving skills
•  Minimum of five years of customer service experience
•  Minimum of 3 years of Risk and Compliance experience
•  Five years in NET, EMS and/or Public Transit, or Fleet Management experience preferred
•  Minimum of two years in a supervisor/management position
•  Ability to lift over 50 lbs.
•  Ability to bend, stoop, push, pull and step in/out of vehicles
•  Ability to stand or sit for long period of time
•  Ability to see and operate in all conditions (day, night, adverse weather conditions)
•  Ability to be flexible with their schedule (could require weekends, evenings, and holidays)
•  Ability to work independently or with a team
•  Professional appearance
•  Positive attitude
•  Meet contractual requirements for NET drivers
•  Certified to Instruct:
  •  Defensive Driving
  •  Passenger Assistance
  •  First Aid
  •  C.P.R.

MINIMUM REQUIRED EDUCATION: 

• A Bachelor’s Degree in Business from an accredited College or University and/or commensurate experience in the area of quality or compliance is strongly preferred.

 IND