Chief Compliance Officer

Responsibilities:

Customer Relations

• Maintains effective communication with enterprise leadership and the Board of Trustees.
• Actively seeks to provide quality services that meet the needs of patients and clients as well as other customers - payers, families, referrers, and staff.
  
  

Policies

• Develops and reviews the enterprise’s policies from a compliance focus.
• Works with health system leaders to interpret regulatory and accreditation requirement and develop policies and procedures that operationalize these requirements.
  
  

Audit Plans

• Oversees annual enterprise audit plan, in consultation with hospital QA.
• Provides oversight, through appropriate delegation, to program billing audits and the professional fee billing/coding for Medicaid/Medicare and other payers.
• Creates and manages effective action plans in response to audit discoveries.
  
  

Regulatory/Accreditation Compliance Oversight

• Stays abreast of outcomes of all licensing visits and surveys.
• Oversees the Community Program’s CARF accreditation survey process and stays abreast of the hospital’s TJC accreditation survey process.
• Oversees application for deemed status and conditions of participation during the award period. Stays abreast of updated information for presentation to the core service agencies.
• Assures the preparation of Performance Improvement Plans for areas cited in surveys.
  
  

Staff Education/Training

• Responsible for establishing and coordinating proper reporting channels for compliance issues.
• Assures that all employees receive required compliance training.
• Assures communication/training so that all employees are aware of various ways that they can report concerns about compliance, including anonymous reporting.
  
  

Concern line Investigations

• Oversees the resolution of employee concerns about legal compliance.
  
  

Reporting

• Reports independently to the CEO and executive team on all compliance matters and relevant issues.
• Develops and is responsible for the annual review and revision of the enterprise Compliance Plan.
• Leads implementation and enforcement of the enterprise’s compliance program.
• Prepares quarterly and periodic reports as requested to board committees and health system leadership.
• Advises enterprise leadership on possible risks.
  
  

Other Duties

• Completes system-wide and site-specific projects as requested.

Requirements:

• Requires Bachelor's or advanced degree in law, finance, business administration, public health, or a related field and 5-7 years of relevant experience, including at least 3 years as a compliance officer. Master’s degree is preferred.
• Work requires strong interpersonal skills to direct staff, oversee or conduct investigations, assure problem resolution, represent the enterprise to a number of federal and state agencies, and report compliance to the board and executive leadership.
• Work requires a high level of analytical skills and attention to detail..
• Working with enterprise-wide plan requires attention to detail and deadlines and very frequently (51-80% of work time) produces a high level of mental/visual fatigue.