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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.  


THE PERKS
  • 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.


WHAT YOU CAN LOOK FORWARD TO:

Compliance Program Leadership: 
  • 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. 

Legal Affairs and Risk Management: 
  • 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. 


WHAT YOU’LL NEED TO SUCCEED:
  • 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.

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What You Should Know About Vice President, Compliance and Legal Affairs, Medical Home Network

Are you ready to take the lead in transforming healthcare compliance? Join Medical Home Network as the Vice President, Compliance and Legal Affairs. We’re on a mission to change how healthcare is delivered, and we want passionate individuals like you to help us make a significant impact. As a Public Benefit Corporation founded by the Comer Family Foundation, Medical Home Network is dedicated to improving health outcomes in communities, particularly in Chicago. In this pivotal role, you’ll partner closely with our CFO/COO to mitigate legal and financial risks while ensuring compliance with various models like ACO REACH and the Medicare Shared Savings Program. Your leadership will shape our compliance culture, making it easy for employees to align with legal standards while using proprietary technology to enhance care collaboration. You’ll oversee crucial compliance activities, handle government audits, and ensure that all team members are equipped with the necessary training and support to adhere to compliance protocols. In addition to an impressive benefits package that includes a competitive salary, comprehensive healthcare options, and remote work flexibility, we value your growth and work-life balance with generous paid time off and development opportunities. If you have a passion for compliance in healthcare and want to lead a team that truly makes a difference, we would love for you to apply and be part of something transformative at Medical Home Network!

Frequently Asked Questions (FAQs) for Vice President, Compliance and Legal Affairs Role at Medical Home Network
What are the primary responsibilities of the Vice President, Compliance and Legal Affairs at Medical Home Network?

The Vice President, Compliance and Legal Affairs at Medical Home Network is responsible for overseeing compliance plans, managing legal affairs, and mitigating risks associated with various healthcare programs such as ACO REACH and the Medicare Shared Savings Program. The role involves ensuring adherence to federal and state regulations, managing government audits, and providing compliance training to team members.

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What qualifications are necessary for the Vice President, Compliance and Legal Affairs position at Medical Home Network?

To be considered for the Vice President, Compliance and Legal Affairs role at Medical Home Network, candidates must hold a juris doctor degree and have at least 10 years of relevant industry experience. Additionally, a cerification in Healthcare Compliance (CHC) and extensive knowledge of CMS regulations is required. Proven leadership in compliance program management is essential for this position.

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How does the Vice President, Compliance and Legal Affairs influence the culture at Medical Home Network?

The Vice President, Compliance and Legal Affairs plays a key role in shaping the compliance culture at Medical Home Network by promoting an organizational commitment to compliance through effective policies and training. This position encourages collaboration and communication across all levels of the organization, ensuring that compliance becomes an integral part of the company ethos.

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What are the benefits of working as Vice President, Compliance and Legal Affairs at Medical Home Network?

Working as the Vice President, Compliance and Legal Affairs at Medical Home Network comes with numerous benefits including competitive health insurance packages, a collaborative work environment, fitness reimbursement, tuition assistance, and the flexibility of remote work. Employees also enjoy generous paid time off and holiday pay, making it an attractive opportunity for those passionate about healthcare.

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What type of experience is preferred for candidates applying for the Vice President, Compliance and Legal Affairs role at Medical Home Network?

Candidates applying for the Vice President, Compliance and Legal Affairs position at Medical Home Network should have a background in healthcare compliance or legal affairs, with experience leading compliance initiatives in highly regulated environments. Familiarity with ACO REACH and MSSP model regulations is preferred, along with demonstrated success in managing compliance teams and projects.

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Common Interview Questions for Vice President, Compliance and Legal Affairs
Can you describe your experience with compliance programs in healthcare?

When answering this question, share specific examples of compliance programs you’ve developed or managed. Discuss your strategies for ensuring adherence to regulations and how you handled audits or investigations. Highlight your collaborative efforts with other departments to promote a culture of compliance.

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How do you approach risk management in a healthcare setting?

Detail your approach to identifying and mitigating risks in a healthcare environment. Explain your methodologies for conducting risk assessments and how you involve various stakeholders in developing risk management strategies. Mention any tools or frameworks you’ve used effectively.

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What challenges have you faced in previous compliance roles? How did you overcome them?

Reflect on specific challenges you encountered, such as regulatory changes or compliance violations. Share how you addressed these challenges through proactive measures, team collaboration, or process improvements. Use this opportunity to demonstrate your problem-solving skills.

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How do you ensure your team is educated on compliance requirements?

Discuss your strategies for training and educating employees on compliance. This could include regular training sessions, updates on regulatory changes, or creating accessible resources. Emphasize the importance of fostering an ongoing dialogue about compliance within your team.

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How would you collaborate with external entities like vendors and regulatory bodies?

Express your commitment to building strong relationships with external partners. Discuss how you would maintain open lines of communication and transparency, ensuring that compliance expectations are met and that any issues are addressed promptly.

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Can you give an example of a successful initiative you led related to compliance?

Share a specific initiative that showcases your leadership and results-driven approach. Detail the objectives of the initiative, the steps you took to achieve success, and the positive impact it had on the organization’s compliance practices.

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How do you stay updated on regulatory changes in healthcare compliance?

Highlight your commitment to continuous learning. Discuss various resources you utilize, such as professional organizations, industry conferences, and regulatory updates. Mention how you apply this knowledge to keep your team informed and compliant.

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What is your leadership style when managing compliance teams?

Describe your leadership style, focusing on collaboration, empowerment, and accountability. Provide examples of how you have encouraged teamwork and motivated your team to achieve compliance objectives.

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How do you handle conflicts or disagreements related to compliance issues?

Discuss your conflict resolution strategies, emphasizing your ability to remain calm and objective. Share how you navigate discussions, encourage open communication, and aim for solutions that align with compliance guidelines.

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What role do you believe technology plays in compliance management?

Talk about the growing importance of technology in streamlining compliance processes. Discuss specific tools or systems you have used to enhance compliance monitoring, reporting, and training. Highlight how technology can improve efficiency and reduce the risk of non-compliance.

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Medical Home Network (MHN) is transforming care in the safety net and building healthier communities. MHN, which was selected as one of the 2021 Best Places to Work in Healthcare, builds partnerships in the community to connect key stakeholders, f...

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Full-time, remote
DATE POSTED
March 9, 2025

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