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Carrot Peelers, Sales, Personality and Your Job Search
In-House
Attorney
Government / Public Law
Litigation - Whistleblower - CFTC
Min 3 yrs required
Compliance Officer Duties: Implement and oversee the compliance program related to the Medicare Conditions of Participation, Licensure and Joint Commission Standards. Responsible for implementing policies, procedures and practices designed to ensure compliance with Medicare Conditions of Participation. Will be the primary contact person for all external surveys related to licensure and accreditation. Advise, educate and direct employees and medical staff on regulatory issues. Serve as the primary liaison with surveyors including Joint Commission and licensure. Oversee the hospital’s program designed to maintain compliance with Joint Commission/Medicare Conditions of Participation standards. Develop, initiate, maintain and revise policies and procedures relevant to compliance. Monitor proposed legislative and/or regulatory changes and timely communicate these developments to all stakeholders to assure continued compliance. Oversee compliance with State licensure regulations. Collaborate with other EMMC departments (e.g. Risk Management, Internal Audit, Legal etc.) in the investigation and resolution of compliance issues. Conduct a risk assessment at least annually to identify potential areas of vulnerability and risk. Provide oversight of provider based status compliance. Work collaboratively and supportively with the EMHS Compliance Department on Regulatory/Licensure issues, and actively participate in and contribute to System teams relevant to areas of responsibility. Other duties as assigned by the COO, including in support of other aspects of compliance program such as HIPAA, auditing, coding/billing, etc. Participate as a ‘mock surveyor’ at EMHS member facilities. Provide compliance support for other areas of the compliance program.
Qualification and Experience
Qualifications: Master’s degree in healthcare related field or a law degree strongly preferred. Bachelor’s Degree required. Certified Joint Commission Professional CJCP preferred; otherwise must obtain certification within 3 years of hire. Experience interpreting and implementing Joint Commission Standards, Conditions of Participation, State Licensure Regulations, and Medicare and Medicaid program requirements strongly preferred. Must have demonstrated ability to partner effectively with others to resolve complex regulatory issues. Experience in hospital operations preferred. Must have familiarity with general regulatory compliance environment and requirements of healthcare organizations.
Requisition #: 26597
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