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Compliance Manager Healthcare The candidate will conduct healthcare compliance policy and procedure assessment. Support development of new or updated polices to address new risk areas or to improve operations and/or internal controls. Conduct healthcare compliance risk analysis. Identify potential areas of compliance vulnerability and risk. Develop and implement action plans to mitigate potential risks. Direct training programs in the areas of fraud and abuse laws such as the Anti-Kickback Statute and the False Claims Act, anti-bribery/anti-corruption laws such as Foreign Corrupt Practices Act. Oversee compliance training in other laws including the Physician Payment Sunshine Act, the Federal Food, Drug and Cosmetic Act, HIPAA and similar state laws to educate employees on legal and ethical standards and to ensure a comprehensive understanding. Leverage understanding and familiarity with OIG-DHHS seven elements of an effective compliance program, the AdvaMed Code and the PhRMA Code. Execute internal auditing and monitoring for policy compliance. Track corrective and preventive action plans associated with previous audit findings. Manage internal and external corrective action plans. Keep abreast of new legislation and enforcement matters affecting global companies as well as healthcare industry and compliance best practices. Assist with review of quotes, submissions and other documentation in connection with government bids. Collaborate closely with colleagues in Legal, IT, HR, Finance, Regulatory and other core functions in order to direct compliance issues through the appropriate channels for investigation and resolution, reporting and remediation. Prepare management reports to HLUS and subsidiary management and FTYO CP&RM on incidents, investigations, emerging compliance challenges and general compliance activities. Conduct pre-acquisition due diligence of new healthcare businesses and develop integration plan. Support HIPAA Privacy Officer in executing responsibilities. A Juris Doctor (J.D.) degree from an accredited law school with admittance in good standing to at least one state bar and 5+ years of healthcare compliance experience required. Experience: in the development, initiation, maintenance, and revision of policies and procedures for the general operation of a healthcare compliance program and its related activities to prevent illegal, unethical, or improper conduct; evaluating and auditing healthcare compliance matters to identify operational issues and recommend and implement strategies to resolve compliance problems required. Strong project management skills, to include managing and prioritizing multiple concurrent projects, and reporting progress and risks to colleagues and senior management required. Appropriate certifications in Healthcare Compliance including: CHC, CHRC, CHC-F, or CCEP; completion of a graduate healthcare compliance certification program; or a Certified Fraud Examiner (CFE) certification required. Knowledge of SAP, Excel, and PowerPoint required.
Job ID: 2649-16E
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