Vynca

Compliance

• Support the design, implementation, and ongoing maintenance of the organization’s healthcare compliance program in alignment with OIG and DOJ Compliance Program Guidance.
• Assist in operationalizing the seven elements of an effective compliance program, including policies and procedures, training, monitoring, auditing, reporting, and enforcement.
• Serve as a key resource to internal stakeholders on compliance-related questions and issues, providing guidance to translate regulatory requirements into actionable organizational practices.
• Support compliance and quality oversight for Enhanced Care Management (ECM) and Palliative Care programs in alignment with federal, state, and payer requirements.
• Monitor regulatory and contractual requirements while tracking evolving guidance impacting program operations, care delivery, and documentation standards.
• Conduct audits, monitoring, and QAPI activities, including metric tracking, trend analysis, and support for corrective action plans.
• Collaborate cross-functionally to address compliance risks, support audit readiness, and integrate quality and compliance standards into program workflows.
• Monitor federal and state healthcare laws and regulations, including but not limited to Anti-Kickback Statute, Stark Law, False Claims Act, HIPAA, and applicable state healthcare regulations.
• Track DOJ and OIG enforcement actions, advisory opinions, special fraud alerts, and compliance guidance, and assess applicability to organizational operations.
• Conduct compliance risk assessments and help identify, document, and address compliance risks, including fraud, waste, and abuse (FWA), enforcement trends, government oversight, and internal audits.
• Support regulatory change management by tracking new or updated laws, regulations, and enforcement trends, including monitoring requirements for potential new markets as the organization expands.
• Assist with compliance audits, monitoring activities, and reviews to assess adherence to internal policies and regulatory requirements.
• Support internal investigations related to potential compliance concerns, including documentation, issue tracking, and corrective action plans.
• Coordinate responses to compliance inquiries, audits, and regulatory requests, as directed by Compliance Leadership.
• Maintain investigation and audit documentation in accordance with DOJ and OIG standards and expectations.
• Assist in developing and delivering compliance training and education programs for employees, contractors, and leadership.
• Promote awareness of compliance reporting mechanisms and non-retaliation standards.
• Draft compliance communications, guidance documents, and policy updates, and support implementation of compliance guidance into day-to-day operations.
• Maintain organized, audit-ready records.
• Collaborate with internal departments to streamline workflows and improve regulatory preparedness.
• Stay informed on state and federal regulatory requirements.
• Support ad-hoc compliance and quality initiatives, including policy updates, audits, and corrective action implementation, as needed.

Compliance Specialist

Account Manager

• Serve as the senior relationship owner for our value-based provider, health plan, community and health systems partnerships
• Build trusted relationships with key executives and operational stakeholders
• Understand client strategic priorities, population health goals, and success metrics
• Act as the primary advocate for client needs while aligning with company strategy
• Ensure long-term client satisfaction, retention, and strategic alignment
• Drive successful adoption and performance of Enhanced Care Management, Palliative Care, and Advanced Care Planning services
• Ensure programs achieve targeted KPIs including revenue realization, quality metrics, and cost outcomes
• Translate operational results into measurable business impact for partners
• Own revenue realization including renewals, expansions, and contract extensions
• Develop and own strategic account plans that identify risks, opportunities, and growth pathways
• Identify upsell and cross-sell opportunities as clients expand program adoption
• Forecast revenue and account health across the portfolio
• Coach and mentor Account Managers in relationship management, problem solving, and strategic account planning
• Establish and maintain scalable processes and playbooks for account management
• Ensure consistent execution across implementations, expansions, and ongoing client engagement
• Build a high-performing client success function as the company scales
• Oversee implementation of new accounts, service expansions, and software releases
• Coordinate internal readiness across Technology, Clinical, Enrollment, RCM, Product, and Compliance teams
• Ensure commitments, timelines, scope, and expectations are clearly managed
• Escalate and resolve issues quickly to protect client success
• Ensure clients clearly understand the impact of the partnership
• Monitor KPIs, SLAs, and operational outcomes
• Lead Monthly or Quarterly Business Reviews with clients
• Translate performance into business impact (ROI, savings, quality and growth)

