InnovaCare Management Services Company, LLC
CLINIC staff/remote/corporate
With nearly 40 clinics across Florida and Texas, InnovaCare Health is a dynamic physician-led healthcare organization innovating change in value-based healthcare. We are recognized for transforming care delivery. To empower providers to succeed in some of the most challenging environments in healthcare, we combine physician-led care models with cutting-edge technology and a focus on personalized, coordinated care.
Our work at InnovaCare is always part of a bigger mission. Each member of our team is expected to serve their community through their hard work and dedication. Training and support are provided to our employees so that they can grow professionally and better serve their communities. With health insurance, 401Ks, and paid time off, you'll get the best benefits in the industry.
Our professional team keeps our clinics running. As we grow, we invite you to explore opportunities with InnovaCare Health. To fulfill our mission and provide our patients with a first-class experience, we're seeking hard-working, career-minded individuals. Our mission is to improve the lives of our patients every day.
Essential Job Functions
- Performs periodic assessments of business units and conducts ongoing compliance monitoring activities.
- Prepares content for yearly compliance trainings.
- Maintains and audits safety binder.
- Works with all clinic staff on current compliance guidelines and expectations.
- Consults with the legal department and advises leadership and management on compliance matters.
- Identifies, investigates, and reports compliance issues, irregularities, and violations.
- Stays current with compliance laws, regulations, and enforcement environment, and understands how they impact the organization.
- Maintains corporate compliance site and ensure all resources are kept up to date.
- Provides guidance to employees on the organization’s compliance policies and programs, and educates staff on applicable compliance rules, regulations, and best practices.
- Collaborates with other departments.
- Partners with others in Compliance to create activities and communications for compliance week.
- Prepares newsletter articles for company newsletter.
- Manages compliance matters and risk in a professional manner
- Performs other duties and responsibilities assigned by supervisor.
Minimum Required Education, Experience & Skills
- Bachelor’s degree in Healthcare, Business, Legal, Accounting, or Finance, or in a related field
- Certification: Compliance Certification Board. Compliance Certification, for example: certified Healthcare Compliance (CHC) or Certified Compliance & Ethics Professional (CCEP), etc.
- Knowledgeable in and conversant with healthcare laws and regulations and comprehensive understanding of ethics in a healthcare environment.
- Able to conduct complex and sensitive compliance and fraud investigations.
- Relate with people from various backgrounds, establish rapport, and manage relationships effectively.
- Provide education, counsel, and report on compliance related issues.
- Able to use computer applications such as Microsoft Word, Excel, and Power Point
- Plan and organize to handle multiple projects and a demanding workload effectively
- Translate strategies into goals and action plans and execute the plans within the stipulated time-frame.
Preferred Education, Experience & Skills
- Healthcare experience
- Speak and write Spanish (Optional)
Physical & Mental Requirements: (check all that apply)
☐ Required immunizations and vaccinations.
☐ Ability to lift upwards of 50 pounds.
☐ Ability to push or pull heavy objects using up to 100 pounds of force.
☐ Ability to stand or sit for extended periods of time.
☐ Ability to use fine motor skills to operate equipment and/or machinery.
☐ Ability to properly drive and operate a company vehicle.
☐ Ability to receive and comprehend instructions verbally and/or in writing.
☐ Ability to use logical reasoning for simple and complex problem solving.
☐ Occasionally requires exposure to communicable diseases or bodily fluids.
☐ Ability to discriminate shades of color when reading a dipstick.
The information listed above is not comprehensive of all duties/responsibilities performed. This job description is not an employment agreement or contract. Management has the exclusive right to alter this job description at any time without notice.
Top Skills
What We Do
InnovaCare Health improves the lives of members and physicians through innovative solutions for value-based healthcare. In each unique market the company serves, InnovaCare works across the healthcare ecosystem – with patients, providers, payers and other partners – to increase access to high-quality, affordable care.
Based in White Plains, N.Y., InnovaCare has been on the forefront of value-based care for more than a decade, distributing risk and developing proprietary technologies to inspire patient and provider engagement. Through an integrated portfolio of health plans, medical service organizations, clinical networks and more, the company manages more than 500,000 lives, including more than 150,000 dual-eligible beneficiaries. InnovaCare’s Medicare Advantage plans have received NCQA accreditation and 4.5-star quality ratings from the Centers for Medicare and Medicaid Services (CMS).
