Job Title

General Counsel- Vice President of Compliance

Location

Remote/Nationwide, USA

Employee Type

Employee

Working Hours Per Week

40

Summary

The Compliance Officer/General Counsel oversees the Compliance Program functioning as an independent and objective body that reviews, promotes and evaluates compliance issues/concerns across CSI Pharmacy. The position ensures the CEO, Board of Directors, management, and employees at CSI Pharmacy achieve consistently high levels of compliance with all laws, regulations, and accrediting bodies (ACHC and URAC) while supporting the growth of CSI Pharmacy. The Compliance Officer/General Counsel ensures that CSI Pharmacy’s policies and procedures are being followed through monitoring activities such as audits, and that behavior in the organization meets CSI Pharmacy’s Code of Conduct. The Compliance Officer/General Counsel will have responsibility around deal sourcing, management of the diligence process, and legal support post-investment. When applying, mention that you saw this posting on GoInhouse.com.

Essential Duties and Responsibilities

include the following. Other duties may be assigned, as necessary.

• Interface on a consistent basis with the CEO and Board of Directors, providing business related analysis and guidance.
• Maintains control of all corporate policies, procedures, and practices for the general operation of CSI Pharmacy and its related activities to prevent illegal, unethical, or improper conduct.
• Oversees periodic reviews and updates of CSI Pharmacy’s corporate policies and Code of Conduct to ensure continuing currency and relevance in providing guidance to management and employees
• Collaborates with CSI leadership to conduct an annual compliance risk assessment and internal audit plan based on Office of Inspector General recommendations.
• Through the execution of routine internal audits, identifies potential areas of compliance vulnerability and risk; develops/implements corrective action plans for the resolution of problematic issues, and provides general guidance to CSI management and employees on how to avoid or deal with similar situations in the future.
• Ensures proper reporting of violations or potential violations to duly authorized enforcement agencies (i.e., Office of Civil Rights) as appropriate and/or required.

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• Establishes and provides direction and management of CSI Pharmacy’s compliance hotline. Monitors a log/tracking systems for all confidential disclosures through the hotline.
• Institutes and maintains an effective compliance communication and training program for CSI Pharmacy, including promoting (a) use of the compliance hotline, (b) heightened awareness of CSI’s policies, procedures, and code of conduct, and (c) understanding of new and existing compliance issues and related policies and procedures.
• Collaborates with other departments to direct compliance issues to appropriate existing channels for investigation and resolution.
• Responds to alleged violations of rules, regulations, policies, procedures, and codes of conduct by evaluating and/or recommending the initiation of investigative procedures. Develops and oversees a system for uniform handling of such violations.
• Works with executive team, human resources, compliance team, and others as appropriate to develop an effective compliance training program, including appropriate introductory training for new employees, as well as ongoing training for all employees and managers.
• Maintains a current working knowledge of federal, state, and local regulations; HIPAA, ACHC standards; URAC standards, Medicare, and Medicaid Conditions of Participation.
• Provides education and training about actual, proposed, or pending legislation and regulations that affect operations, compliance, or accreditation.
• Keeps executive leadership abreast of newly identified potential compliance issues and ongoing investigations.
• Serves as a resource and consultant on ACHC standard, URAC Standard, ACHC survey prep, and URAC survey prep.
• Provides oversight and direction of CSI’s Privacy and Safety program.
• Establishes and maintains relationship with bankers, brokers, intermediaries, and industry trade and professional organizations to create and maintain deal flow.
• Fully manage the diligence process, including initial document review, structuring, negotiation with seller/intermediary, and interfacing with outside transaction attorneys.
• Provides ongoing legal support (e.g. – contracts review, employment agreements, etc.)
• Develops and helps implement strategies to increase revenue, improve operations, strengthen financial controls, and increase shareholder value.
• Consistently represents the company in a professional manner.
• Maintains effective working relationship and cooperates with all personnel in the Company.
• Participates in administrative staff meetings and attends other meetings and seminars.
• Performs other related duties as assigned or requested.

Qualification Requirements

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Maintains a high degree of credibility, independence, integrity, confidentiality, and trust.
• Must be detail-oriented, self-directed, and comfortable with ambiguity.
• Strong communication and leadership skills are essential.
• Problem-solver with exceptional analytical, research and organizational skills
• Good written and verbal communication skills
• Demonstrates sound business judgment and is supportive of CSI Pharmacy’s mission and objectives.
• Able to command respect of the senior management team, board level committees and other members of the compliance team.
• Strives to develop partnerships, teamwork, and good working relationships. Maintains an open management style.
• Understands the complexities of a large organization. Involves others appropriately in consultations and decisions.
• Understands the legal regulatory framework of the entity.
• Exhibits analytical skills and an understanding of operational processes and technology concepts.
• Maintains strong writing skills required to write and edit policies and procedures, issue memorandums and compile program reports.
• Exhibits good presentation skills with large and small audiences.
• Able to operate successfully in a constantly changing, fast-paced environment. Demonstrated initiative, self-motivation, practical learning skills, enthusiasm, and an ability to complete multiple tasks in a timely and accurate manner.

Education and/or Experience

• Must have a J.D., with a Bachelor or Masters Degree in Finance and Accounting or Healthcare Administration
• At least two years of experience as an M&A attorney, with experience in healthcare M&A preferred
• At least two years of experience in investment banking and related fields preferred
• A minimum of five years’ experience in a health care organization, specialty pharmacy and home health specific experience preferred.
• Significant exposure to ACHC, URAC, Medicare and Medicaid reimbursement and regulations, Stark Law, Anti-Kick Back Laws and Fraud and Abuse Laws.
• Experience with planning and executing risk assessments and internal audits.
• CHC, CHPC, and/or CPCO certification.
• Must have and maintain in good standing professional license, certificate, or registration, as applicable

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to talk or listen. The employee regularly is required to stand, walk, sit, climb stairs, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.

The employee frequently lifts and/or moves up to 20 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

This job generally operates in a clerical office setting. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets, and fax machines. While performing the duties of this position, the employee may travel by automobile and be exposed to changing weather conditions.

Comments

This description is intended to describe the essential job functions, the general supplemental functions, and the essential requirements for the performance of this job. It is not an exhaustive list of all duties, responsibilities, and requirements of a person so classified. Other functions may be assigned, and management retains the right to add or change the duties at any time.

NOTICE: Successful completion of a drug screen prior to employment is part of our background process, which includes medical and recreational marijuana.

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CSI Pharmacy is an Equal Opportunity Employer