Senior Manager, Account Management

People Operations

• Own end-to-end payroll processing across all states, partnering with our Sr. Payroll & Benefits Administrator to ensure accuracy and timeliness
• Oversee benefits administration including open enrollment, carrier relationships, COBRA, and leave-related benefit coordination
• Ensure compliance with federal and state wage and hour laws, including overtime, exempt/non-exempt classification, and pay equity requirements
• Serve as the escalation point for complex payroll and benefits issues
• Manage state and local tax registrations, nexus determinations, and employer account maintenance across all active states
• Proactively manage registration requirements as Vynca expands into new states
• Own the HRIS platform (configuration, data integrity, reporting, and user support), ensuring it scales with our growth
• Drive system improvements and integrations across payroll, ATS, benefits, and performance tools
• Build and maintain people data dashboards and reporting for HR leadership and Finance
• Partner with the HR Compliance Specialist to maintain federal and state compliance across all employment programs
• Oversee I-9/E-Verify administration, EEO-1 and VETS-4212 reporting, and other regulatory filings
• Identify compliance risks proactively and recommend mitigation strategies to People leadership
• Directly manage and develop the Sr. Payroll & Benefits Administrator and HR Compliance Specialist
• Foster a team culture of accuracy, responsiveness, and continuous improvement
• Serve as a thought partner to the Chief People Officer on operational strategy and infrastructure decisions

People Operations Manager

Community Manager

• Build and maintain relationships with community stakeholders, including resource centers, medical facilities, and advocacy groups.
• Drive referrals into Vynca care programs, primarily Enhanced Care Management
• Continuously expands knowledge and understanding of community services and resources; maintains frequent contact with community agencies serving vulnerable populations.
• Understand local market dynamics and agency strengths.
• Develop and execute strategic marketing plans.
• Identify and communicate cultural issues affecting members.
• Track sales activities and conduct presentations.
• Support community events and maintain high customer service standards.
• Serve as a liaison between patients and practices.
• Strengthen referral partnerships through outreach efforts.

Community Liaison – Sales

Director

• Lead and grow a 15–25 person engineering organization, including managers and individual contributors.
• Foster a collaborative, high-performing engineering culture while mentoring team members in technical and professional growth.
• Architect and oversee secure, scalable data pipelines and ETL solutions for ingesting and standardizing healthcare data.
• Work with industry standards including HL7, FHIR, CCDA, and EDI X12.
• Ensure systems comply with HIPAA, HITRUST, and SOC2 requirements.
• Lead development of cloud-based data platforms (e.g., Snowflake, Databricks) utilizing medallion architecture.
• Oversee development of internal and customer-facing applications using modern frameworks such as Angular, React, and TypeScript, with backend services in Java, Python, and Scala.
• Support cross-functional teams including data science, product, and business operations.
• Partner with enterprise healthcare customers and vendors to integrate complex healthcare data feeds and troubleshoot technical challenges.
• Deliver solutions that align with customer workflows and operational needs.
• Implement Scrum and SDLC best practices to ensure efficient delivery of high-quality software.
• Use tools such as Jira to align engineering output with business objectives.
• Drive innovation in AI/ML, healthcare interoperability, and analytics.

Director of Platform

Manager

• Assess member needs in the areas of physical health, mental health, SUD, oral health, palliative care, memory care, trauma-informed care, social supports, housing, and referral and linkage to community-based services and supports
• Oversees the development of the client care plans and goal settings
• Offer services where the member resides, seeks care, or finds most easily accessible, including office-based, telehealth, or field-based services
• Connect clients to other social services and supports that are needed
• Advocate on behalf of the client with health care professionals (e.g. PCP, etc.)
• Utilize evidence-based practices, such as Motivational Interviewing, Harm Reduction, and Trauma-Informed Care principles
• Conduct outreach and engagement activities in order to facilitate linkage to the ECM program and log activity in the Client Relationship Management (CRM) system
• Evaluate client’s progress and update SMART goals
• Provide mental health promotion
• Arrange transportation (e.g., ACCESS)
• Complete all documentation, including outcome measures within the timeframes established by the individual care plans
• Maintain up-to-date patient health records in the Electronic Medical Record (EMR) system and other business systems
• Complete monthly reporting to ensure program compliance
• Attend training as assigned

