Chief Compliance Officer

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Chief Compliance Officer
Duties: Providing the business leadership and vision for the strategic planning and management of an integrated healthcare compliance program in support of the mission and strategic goals of SBM. Establishes and oversees an effective healthcare compliance program intended to prevent illegal, unethical or improper conduct. Will be responsible for hiring and developing a high performing compliance team and building an infrastructure serving the compliance needs of a thriving and growing integrated healthcare delivery system and academic medical center. Acts as an advisor to the CEO and Governing Board by monitoring and reporting results of the compliance and ethics efforts of Stony Brook Medicine and in providing guidance for the Board and senior management team on matters relating to reporting and compliance. Reports to the Senior Vice President for the Health Sciences, the Hospital Governing Board, with day-to-day reporting relationship with the Hospital Chief Executive Officer. Will be critical for the new CCO to be viewed as a beacon of trust. Will bring a collaborative approach to the compliance organization working closely with key stakeholders and maintaining open and close working relationships especially with the finance and legal departments. Serve as a key member of the senior leadership team and contribute broadly at the executive level. Educate and work collaboratively with all members of the leadership team in order to facilitate informed healthcare compliance decisions. Be responsible for comprehensive compliance programs at Stony Brook Medicine, including **MEMBERS ONLY**SIGN UP NOW***. Hospital, and the Schools of Health Sciences. Work collaboratively with the Hospital Senior Executive Group, executive leadership of the physician practices, the dean of the School of Medicine and the deans in the schools of the health sciences in promoting best practices across the enterprise. Consult with Office of General Counsel as needed to identify and resolve compliance issues and concerns. Develop an annual compliance work plan. Develop, initiate, maintain and revise policies and procedures for the general operation of the compliance program and its related activities intended to prevent illegal, unethical or improper conduct and to comply with legal requirements as they evolve. Manage day-to-day operation of the compliance program; hire and oversee compliance staff. Report on a regular basis to the governing body and leadership (medical group, medical school, and hospital), CEO and compliance committee on the progress of implementation, and assist these components in establishing methods to improve efficiency and quality of services, and to reduce the vulnerability to fraud, abuse, and waste. Periodically revise the healthcare compliance program in light of changes in the needs of the organization and in the law and policies and procedures of government and private payer health plans. Maintain a current working knowledge of Federal and State regulations and policies as they affect the organization. Develop, coordinate, and participate in a multifaceted educational and training program that focuses on the elements of the compliance program, and seeks to ensure that employees, management, volunteers, students, trainees, contractors and vendors are knowledgeable of, and comply with, pertinent Federal and State standards at a level appropriate to their position in the organization. Oversee processes to educate independent contractors and agents who furnish medical services to the health system regarding the requirements of the compliance program with respect to coding, coverage, billing, and marketing, among other things. Oversee through the human resources office, the dean's office, the purchasing department and the credentialing office that the Cumulative Sanction Report and GSA Excluded Parties System have been checked with respect to all employees, medical staff, and independent contractors. Collaborate with other departments to direct compliance issues to appropriate existing channels for investigation and resolution. Develop and oversee a system for uniform handling of compliance violations. Respond to alleged violations of rules, regulations, policies, procedures and standards of conduct by evaluating, investigating, and reporting findings to the Office of General Counsel, CEO and/or the Governing Body, as appropriate. Identify potential areas of compliance vulnerability and risk, develop and implement corrective action plans for resolution of problematic issues, and provide general guidance on how to avoid or deal with similar situations in the future. Provide reports on a regular basis and, as directed or requested, keep the Corporate Compliance Committee and senior management informed of the operation and progress of compliance efforts. Oversee or cooperate with reporting of violations or potential violations to duly authorized enforcement agencies as appropriate or required. Respond to government investigations and queries as the principal point of contact. Respond to government investigations and queries as the principal point of contact. Independently investigate and act on matters related to compliance. Oversee the direction and management of the Compliance Helpline. Develop policies and programs that encourage managers and employees to report suspected fraud and other improprieties without fear of retaliation. Conduct or oversee/direct single and ongoing compliance audits as necessary to implement the compliance plan.

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