20068603 - Director of Compliance & Performance Monitoring (Administrative Staff)

A Little About Us: With roughly 1,500 employees in 7 offices across Ohio, BWC is the state agency that cares for Ohio workers by promoting a culture of safety at work and at home and ensuring quality medical and pharmacy care is provided to injured workers. For Ohio employers, we provide insurance policies to cover workplace injuries and safety and wellness services to prevent injuries. Our Culture: BWC is a dynamic organization that offers career opportunities across many different disciplines. BWC employees strive to maintain an inclusive workplace. We begin by being an equal opportunity employer. Employees can participate in and lead employee resource groups, participate in online forums discussing society’s impact on our services and workplace, and learn about how different perspectives can improve leadership skills. Our Vision: To transform BWC into an agile organization driven by customer success. Our Mission: To deliver consistently excellent experiences for each BWC customer every day. Our Core Values: One Agency, Personal Connection, Innovative Leadership, Relentless Excellence. What our employees have to say: BWC conducts an internal engagement survey on an annual basis. Some comments from our employees include: BWC has been a great place to work as it has provided opportunities for growth that were lacking in my previous place of work. I have worked at several state agencies and BWC is the best place to work. Best place to work in the state and with a sense of family and support. I love the work culture, helpfulness, and acceptance I've been embraced with at BWC. I continue to be impressed with the career longevity of our employees, their level of dedication to service, pride in their work, and vast experience. It really speaks to our mission and why people join BWC and then retire from BWC. Description - External BWC’s core hours of operation are Monday-Friday from 8:00am to 5:00pm, however, daily start/end times may vary based on operational need across BWC departments. Most positions perform work on-site at one of BWC’s seven offices across the state. BWC offers flex-time work schedules that allow an employee to start the day as early as 7:00am or as late as 8:30am. Flex-time schedules are based on operational need and require supervisor approval. What You’ll Be Doing: Oversees operations of the Compliance Performance Monitoring unit responsible for vocational rehabilitation regulatory, managed care organization (MCO) reporting, MCO compliance, Employer Substance Use Prevention and Recovery (SUPR) program compliance, Operational Quality Assurance, and Operational Policy. Oversees Compliance management team’s administration of Annual Monitoring Plan which monitors regulates performance of pharmacy rebate aggregators, Pharmacy Benefit Managers (PBMs), MCOs, and ensures operational quality standards and policies are maintained. Creates and/or ensures monitoring plan, procedures, policies, quality assurance initiatives, and operational policy guidelines are carried out, identifies process improvements recommends internal controls through issuance of Compliance Analysis Reports (CARs), Operational Quality Assurance reviews, and Operational Policy creation and updates. Accesses controls high-level confidential legal documents provides confidential advice to front-line departmental managers; advises Division Chief, directors, PBMs MCOs regarding monitoring processes, operational quality, and policy matters. Hires, promotes, disciplines, terminates subordinate personnel as appropriate and/or necessary. Performs other unclassified fiduciary duties functions as required (e.g., development delivery of complex presentations related to monitoring BWC, PBM, MCOs, operational quality assurance, and operational policy, makes presentations to Chief other BWC executive staff). Makes presentations to Chief other BWC executive staff regarding monitoring processes, operational quality, and policy matters.