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ProfileCompliance Director The candidate will maintain and continuously update an effective corporate compliance program consistent with the organization's mission, vision, and organizational values. Function as an independent and objective resource that evaluates, resolves, and promotes compliance concerns within the organization. Monitor the performance of the corporate compliance program and related activities on a continuing basis, taking appropriate steps to improve its effectiveness. 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 coordinate 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. Develop and oversee 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 review and update 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. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. BA degree required; Masters or Juris Doctor preferred. 6+ years of supervisory or management experience and experience in a healthcare organization required. Experience in healthcare regulatory compliance and strong knowledge of government payer health plans required. Employees may substitute a Bachelor's Degree and 3+ years of relevant leadership experience with company Leadership certification. Strong oral and written communication skills, project management skills, problem solving skills, and change management skills required. Excellent technical writing abilities required.
Job ID: 17608