Case Manager

LVN Case Manager

Bilingual

• Conduct outreach to newly referred clients and log activity in Salesforce
• Conduct 8-12 intake visits daily, ensuring efficient and accurate assessments
• Assist clients in completing initial intake visit including a psychosocial assessment and care plan with goals of care
• Review medical charts and document client medical needs and suggested interventions
• Communicate critical information and client preferences to the care team for personalized care planning
• Utilize evidence-based practices, such as Motivational Interviewing, Harm Reduction, and Trauma-Informed Care principles
• Attend weekly Team Operations Meetings
• Maintain a structured and organized schedule to optimize client intake and engagement
• When unscheduled, perform proactive outreach to no-shows or clients who have not been contacted previously
• Stay available for warm transfers from field teams, ensuring same-day responses
• Thrive in a fast-paced, dynamic environment with an emphasis on meeting key performance metrics

Clinical Intake Specialist – Bilingual, English/Spanish

• Assess member needs in the areas of physical health, mental health, SUD, oral health, palliative care, memory care, trauma-informed care, social supports, housing, and referral and linkage to community-based services and supports
• Oversees the development of the client care plans and goal settings
• Offer services where the member resides, seeks care, or finds most easily accessible, including office-based, telehealth, or field-based services
• Connect clients to other social services and supports that are needed
• Advocate on behalf of the client with health care professionals (e.g. PCP, etc.)
• Utilize evidence-based practices, such as Motivational Interviewing, Harm Reduction, and Trauma-Informed Care principles
• Conduct outreach and engagement activities to facilitate linkage to the ECM program and log activity in the Client Relationship Management (CRM) system
• Evaluate client’s progress and update SMART goals
• Provide mental health promotion
• Arrange transportation (e.g., ACCESS)
• Complete all documentation, including outcome measures within the timeframes established by the individual care plans
• Maintain up-to-date patient health records in the Electronic Medical Record (EMR) system and other business systems
• Complete monthly reporting to ensure program compliance
• Attend training as assigned

Behavioral Health Case Manager

• Supervise a team of approximately 10-15 Lead Care Managers, both in the field and remotely
• Oversee the creation of Individual Care Plans
• Drive the team to meet key performance indicators (KPIs)
• Collaborate with the Director of Enhanced Care Management to implement changes and process improvements
• Provide direct care management as needed to support organizational goals
• Additional travel up to 20-25% may be required for training, meetings, and other business needs

Manager, Case Management, RN

• Supervise a team of approximately 10-15 Lead Care Managers to ensure high-quality care management services. The exact number of direct reports may fluctuate based on business needs.
• Oversee the creation of Individual Care Plans, assessing if clients' needs can be managed by an ECM Lead Care Manager; serve as an escalation point when necessary.
• Drive the team to meet key performance indicators (KPIs) effectively.
• Collaborate with the Director of Enhanced Care Management to implement changes and process improvements.
• Provide direct care management as needed to support organizational goals.
• Travel up to 20-25% may be required for training, meetings, and other business needs.

Manager, Case Management – RN

• Supervise a team of approximately 10-15 Lead Care Managers to ensure high-quality care management services.
• Oversee the creation of Individual Care Plans, assessing if clients' needs can be managed by an ECM Lead Care Manager; serve as an escalation point when necessary.
• Drive the team to meet key performance indicators (KPIs) effectively.
• Collaborate with the Director of Enhanced Care Management to implement changes and process improvements.
• Provide direct care management as needed to support organizational goals.
• Travel up to 20-25% may be required for training, meetings, and other business needs.

Manager, Case Management – LCSW/LMFT

• Supervise a team of approximately 10-15 Lead Care Managers, both in the field and remotely, to ensure high-quality care management services. The exact number of direct reports may fluctuate based on business needs.
• Oversee the creation of Individual Care Plans, assessing if clients' needs can be managed by an ECM Lead Care Manager; serve as an escalation point when necessary.
• Drive the team to meet key performance indicators (KPIs) effectively.
• Collaborate with the Director of Enhanced Care Management to implement changes and process improvements.
• Provide direct care management as needed to support organizational goals.
• Additional travel up to 20-25% may be required for training, meetings, and other business needs.