Director of Training & Compliance

 

OVERVIEW:

Optima Dermatology is a mission-driven dermatology practice with 15 locations and 35 providers in Indiana, Ohio, New Hampshire, and Maine. Optima offers a complete menu of services under one roof, including general dermatology, Mohs surgery, cosmetics & aesthetic services, pathology, and clinical trials. Unlike most dermatology practices, Optima’s strategy is based on a de novo approach, opening net new practices within markets that have the most limited access to dermatology and have the greatest need for dermatological services.

Leveraging Optima’s existing locations in Indiana and Ohio, Optima has launched an aggressive growth strategy, including opening between 5-10 new de-novo practices per year over the next decade. In addition to expanding its presence in Ohio and Indiana, Optima is rapidly growing into New England, due to its attractive supply / demand characteristics.

Optima achieves industry-leading quality of care and patient experience (95+ average Net Promoter Score (NPS)) / 80%+ returning patients, stable top-line organic growth, and industry leading clinical-level EBITDA margins.

 

POSITION SUMMARY:

Acting as a partner to senior management, the Director of Training and Compliance will work closely with the executive team and other leaders to plan and execute training and compliance Initiatives, to promote regulatory compliance and implementation of the Optima’s mission and vision. The position will report directly to the Chief Operating Officer.

Optima aspires to develop the most comprehensive training program within the dermatology industry for all clinical positions, including Medical Receptionists (MRs), Medical Assistants (MAs), Aestheticians, Physician Assistants (PAs), Nurse Practitioners (NPs), and Physicians (MDs), for services including general dermatology, Mohs surgery, and medical aesthetics. As part of this effort, this role will serve as a key decision-maker in developing the most efficient and patient driven standardized workflow across Optima’s practices and draft the relevant polices & procedures.

This role is also responsible for developing and communicating appropriate standards to meet the requirements of all regulating entities to remain compliant to practice our scope of services. The Director of Training and Compliance will take all necessary action under the compliance program to enforce compliance standards by means of auditing, training, mandating corrective action, and recommending necessary disciplinary actions.

The Director of Training & Compliance will lead a team, including a Medical Coding & Education Specialist, Training and Compliance Coordinator, and other training team members.

The opportunity is a hybrid in-office / remote role. The Director of Training and Compliance will need to be in the office in Portsmouth, NH 2-3 days per week and can work remotely the remainder of the week.

 

TRAINING RESPONSIBILITIES:

  • Recruit, train and manage training team to facilitate comprehensive training to all new clinical team members, and support continuous learning and improvement among existing clinical team members
  • Continuously improve to the utilization of ModMed, our PM & EMR, to increase efficiency and ensure our comprehensive training program trains these best practices throughout the organization
  • Maintain competency tracking and training throughout the organization for MRs, MAs, Aestheticians, PAs, NPs, and MDs, for services including general dermatology, Mohs surgery, and medical aesthetics
  • Continuously enhance the resources available on HealthStream, and ensure these resources are continuously used among our team
  • Ensure policies and procedures are continuously improved, and are easily available to team members via our intranet

 

COMPLIANCE RESPONSIBILITIES:

  • Monitor, enhance, and execute Optima’s comprehensive compliance program
  • Develop and oversee coding compliance program, including regular coding reviews
  • Act as departmental liaison for all coding and billing compliance related activities within the practices
  • Conduct periodic training workshops to promote awareness of governance, risk management, and internal controls
  • Oversee MIPS program that results in continued quality improvement across all locations
  • Oversee Compliance Hotline, Error, and Incident Reporting strategy.
  • Ensure proper preparation for all regulatory inspections (CLIA, DHHS, DOL, OSHA)
  • Serve as HIPAA Privacy Officer, including independently verifying our annual security risk assessment (as required for MIPS attestation and HIPAA compliance).
  • Develop policies and programs to comply with fraud and abuse and Stark Anti-kickback regulations.
  • Develop policies and programs to comply with the United States Department of Labor, Occupational Safety & Health Administration (OSHA) standards for medical and dental offices (e.g., exposure control plan, emergency action plan).
  • Develop policies and programs to comply with the OSHA Laboratory Standard, OSHA Formaldehyde standard and the Clinical Laboratory Improvement Amendments (CLIA),e.g., laboratory chemical hygiene plan.
  • Develop policies and programs to comply with laser safety and requirements consistent with American National Standards Institute (ANSI) Z136 standards.
  • Develop standards and procedures to comply with state regulations applicable to nurse practitioners and physician assistants (e.g., supervision protocol documents).
  • Ensure lab proficiency, competency testing and training meets regulatory standards.
  • Provide oversight and guidance for clinical leaders and Practice Managers on compliance matters.
  • Perform compliance investigations.
  • Develop and maintain a schedule for visiting and assessing risks at clinic sites and developing an annual work plan targeting high risk areas.     
  • Participate in the assessment and response of sentinel events.

 

FORMULARY:

  • Partner with operations to maintain the Company formulary of medical equipment and supplies

 

QUALIFICATIONS & ATTRIBUTES:

  • Proven experience in reading and interpreting federal and state regulations and developing required policies and procedures to minimize organizational risk
  • Experience in defining training requirements for all work roles and developing the related programs
  • Outstanding communication and interpersonal skills
  • Excellent organizational and leadership skills
  • High energy self-starter with demonstrated ability to inspire and motivate others
  • Excellent verbal and written communication skills
  • Excellent organizational skills and attention to detail
  • Excellent time management skills with a proven ability to meet deadlines
  • Proficient with Microsoft Office Suite or related software
  • Certification in healthcare compliance (e.g. Certified in Healthcare Compliance (CHC) from the Health Care Compliance Association (HCCA) preferred
  • BS in Nursing strongly preferred
  • Risk assessment and related risk management experience strongly preferred

 

COMPENSATION:

The position will offer competitive compensation. In addition, it will offer the personal reward associated with transforming our patients’ lives and building the most defensible healthcare services platform in the country.

 

BENEFITS:

Our benefits include generous health, dental, vision, disability, and life insurance offerings as well as data and fitness reimbursements.

Apply for this Job

* Required