Director Compliance

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Director, Compliance
The candidate: Chairs meetings and coordinates monthly facility compliance committees for their respective sites. Provides advice and acts as a resource to facility management for compliance issues. Advises the facility’s employees, contractors and vendors (as appropriate), agents and any applicable governing Board members on issues of regulatory compliance. Maintains the facility’s compliance program structure to reasonably ensure adherence to applicable federal and state rules and regulations. Assists in the coordination of the investigation of suspected violations received through the Alert Line and other channels. Oversees, follows-up and implements correction actions to investigations and other issues generated by the compliance program. Assists in the coordination of any internal and external compliance audits at the facility. Acts as a liaison between facility specific compliance efforts and System-wide compliance efforts. Supports activities of the Corporate Compliance Office and the health system’s Corporate Compliance Program including: Monitoring of exclusions screening process within the facility; Distributing, implementing, and communicating new and revised compliance policies; Implementing and monitoring annual compliance training and education; Disseminating compliance related information; Assisting in organizing and attending facility compliance awareness events; Using the reporting system and monitoring at the facility; and Monitoring and tracking other performance parameters, as requested. Participates in the periodic compliance self-assessments, as needed. Ensures all facility staff receives the Code of Conduct and signs any appropriate attestations. Provides periodic reports to the Corporate Compliance Office and facility Executive Directors on the status of facility compliance efforts. Participates in developing and implementing internal controls capable of preventing and detecting significant instances or patterns of illegal, unethical, or improper conduct. Participates on various facility committees to ensure compliance objectives are being met. Participates in Corporate Compliance projects. Must have Bachelors Degree in Business Administration, Hospital Administration or other related/appropriate field. Masters Degree, JD degree, or healthcare related certification(s), preferred. Must have 7+ years of related healthcare experience.

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