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Organization TypePublic Interest
Years of Experience
Date Last Verified
Chief Compliance and Privacy Officer The candidate will be responsible for leading, overseeing, and directing compliance across the Northern Division of the company group. Provide leadership, guidance, and support to promote compliance with applicable laws and regulations. Participate in the development and implementation of the annual compliance plan for the Jefferson Health system. Develop and maintain policies and procedures that support compliance efforts throughout the organization. Develop, coordinate and conduct educational programs on compliance and privacy for employees, managers and medical staff. Oversee compliance with the Conflict of Interest policy. Responsible for maintaining a confidential/anonymous reporting system, including a telephone help line, to allow reporting of suspected noncompliance or incidents of fraud and abuse, and adopting procedures to protect anonymity and protect complainants from retaliation. Responsible for maintaining a mechanism for the timely review of complaints, concerns or questions relative to compliance issues, and provides consultative support to all EHS entities as appropriate. Coordinate personnel issues with the hospital's human resources office when identified during compliance activities. Maintain a record of all reports of suspected compliance issues, or fraud and abuse. Develop mechanisms for communicating changes in applicable laws and regulations or changes in the Code of Conduct to affected individuals. Work with Human Resources Department to ensure that the organization has not employed or contracted with any Office of Inspector General (OIG) or General Services Administration (GSA) sanctioned individuals. Ensure timely responses to requests, inquiries, and/or investigations by regulatory agencies. Monitor changes in state and federal laws or rules affecting the health care industry. Report compliance risks and potential violations to the Senior Management and the Board. Develop corrective action plans and monitors progress to such plans. Interact with senior managers, legal counsel, Board members, and committee members. Research, investigate and analyze compliance and privacy issues and renders professional advice to business areas and/or legal counsel. Ensure physician relationships are conducted in compliance with terms of legal agreements and applicable laws and regulations. Perform audits and reviews and develops corrective action plans based on findings. Review areas previously audited to confirm that corrective action or recommendation(s) have been implemented. Prepare reports of compliance program activities and results for senior management, the compliance committee and Board committees. Direct and manage personnel of compliance department. Demonstrate the ability to lead and work effectively within teams comprised of subordinates, peers, supervisors and external parties. Exhibit effective oral and written communication skills. A Master's degree in health care administration or JD and 5+ years of progressively responsible experience in health care compliance for a large health care organization required. Privacy Officer experience is also required. Strong communication, analytical, research, investigational and interpersonal skills required. Knowledge of applicable federal and state laws and regulations related to compliance and privacy issues, including fraud and abuse required. This includes timely and detailed analysis of guidance issued by and activities of the Office of Inspector General (OIG), Centers of Medicare and Medicaid Services (CMS), and other governmental agencies. This also includes remaining current and conversant regarding changes that may affect compliance and privacy issues pertaining to healthcare systems, through personal initiative, attendance at seminars and training programs, and professional peer contact and networking. Knowledge of specific laws and regulations, and regulatory, investigative and enforcement activities applicable to health care systems required.
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