Exemption Status:

United States of America (Exempt)

$108,457 - $151,840 - $195,222

“Pay scale information is not necessarily reflective of actual compensation that may be earned, nor a promise of any specific pay for any selected candidate or employee, which is always dependent on actual experience, education, qualifications, and other factors.  A full review of our comprehensive pay and benefits will be discussed at the offer stage with the selected candidate.”

This position is not eligible for Sponsorship.

MedImpact Healthcare Systems, Inc. is looking for extraordinary people to join our team!

Why join MedImpact? Because our success is dependent on you; innovative professionals with top notch skills who thrive on opportunity, high performance, and teamwork. We look for individuals who want to work on a team that cares about making a difference in the value of healthcare.

At MedImpact, we deliver leading edge pharmaceutical and technology related solutions that dramatically improve the value of health care. We provide superior outcomes to those we serve through innovative products, systems, and services that provide transparency and promote choice in decision making. Our vision is to set the standard in providing solutions that optimize satisfaction, service, cost, and quality in the healthcare industry. We are the premier Pharmacy Benefits Management solution!

Job Description

Responsible for leading the MedImpact Health & Wellness (“MH&W”) Compliance Program, including providing support of the HIPAA compliance program with a focus on privacy and security.  Manages and oversees regulatory compliance activities to ensure that MH&W services are provided in accord with applicable laws, regulations, and accreditation standards pertaining to applicable federal and state regulatory and licensure requirements. This position manages requests from vendors, clients, regulatory authorities, MH&W subsidiaries, and internal customers relating to MH&W regulatory compliance initiatives, licensing, and related processes. Relies on experience and judgment to plan and accomplish goals.

Essential Duties and Responsibilities include the following. Other duties may be assigned.

• Independently and in collaboration with the General Manager, and HIPAA Privacy & Security Officer addresses compliance matters related to MH&W and subsidiary entities.. The Director ensures company HIPAA policies and procedures are appropriate to meet HIPAA and ERISA requirements and identifies operational opportunities and obstacles for the Director and their team to work with other departments to ensure the company and their employees and customers are in compliance with all relevant regulations.  The Director will seek out collaboration and communication with other departmental leaders and employees to solve any issues identified related to compliance with all relevant laws and regulations.. Viewed as a HIPAA and ERISA Compliance subject matter expert. 
• Research applicable  state and federal laws and agency regulations. Tracks applicable legislation/regulations, analyzes impact on company and subsidiaries, and communicates relevant information to the organization, with minimal management supervision.  Works with outside legal counsel and other 3rd party consultants as needed to ensure compliance and review of relevant policies, health plans, and insurance policies and procedures.  Keeps apprised of new regulatory developments by reviewing regulatory publications and applicable industry trade publications.  Monitors and keeps up to date on assigned state’s changing healthcare regulations, legal requirements, or pending legislation.
• Obtains, maintains and reviews new licenses, licensing renewals, and reporting requirements for regulatory changes and updates.  Participates in MH&W subsidiary licensing oversight efforts. The Director will be considered the company expert for compliance matters.
• Interfaces with regulatory authorities on matters relating to compliance with applicable laws or regulations, and prepares proposed policy or practice corrections as needed in response to negative findings of regulatory agencies.  The Director will prepare any supporting evidence or documentation related to both legal and regulatory requests for information or in response to due diligence performed for legal disputes or regulatory requests for information.
• Responsible for writing applicable regulatory compliance policy and procedure documentation and for obtaining necessary company approvals related to the new or revised policies.  The Director is also responsible for the dissemination of the policies and changes to the policies with the various operating units.
•  Directs the assigned corporate state filings for subsidiar