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Years of Experience
Date Last Verified
ProfileCompliance Director The candidate will monitor the performance of the corporate compliance program and related activities on a continuing basis, taking appropriate steps to improve its effectiveness. Will identify potential areas of compliance vulnerability and risk throughout the organization; develops/implements corrective action plans for the resolution of problematic issues, and provides general guidance to the organization on how to address similar situations in the future. Monitor and as necessary coordinates compliance activities of other organizational departments to remain abreast of the status of all compliance activities and to identify trends. Develop, initiate, maintain, review, and revise policies, procedures, and practices for the general operation of the organization and its related activities to prevent illegal, unethical or improper conduct. Direct activities for system-wide audits established to investigate and monitor compliance with standards and procedures implemented by the compliance program, the organization, and/or external regulatory agencies. Respond to alleged violations of rules, regulations, policies, procedures, and organizational codes of conduct by evaluating or recommending the initiation of investigative procedures. Develops and oversees a system for uniform handling of such violations. Review complaints, concerns, or questions relative to compliance issues, and provides consultative leadership and support to all entities involved as appropriate. Work with human resources and others as appropriate to develop an effective compliance training program, including introductory training for new staff as well as ongoing training for all staff. Stay abreast of regulatory changes in health care and its impact on the organization; keeps staff and leadership aware of such changes. Develop and periodically reviews and updates the organization's code of conduct to ensure continuing currency and relevance in provide guidance to management and employees. Ensure proper reporting of violations or potential violations to duly authorized enforcement agencies as appropriate and/or required. Prepare quarterly reports for the Compliance Committee and Internal Affairs Committee detailing compliance initiatives throughout the year and summarizing progress on the annual compliance work plan. Manage the day to day operations of the Corporate Compliance Department including staffing and budget. Responsible for hiring, professional development, performance evaluations, discipline, and termination of staff. Perform other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. BA degree is required. Master's or JD degree preferred. Should have 6+ years of relevant leadership experience. Experience in healthcare regulatory compliance and strong knowledge of government payer health plans. Confluence Health employees may substitute a Bachelor's degree plus 3 years of relevant leadership experience with CHVS Leadership certification is needed. Must maintain primary residence in the Confluence Health service area is advantageous.
Job ID#: 18133