The Center for Alternative Sentencing & Employment Services (CASES) is a leading provider of jail and prison alternatives and mental health services for youth, young adults, and others impacted by the criminal legal system. CASES continuum of services includes Pretrial bail alternatives, youth alternatives to incarceration, State-licensed intensive mobile treatment, in-community family and mentoring, and one of the nation’s only forensic-specialist Certified Community Behavioral Health Clinics, located in Central Harlem. Our programs operate at the frontlines of efforts to reform the criminal legal system, providing direct services proven to help participants achieve goals and address challenges while reducing future system involvement. Our Behavioral Health Services are primarily Medicaid-funded and licensed by the NYS Office of Mental Health.  Our programs are governed by varying regulations and contractual requirements.

All applicants must comply with CASES/NYC's vaccination policy. Individuals selected for employment cannot begin working until they provide verification that they are fully vaccinated against COVID-19 (with an FDA-authorized vaccine) or submit and gain approval for a Medical or Religious Exemption. Individuals approved for exemption must submit weekly PCR test results.

We believe that in-person operations are the best way to serve our clients, both directly and through essential operational support. ​This job requires work in our offices.

We are looking for a Compliance Director to grow and implement the strategic direction for organization-wide compliance, with the goal of anticipating and mitigating risk and improving processes and outcomes across our many programs and operational departments.  The Compliance Director reports to CASES General Counsel.

Who Are You?

• You are strategic, and have experience developing and implementing a Compliance Program.
• You are excited about creating and supporting a culture of compliance that supports and furthers quality services.
• You are a subject matter expert in Medicaid and healthcare compliance.

• You are organized, disciplined, and can manage multiple projects simultaneously.
• You see the big picture but are detail oriented.  You are process-minded and look for opportunities to improve efficiency and effectiveness.
• You have the capacity to be nimble and are comfortable leading in an environment of constant change, competing priorities, and regulatory requirements.
• You’re experienced working with program, clinical, and operations staff, as well as lawyers and IT staff.
• You are highly organized, curious, and resourceful and thrive in a busy environment in which you will work both independently and with others.
• You are eager to roll up your sleeves to support and further CASES mission.

What Will You Do?

• Develop and implement CASES Compliance Program, including a comprehensive Medicaid Compliance Program to prevent fraud, waste, and abuse.
• Develop and implement risk assessments and an annual compliance workplan, including an annual audit plan.
• Ensure and strengthen compliance with and understanding of confidentiality and privacy requirements, including HIPAA, 42 CFR Part 2, NYS Shield Law, OMH requirements, and NYC privacy laws.
• Work closely with the General Counsel, IT, and database staff to identify and address security risks.
• Develop and implement compliance policies and procedures, including necessary forms to adequately ensure compliance with state and federal laws, regulations, contracts, and best practices. Revise Policies and Procedures as needed to address changes in law.
• Monitor the organization for potential compliance violations and risk and investigate reports of suspected violations. Conduct audits to assess compliance with critical policies, procedures, and regulations. Design audit tools and audit report formats.
• Upon identification of non-compliance, provide support to staff by conducting a root cause analysis and corrective action, including training and compliance reviews.
• Participate in credentialing, fiscal, and other committees and meetings to assess risk and guide compliance activities. Convene and Chair CASES Compliance Committee.
• Implement and manage procedures for HIPAA Business Associate Agreements and screening for excluded staff and vendors. Identify and implement procedures to strengthen compliance work.
• Regularly report to the General Counsel, Board of Trustees, and senior staff.
• Work closely with staff to ensure that compliance is integrated into quality assurance and quality improvement efforts. Participate in organization incident review committees, including conducting investigations.
• Keep up to date on compliance and regulatory requirements and identify and develop effective compliance tools and resources.
• Visit all CASES locations and meet with staff on a regularly scheduled as well as spontaneous basis to assess risk, conduct investigations, and educate staff.
• Conduct education and training including Medicaid training, Code of Conduct, Whistleblower, and other compliance topics. Develop creative compliance education tools and activities such as email blasts, portal and newsletter postings, and Compliance Week activities.
• Engage in ad hoc tasks at the direction of the General Counsel, including administrative responsibilities.

• Master’s degree in Compliance, Healthcare, Business Administration or equivalent education and experience. Law Degree Preferred.  CHC or CHPC certification a plus;
• Ten or more years of progressive experience in compliance roles;
• Prior experience in a Medicaid-funded, healthcare setting required;
• Minimum of 5 years of experience managing projects;
• Good knowledge of legal requirements, procedures and compliance regulations including HIPAA, 42 CFR part 2, FERPA, Medicaid, OMH regulations, and other applicable regulations;
• Experience synthesizing laws, regulations, contracts, and working with outside auditors and regulators;
• Demonstrated ability to identify potential areas of compliance vulnerability and risk and to propose a course of corrective action;
• Experience developing and implementing audits;
• Experience developing and conducting trainings;
• Demonstrated acuity in integrity and professional ethics;
• Demonstrated problem solving skills;
• Excellent time management skills and ability to juggle multiple priorities;
• Excellent oral and written communication skills; and
• Facile in Microsoft Excel, SharePoint, and other programs to facilitate program management and compliance.

Submit your updated resume with a cover letter expressing your interest in this role.  Applications must include a cover letter. Please be prepared to share three professional references, including a supervisor, who can describe your Compliance work in a healthcare setting.

No phones calls, please. Only applicants selected for interviews will be contacted.

CASES is proud to be an Equal Opportunity Employer. Employment with CASES is based solely on qualifications and competence for a particular position, without regard to race, color, ethnic or national origin, age, religion, creed, gender, sexual orientation, disability, or marital, military, or citizenship status. We also actively recruit individuals with prior involvement in the criminal justice system. Your information will be kept confidential according to EEO guidelines.