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The Vice President, Compliance Business Partner is a key leader on the Compliance team and serves as the main point of contact between the Compliance team and the business teams, including the Commercial, Purchasing and Business Development, Revenue Cycle Management, Ambulatory Infusion Center, Naven Health and acquired business teams. With more than 2,900 clinical experts, Option Care Health is able to provide high-quality infusion services for nearly all patients with acute and chronic conditions across the United States, resulting in high quality outcomes at a significantly reduced cost.

YEAR

Extraordinary Careers. Endless Possibilities. With the nation’s largest home infusion provider, there is no limit to the growth of your career. Option Care Health, Inc. is the largest independent home and alternate site infusion services provider in the United States. With over 8,000 team members including 5,000 clinicians, we work compassionately to elevate standards of care for patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the infusion care experience for patients, customers and employees. As a two-year recipient of the Gallup Exceptional Workplace Award, we recognize that part of being extraordinary is building a thriving workforce that is as unique as the patients and communities we serve. Join a company that is taking action to develop a culture that is inclusive, respectful, engaging and rewarding for all team members. Our organization requires extraordinary people to provide extraordinary care, so we are investing in a culture that attracts, hires and retains the best and brightest talent in healthcare. Job Description Summary: The Vice President, Compliance Business Partner is a key leader on the Compliance team and serves as the main point of contact between the Compliance team and the business teams, including the Commercial, Purchasing and Business Development, Revenue Cycle Management, Ambulatory Infusion Center, Naven Health and acquired business teams. This role is responsible for helping the business teams understand and follow Company policies, regulatory requirements, and our compliance program. The Vice President provides expert guidance on strategic initiatives, day-to-day operations, and leads the monitoring and assessment of changes in the regulatory landscape, with a strong focus on preventing, detecting, and addressing fraud, waste and abuse (FWA). This leader promotes a culture of integrity and accountability and ensures compliance risks are proactively identified and addressed. This position reports to the SVP, Chief Compliance Officer. Job Description: ​ Job Responsibilities (listed in order of importance and/or timespent) Act as a trusted advisor to our business teams providing strategic guidance and support on compliance-related matters, including regulatory and policy requirements, potential issue spotting, and implementation of processes, controls, and risk mitigation activities. Propose innovative solutions to achieve business objectives, enabling risk-based decision-making within ethical boundaries and optimizing business performance. Serves as a subject matter expert in health care compliance including, but not limited to FWA, Medicare & Medicaid billing requirements, and interactions with healthcare professionals. Lead or support risk assessments of business activities, identifying potential compliance risks and recommending mitigation strategies. Partner with our business teams to integrate compliance considerations into strategic planning, decision- making processes, and new business initiatives, ensuring alignment with corporate values and objectives. Lead the development and implementation of compliance programs, policies, and procedures tailored to the needs of the business teams. Collaborate across all functions including Operations, Market Access, Internal Audit, Legal, Clinical & Quality, Human Resources and Finance and others as required. Serve as a liaison between the Compliance Department and business teams, facilitating communication coordination, and collaboration on compliance-related initiatives and projects. Act as an ambassador to promote the Compliance brand and engagement of team members across the organization. Support our continuous improvement mindset for Option Care’s compliance program by sharing business insights and examples of compliance-in-action with the Compliance team, recommending program enhancements and leading the implementation of certain program updates. Provide guidance and oversight to ensure integration of appropriate policy into the development of programs, including oversight and/or review and approval of programs and processes with our business teams and other functions. Collaborate with Compliance Operations on healthcare professional engagement process, Corporate Integrity Agreement requirements, internal investigations, policy updates, exceptions approval, training, monitoring and auditing activities, and implementation of corrective actions. Stay current on relevant laws, regulations, and industry trends affecting healthcare compliance, and proactively advise stakeholders on emerging issues and potential impacts. Follows and educates on our external regulatory landscape including OIG Guidance, corporate compliance program guidance, special fraud alerts, etc. and drives policy enhancements to align with our regulatory environment. Identify opportunities for education and deliver compliance training to new and existing employees in partnership with the Compliance Operations Team. Supports the Compliance Officer with M&A compliance activities including, but not limited to, due diligence activities, risk assessment and mitigation plans, and integration management. SupervisoryResponsibilities Does this position have supervisory responsibilities? (i.e., hiring, recommending/approving promotions and pay increases, scheduling, performance reviews, discipline, etc.) No Yes X Basic Education and/or ExperienceRequirements 12+ years of healthcare, pharmaceutical or other compliance experience including compliance business partnership, monitoring, auditing and/or investigations. Proven experience in a leadership role of a compliance function in the healthcare industry, with a deep understanding of healthcare regulations, such as the Anti-Kickback Statute, Stark Law, HIPAA and Medicare/Medicaid requirements. BasicQualifications Knowledge of and experience with laws, regulations and industry guidance that affect the health care industry including OIG and PhRMA guidelines. Strong project and time management skills with the ability to handle multiple tasks, set priorities, meet deadlines, and develop process efficiencies where required. Able to work independently and know when to appropriately escalate an issue for resolution. Demonstrated ability to communicate effectively with individuals up, down, and across the organization. Demonstrated leadership skills, including ability to lead change management efforts through effective cross functional communication and persuasion. Experience participating in ongoing risk assessments to identify potential compliance risks and vulnerabilities within the organization, working collaboratively with cross-functional teams to develop and implement mitigations. Leverage and provide ongoing direction, oversight, coaching and development to shared Compliance staff and foster a team culture of inclusion, connectivity and professional growth. Excellent communication and interpersonal skills, with the ability to simplify and communicate complex issues clearly and succinctly, build relationships, and influence stakeholders. Physical DemandRequirements Ability to sit and work at a computer for extended periods of time. Travel Requirements: (ifrequired) Willing to travel up to 10% of the time for business purposes (within state and out of state). Preferred Qualifications & Interests(PQIs) In-house experience in a corporate compliance program at a publicly traded company. Due to state pay transparency laws, the full range for the position is below: Salary to be determined by the applicant's education, experience, knowledge, skills, and abilities, as well as internal equity and alignment with market data. Pay Range is $160,542.32-$267,555.82 Benefits: -401k -Dental Insurance -Disability Insurance -Health Insurance -Life Insurance -Paid Time off -Vision Insurance _Option Care Health subscribes to a policy of equal employment opportunity, making employment available without regard to race, color, religion, national origin, citizenship status according to the Immigration Reform and Control Act of 1986, sex, sexual orientation, gender identity, age, disability, veteran status, or genetic information._ ​ For over 40 years, Option Care Health has provided adult and pediatric patients with an alternative to hospital infusion therapy. With more than 2,900 clinical experts, Option Care Health is able to provide high-quality infusion services for nearly all patients with acute and chronic conditions across the United States, resulting in high quality outcomes at a significantly reduced cost. Option Care Health has more than 70 infusion pharmacies and 100 alternate treatment sites. We are guided by our purpose to provide extraordinary care that changes lives through a comprehensive approach to care along every step of the infusion therapy process including: intake coordination, insurance authorization, resources for financial assistance, education and customized treatments.

