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Carrot Peelers, Sales, Personality and Your Job Search
In-House
Attorney
Government / Public Law
Litigation - Whistleblower - CFTC
Min 5 yrs required
Director of Compliance Policies & Procedures/Education & Training Duties: Policies & Procedures: through oversight and development of an expansive compendium of organizational policies, standard operating procedures (“SOPsâ€), and process workflows, ensuring compliant and consistent documentation with operational support and partnership; and, Education & Training: through oversight and development of a proactive, focused approach to compliance- and ethics-based training courses for a global workforce with online and in-person educational offerings designed to ensure consistency and sensitivity to a dynamic healthcare regulatory environment. Report to and work closely with Accretive Health’s Senior Vice President, Chief Compliance & Ethics Officer and the full Compliance & Ethics team, in partnership with Accretive Health’s India and U.S. based management for RCM and PAS operations, legal, risk management, and internal audit. In this role, the successful candidate will support the comprehensive strategy and growth plans to ensure that the company exhibits and maintains a robust and proactive compliance program. Oversee and execute development, revisions and regulatory review of organizational/operational policies, procedures, and process workflows with regulatory, compliance and/or ethical risks, implications or requirements; Manage NAVEX PolicyTech global workforce repository for all policies, procedures, process workflows and overall standardization of such documentation; Develop and execute, in partnership with key organizational stakeholders and subject matter experts, compliance- and ethics-based education and training programming for the company’s global workforce, including focused training programs for high-risk areas and service offerings; and, Serve as a subject matter expert and leader in providing and communicating guidance and direction on compliance-related laws, regulations and guidelines. Keeping current, through industry forums, government agency websites, and other literature with respect to key updates and/or changes to applicable statutes, regulations and laws; Coordinating with the corporate compliance auditing/monitoring team leaders to ensure proactive and comprehensive follow-up education and training based on audit findings and reports; Identifying and implementing performance and process improvements while working to adopt best practices; Assessing regulatory provisions from state and federal agencies, including: U.S. Department of Health and Human Services (HHS), the Office of Inspector General to HHS (OIG), the Federal Trade Commission (FTC), the Centers for Medicare and Medicaid Services (CMS), the Office of Civil Rights (OCR), and relevant state OIG and related offices/agencies; Assisting in the development of regulatory-focused reviews and risk assessments, as needed, in conjunction with the department’s work plan and areas of focus, to monitor and promote compliance with applicable laws, regulations, and guidelines; Generating reports containing findings and recommendations based on data that will result in future meaningful metrics, reduced risk, and improved data quality and compliance; Attending and/or leading, as requested, company and client committees and workgroups as related to the position’s core responsibilities; Partnering with PAS leadership, including with the Vice President of Regulations and Education Group, to build and support a robust compliance-focused regulatory education platform and rollout across the PAS organization; Building strong relationships with clients, employees and consumers that promotes trust and respect, demonstrates exemplary leadership and deep subject matter expertise; and, Driving operational excellence that results in improved quality and customer satisfaction.
Qualification and Experience
Qualifications: Bachelor’s degree, with relevant work experience in healthcare compliance, legal or other related disciplines; 5+ years’ experience in a hospital/health care environment and prior involvement in a health care legal and/or compliance role with specific experience in: Comprehensive knowledge of laws, regulations, policies, procedures, and practices regarding or relating to health care regulatory compliance issues; Leadership experience in managing and communicating important regulatory guidance and requests for follow up to a broad network of stakeholders and employees; Proven success at building relationships and credibility quickly with key stakeholders and subject matter experts in relevant service lines; Outstanding written and verbal communication skills; Experience in operational and project management; Strong interpersonal skills; Excellent computer skills with strong proficiency in spreadsheet applications and experience with Microsoft Office suite; Independent judgment; effective, team-oriented leadership skills; Flexibility and ability to adapt to change; Ability to manage stress and conflict. Compliance-related certification, including: CCP, CHC, CIA, CCEP; JD Degree from an ABA-accredited law school; and/or Master’s degree or its equivalent and 5+ years of experience in a clinical, operational, or data quality improvement function with a CHDA, RHIA, or RHIT and CCS credential.
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