Director of Compliance

Verida IncVilla Rica, GA
1d

About The Position

Verida, Inc. is a non-emergency medical transportation (NEMT) management company headquartered in Villa Rica, Georgia. We specialize in administering complex NEMT programs for state Medicaid agencies and managed care organizations. Our services include call center operations; eligibility verification and utilization controls; claims management; transportation provider credentialing and monitoring; fraud, waste, and abuse mitigation; and comprehensive compliance and quality management. The Director of Compliance provides enterprise-level leadership and oversight of compliance, transportation safety, and operational risk across Verida’s NEMT programs. Reporting to the Vice President, Corporate Compliance, this role is responsible for developing, implementing, and monitoring compliance frameworks that support Verida’s contractual, regulatory, and operational obligations across multiple state Medicaid and managed care transportation programs. This position serves as a key compliance leader responsible for monitoring provider and operational compliance, strengthening internal control systems, and utilizing data-driven insights to identify and mitigate regulatory and operational risk. The Director of Compliance also plays a key role in new contract implementation, audit readiness, and cross-departmental coordination to support Verida’s compliance and quality objectives.

Requirements

  • Minimum of 7 years of experience in compliance, risk management, transportation safety, healthcare operations, or regulatory oversight.
  • At least 3 years of experience in passenger transportation, healthcare transportation, NEMT, paratransit, or a related regulated service environment.
  • Experience working within multi-state regulatory environments or brokered transportation networks is preferred.
  • Demonstrated experience conducting investigations and managing corrective actions through resolution.
  • Working knowledge of Medicaid transportation programs, managed care requirements, and regulatory compliance frameworks.
  • Experience analyzing large datasets and operational performance metrics.
  • Strong proficiency in Microsoft Office and compliance reporting tools.
  • Bachelor’s degree in Business Administration, Compliance, Risk Management, Transportation/Logistics, Public Administration, or a related field, or an equivalent combination of education and relevant experience.
  • Strong written and verbal communication skills with the ability to communicate effectively with executive leadership, clients, and external partners.
  • Ability to operate effectively in a multi-state regulatory and contract-driven environment.
  • Strong organizational and project management skills.
  • Willingness and ability to travel to provider locations and program sites as needed.

Nice To Haves

  • Experience working for an NEMT broker, managed care organization, or transportation management company.
  • Experience supporting state audits, CMS oversight activities, or managed care compliance programs.
  • Professional certifications in compliance, safety, or risk management (e.g., CHC, CCEP, ASP, CSP).

Responsibilities

  • Respond to alleged violations of rules, regulations, or policies/procedures by evaluating and recommending the initiation of investigative procedures and/or remedial action.
  • Identify potential areas of compliance vulnerability; develop and implement corrective action plans for resolving problematic issues and provide guidance on preventing similar issues in the future.
  • Provide recommendations for systematic internal controls and process improvements to strengthen corporate compliance and risk mitigation efforts.
  • Serve as the liaison between departments to promote alignment with contractual and regulatory requirements.
  • Provide reports on a regular basis, as directed or requested, to keep senior management informed of the progress and status of compliance initiatives.
  • Maintain organized records of all Managed Care Organization (MCO) and State contracts, including amendments and supporting documentation.
  • Create contractual compliance monitoring tools and matrices to support oversight of operational and regulatory obligations.
  • Develop project plans and tracking mechanisms to address compliance deficiencies and operational risks.
  • Assist with the implementation of new contracts and state program operations to ensure compliance alignment during program launch and expansion.
  • Assist with State and MCO audit functions, including documentation preparation, audit responses, and corrective action management.
  • Develop and maintain transportation safety standards and compliance expectations for NEMT providers.
  • Participate in or lead provider safety and compliance audits, including analysis of incident history, training records, vehicle inspections, and corrective actions.
  • Review, analyze, and trend safety-related events including collisions, member injuries, safety complaints, and safety-related missed trips.
  • Work cross-functionally with Compliance, Quality, and Provider Relations to develop, implement, and monitor corrective action plans at the provider and program level.
  • Establish consistent enterprise expectations for incident reporting, investigation, and documentation across programs and provider networks.
  • Utilize large datasets and operational analytics to identify potential compliance deficiencies and systemic risks.
  • Analyze incident reports, complaints, provider performance metrics, and operational data to identify trends and improvement opportunities.
  • Support the development of compliance dashboards and reporting tools that provide leadership with visibility into risk and compliance performance.
  • Collaborate with internal teams—including Compliance, Operations, Provider Relations, Quality, and Finance—to support enterprise compliance objectives.
  • Participate in provider meetings, training sessions, and internal initiatives to reinforce compliance expectations and operational standards.
  • Serve as a compliance subject matter expert supporting regulatory inquiries, client requests, RFP responses, and internal policy development.
  • Perform additional duties as assigned.
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