Vice President, Compliance and Legal Affairs

Are you ready to join a passionate community of people who are changing how health care is delivered?  A place where you will find a career you love while truly making a difference building healthier communities.  If this sounds like you, we would love to have you apply as Vice President, Compliance and Legal Affairs, with Medical Home Network!

Founded in 2009 by the Comer Family Foundation, Medical Home Network unites health systems and providers around a vision to improve the health of patients and communities in Chicago. Today, as a Public Benefit Corporation (PBC), MHN has expanded its mission and impact to new markets and is a nationally recognized leader in transforming care within the safety net and building healthier communities across the country. Our whole person model of care, powered by proprietary technology, enhances collaboration across primary care and community-based organizations, leading to better outcomes, lower costs, and reduced health disparities.

THE OPPORTUNITY:

Reporting to the CFO/COO, the Vice President, Compliance and Legal Affairs role provides leadership in evaluating and mitigating the broad range of legal, ethical and financial risks inherent in operating the Medical Home Network and affiliate MHN organizations for the ACO REACH Model, Medicare Shared Savings Program (MSSP) model, and MHN’s partner Wellness West. The Vice President is responsible for implementing an effective Compliance Plan to reasonably prevent and detect violations of law, and to promote an organizational culture that encourages a commitment to compliance with the law. The Vice President coordinates and communicates all assigned compliance activities, as well as plans, implements and monitors the day-to-day operations of the ACO REACH and MSSP model Compliance Plans, and Wellness West. Additionally, the Vice President oversees all legal affairs, including contracts and regulatory matters, and coordinates risk management activities across the enterprise. The CCO will have a dotted line reporting structure to the governing bodies of MHN’s ACO REACH and MSSP models, and Wellness West, on the activities and status of the Compliance Plan.  

• Fun, challenging, and collaborative work environment with passionate colleagues that care deeply about healthcare delivery.
• Recognized as One of the Best Places to Work in Healthcare by Modern Healthcare.
• Competitive benefits programs including Medical, Vision, Dental, HSA, FSA, and 401k.
• Fitness reimbursement, commuter benefits, and tuition assistance.
• Great work life benefits- Paid time off, sick time, and 12 paid holidays.
• Remote Schedule with regular travel to MHN offices in Chicago.

• Maintaining and overseeing the various Compliance Plans, including compliance with all applicable policies and procedures, and regulatory requirements.  
• Monitoring and oversight of multiple operational areas to ensure compliance with all federal and state laws, regulations, and standards, to include potential fraud, waste, and abuse concerns.  
• Serving as liaison to Centers for Medicare and Medicaid Services (CMS) regulators including participating in standing meetings, coordinating inquiries regarding program standards, and reviewing and distributing program guidance to appropriate individuals.  
• Handling and coordinating government audits and/or investigations regarding the participation in the ACO REACH and MSSP models.  
• Working with MHN leadership to correct any deficiencies found as part of compliance monitoring and oversight to ensure that issues do not recur. 
• Ensuring appropriate education and training around compliance requirements for all MHN personnel.  
• Reviewing and finalizing all communication to program beneficiaries and participating providers to assure compliance with federal and state regulations. 
• Serving as the Chair of the Compliance, with reporting on compliance activities to that committee including developing appropriate compliance reports that communicate the status of the Compliance Plan to the Compliance Committee, CEO, and Governing Body.  
• Developing, implementing, and updating an annual compliance risk assessment and monitoring and auditing program in accordance with the Compliance Work Plan including identifying solutions for risk mitigation as a result of such activities.  
• Leading the development of standards of business conduct, and policies and procedures to promote compliance consistent with regulatory, legal, and contractual requirements including continually monitoring and evaluating adherence. 
• Interacting directly with the applicable Governing Body, CEO, and executive and departmental management, Legal, State and Federal representatives and others as required. 
• Maintaining open lines of communication with personnel at all levels and overseeing compliance 2 hotline.  
• Participates in privacy and security activities for the enterprise. 
• Manage team of Contracts Compliance Manager and Compliance Analyst. Oversee compliance reporting, sanctions screening, investigations, and other compliance matters involving the MHN enterprise. 

• Serve as the primary liaison to external legal counsel for contracts, compliance, and regulatory matters. 
• Review and approve contracts, ensuring compliance with organizational and regulatory standards. 
• Oversee legal communications, including those with program beneficiaries and participating providers, to ensure compliance with federal and state regulations. 
• Participate in privacy and security initiatives, ensuring enterprise-wide compliance with data protection standards. 
• Chair the MHN Enterprise Risk Management Committee and oversee risk management activities across the organization. 
• Develop and oversee a comprehensive risk management program, identifying risks across operational, financial, regulatory, and reputational domains. 
• Perform risk assessments and collaborate with business units to develop risk mitigation strategies. 
• Lead risk analysis related to strategic decisions and business initiatives. 
• Oversee crisis management planning and business continuity processes, ensuring the company is prepared for unexpected disruptions. 
• Act as a point of contact for internal stakeholders and external parties during a crisis or emergency situation. 
• Foster a collaborative environment that ensures alignment between legal, risk management, and business teams. 

• An undergraduate degree is required; focus on Business, Healthcare, Public Policy, Accounting, or other related area is preferred. A juris doctor is required. 
• 10+ years relevant industry experience. Certification in Healthcare Compliance (CHC). 
• Proven success leading the development and management of compliance programs. 
• Demonstrated ability to work in highly regulated environments. 
• Extensive knowledge of CMS, ACO REACH and MSSP model regulations and guidance are developed. 
• Expertise in regulatory environments and enterprise risk management. 
• Knowledge of Medicare and CMS software application tools. 
• Experience working closely with outside entities, including vendors, CMS, external association representatives, consultants, and other compliance professionals, to ensure compliance with federal and state regulatory requirements. 
• Highly skilled in leading interdepartmental and cross-functional strategy development. 
• Recognized as an effective, highly collaborative strategic compliance leader with superior interpersonal skills and the ability to generate enthusiasm, teamwork, collaboration, and a culture of accountability. 
• Experience managing professional staff on multiple projects to ensure deadlines and objectives are met. 
• Excellent oral, written and presentation skills, as well as conceptual and analytic skills necessary to comprehend and articulate corporate objectives and federal and state regulations across relevant audiences. 
• Demonstration of utmost integrity in the handling of confidential materials and information. 

Medical Home Network is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected characteristic. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.