Option Care Health

Vice President, Compliance Business Partner - Hybrid Remote

To ensure Hybrid Office/Home associates’ ability to work effectively, the self-provided internet service of Hybrid Office/Home associates must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested. The Lead Business Intelligence Engineer should have a data-first mindset aimed at tackling complex problems and designing solutions to make customers’ lives easier while creating value for the business through strategic research and data analysis aimed at gaining organizational alignment to prioritize work across functions.

Become a part of our caring community and help us put health first The Lead Business Intelligence Engineer solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. This role will work to solve problems of diverse scope and complexity ranging from moderate to substantial. The Lead Business Intelligence Engineer should have a data-first mindset aimed at tackling complex problems and designing solutions to make customers’ lives easier while creating value for the business through strategic research and data analysis aimed at gaining organizational alignment to prioritize work across functions. This role will partner cross-functionally and lead analyses using customer, performance, and pharmacy data to produce insights and a data story to inform decision-making for the overall growth of the pharmacy portfolio. Position responsibilities + Gather and analyze data related to industry trends, customer behavior, and product performance. + Ongoing performance monitoring of partner dashboards, KPI and initiative investments. + Conduct competitive analysis and market research for optimization and innovation purposes. + Partner with other members of the team, leveraging enterprise data, to aid in identifying and prioritizing growth opportunities. + Lead discovery, collection and analyzation of data in coordination with other departments (i.e. Pharmacy Analytics, Finance, Operations, etc.). + Become a subject matter expert in pharmacy data by building relationships with partner data teams. + Manage KPI scorecard. + Performance tracking of growth initiatives. + Use data story to influence long-term strategy. Use your skills to make an impact Required Qualifications + Bachelor's degree and at least 5 years of experience in Data Analysis & Interpretation to include the ability to analyze large datasets to identify trends, patterns, and insights related to industry, customer behavior, and product performance. + Strong business acumen experience in understanding business models and KPI’s to analyze data and create data visualizations to solve a wide variety of business problems and drive strategic direction and outcomes. + Technical proficiency in utilizing tools such as: SQL, Tableau, Qlik, Power BI, Salesforce, Adobe and/or Excel, etc. to analyze and interpret large sets of data. + Proven ability to work with cross-functional teams (IT, marketing, finance) and translate requirements between business, project management and technical projects or programs. + Proficiency in understanding Healthcare related data (I.E. authorizations, claims, medical records or related). + Proficiency in verbal/written communication to senior and executive leadership to include explaining complex data insights to non-technical stakeholders. + Experience in conducting market & competitive research to include SWOT analyses, benchmarking and identifying market opportunities and threats. + Trend analysis: Proficient in identifying and forecasting industry trends and customer behavior shifts. + Critical thinking experience turning data into actionable strategies. + Strong attention to detail skills with experience ensuring data accuracy and reliability. Preferred Qualifications + Advanced Degree in a quantitative discipline, such as Mathematics, Economics, Finance, Statistics, Computer Science, Engineering or related field. + Advanced in SAS and other data systems. + Expertise in data mining, forecasting, simulation, and/or predictive modeling. + Experience creating analytics solutions for various healthcare sectors. + Experience in project management, project leadership experience and/or PMP certification. Additional Information Work Style : Remote Work at Home/Remote Requirements To ensure Hybrid Office/Home associates’ ability to work effectively, the self-provided internet service of Hybrid Office/Home associates must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested. + Satellite, cellular and microwave connection can be used only if approved by leadership. + Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office associates with telephone and computer equipment appropriate to meet the business requirements for their position/job. + Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. HireVue Statement : As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $117,600 - $161,700 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 09-26-2025 About us About CenterWell Pharmacy: CenterWell Pharmacy provides convenient, safe, reliable pharmacy services and is committed to excellence and quality. Through our home delivery and over-the-counter fulfillment services, specialty, and retail pharmacy locations, we provide customers simple, integrated solutions every time. We care for patients with chronic and complex illnesses, as well as offer personalized clinical and educational services to improve health outcomes and drive superior medication adherence. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first – for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. ​ Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options https://www.partnersinprimarycare.com/accessibility-resources

CenterWell

Lead Business Intelligence Engineer

Humana

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Hybrid Business Jobs in Latham, NY

Option Care Health

CenterWell

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