Transitions Group

Compliance

• Oversee and maintain all necessary hospice, branch office, and agency licenses, ensuring compliance with state and federal requirements.
• Manage Medicare and Medicaid provider enrollment, revalidation, and credentialing processes to maintain active status and compliance.
• Coordinate and maintain accreditation certifications and related compliance documentation.
• Ensure controlled substances and pharmacy licenses are current and compliant with applicable laws and regulations.
• Maintain business entity filings and work with the Controller on Certificates of Insurance to ensure organizational compliance.
• Oversee and manage contracts with skilled nursing facilities, assisted living facilities, therapy providers, DME suppliers, ambulatory providers, and other core direct non-labor vendors.
• Manage relationships and contracts with medical directors and other healthcare providers to ensure contractual and regulatory compliance.
• Oversee audits including TPE, SMRC, CERTS, RAC, UPIC, ADR, ZPIC/UPIC, and other regulatory reviews, ensuring timely and accurate responses.
• Review and submit Plans of Correction (POCs) for identified deficiencies, ensuring implementation and ongoing compliance.
• Ensure compliance with facility requirements and standards for hospice operations.
• Work with leadership to maintain survey readiness and respond to survey findings in accordance with applicable regulations.
• Collaborate with internal teams to maintain compliance with managed care contracts and credentialing requirements.

VP of Compliance