Director, Program Compliance
The Director, Program Compliance will lead the structuring, development and implementation of the PSHCP’s comprehensive compliance and quality assurance program – the Audit Services and Detection Program.
Reporting to the Senior Director, Audit and Operations, the Director, Program Compliance will oversee the identification of compliance issues for action and inclusion in the Administration Authority’s (AA) comprehensive risk assessment and audit plan and will develop expertise for the AA by monitoring trends in the compliance field related to health care programs. This individual will lead the assessment of potential vulnerabilities in the false claims area and provide direction to ensure that reviews and investigations are undertaken when appropriate. The Director, Program Compliance will direct the organization’s responses to compliance audits and false claims assessments as well as oversee the production of quarterly and ad hoc reporting of the Audit Services and Detection Program and false claims management.
As the ideal candidate, you bring significant audit and/or program compliance and/or investigative experience and are known for your attention to detail along with your ability to identify trends, patterns and anomalies in information and data. You possess a University degree in commerce, business, finance, or a related discipline with additional post-secondary education in a law or paralegal program, as well as knowledge of fraud analysis methodologies and false claims case management, including legal aspects. You bring exceptional communication skills and have the ability to build collaborative working relationships at all levels with the common goal in mind of achieving the organizations established strategic objectives. Bilingualism is considered an asset.
To express your interest in this key role with the PSHCP Administration Authority or to submit your resume and related information in confidence, contact Michael Hobouti at Michael.email@example.com or go online at www.odgersberndtson.com/en-ca/opportunities.
The Public Service Health Care Plan is an equal opportunity employer. In accordance with the Accessibility for Ontarians with Disabilities Act, 2005, upon request, accommodation will be provided by both Odgers Berndtson and PSHCP throughout the recruitment, selection and/or assessment process to applicants with disabilities.