AbleTo, Inc. is a market leader in providing technology-enabled behavioral health care. AbleTo has been treating patients for over six years, and improves patient outcomes and lowers costs by providing treatment that integrates behavioral and medical health care. AbleTo's structured therapy programs strengthen medical recovery and self-care among members with chronic or complex clinical needs. AbleTo analytics, coupled with our multi-channel engagement platform, identify and engage members with unmet, often undiagnosed, behavioral health needs. A proprietary platform connects individuals and their care teams with AbleTo licensed providers who deliver weekly sessions by phone or video supported by an integrated digital experience.AbleTo programs are clinically proven to improve both behavioral health and medical outcomes while lowering overall spending for higher-cost, higher-risk members.
The Compliance Manager will report to the Corporate Compliance Officer and assist with developing, managing, implementing, auditing and monitoring activities. Will provide training to AbleTo staff to assure compliance, as described in the annual compliance work plan. Strong analytical and communication skills required to ensure service lines and business areas have processes and guidelines in place to comply with applicable State and Federal laws and regulations for Medicare and Medicaid, and other third party insurers. Business areas will include, but are not limited to: eligibility, engagement and service centers, marketing, billing, clinical, and provider network. Independent monitoring in analyzing risk assessments, overseeing third parties in assessments, performing audits, creating reports and scorecards, educating and following up with agencies to ensure processes exist that demonstrate compliance with applicable laws, regulations, accreditations, and client contractual commitments.
AbleTo is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status. AbleTo is an E-Verify company.
Upon the acceptance of an offer to enter into this agreement, AbleTo requires the satisfactory completion of reference and background checks and successful completion of drug testing in accordance with local, state and federal laws.