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In-House
Attorney
Corporate
Litigation - Whistleblower - CFTC
Min 3 yrs required
Corporate Responsibility Officer Duties: Administering Corporate Responsibility Program (CRP) which addresses and provides a framework for compliance with Standards of Conduct and will be responsible for ensuring the plan remains in compliance with all applicable laws, regulations and requirements. Functions in an independent and objective manner. A member of the entity’s senior leadership team and routinely meets with the entity CEO/administrator and executive leadership team. Reports to and is accountable to the Regional CRO and has dotted-line reporting responsibility to the entity CEO and board compliance oversight committee. Serves as the executive oversight for all aspects of the entity CRP and provides expertise and guidance on matters involving legal and regulatory compliance. Administer, updates and monitors and oversees comprehensive uniform CRP at the entity level in support of Federal guidance regarding the elements of effective compliance programs. Develops and updates compliance issues in policies and procedures. Assists the Regional CRP Privacy Officer in administering, updating, monitoring and overseeing comprehensive, uniform privacy program for the entity. May serve as the entity Privacy Officer or may coordinate with and assist the entity Privacy Officer in Privacy/Security investigations, including the response and mitigation of complaints. Reports on a regular basis to the Regional CRO, and to the entity CEO, CRP oversight committee and board compliance oversight committee on compliance matters and the progress of the CRP. Chairs or co-chairs with another CRO within the division, the entity CRP Committee and serves as a lead staff support to the entity’s board compliance oversight committee. Coordinates the applicable meeting calendar, agendas, materials and minutes. Maintains expert working knowledge of and disseminates applicable laws and regulations; and oversees and coordinates investigative and enforcement activities affecting the entity. Oversees and coordinates internal and external resources to ensure adequate, independent system–wide auditing and monitoring resources are devoted to identified compliance risk activities. May have responsibility for conducting compliance audits to identify compliance risks. Coordinates and oversees internal and external CRP investigations and complaints through resolution. May have responsibility for conducting compliance audits to identify compliance risks. Participates in professional industry groups and development opportunities to further the effectiveness of CRP and lend voice to regulatory and legal compliance matters. May serve as a compliance subject matter expert in a specific compliance area through coordination with the Regional CRO. May supervise local CRP staff assigned and be responsible for hiring, performance evaluations, coaching and developing staff.
Qualification and Experience
Qualifications: Bachelor Degree in Hospital Administration, Finance, Law, Accounting, Health Information Management, Nursing, Business or related clinical field required. Certification in Compliance required within one year of hire. Master / J.D. Degree and additional certifications in Finance, Coding, or other relevant field will be considered. 3+ years of progressive management experience in government or commercial health plan compliance is required. An additional 5 years of related health plan operational or leadership experience is also required. Must have the ability to work effectively in a large, geographically diverse system. Demonstrates a commitment to service, organization values and professionalism through appropriate conduct and demeanor at all times.
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