Contract And Policy Compliance Specialist - Integrity And Compliance

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Contract And Policy Compliance Specialist - Integrity And Compliance
Duties: Monitoring, reviewing, and retaining contracts or policies and procedures on behalf of the organization. Oversee organizational contract or policy and procedure development and management activities, and enforce organizational principles of integrity and compliance. Ensure that projects and proposals are properly entered into organizational databases and securely maintained. Creating, finalizing, distributing, and independently managing on behalf of management, as well as the Compliance Program, written standards of conduct, standard work, policies and procedures, research projects, investigations, and in-depth assessments. Maintain an appropriate project management process to monitor and track progress towards successful and timely completion and implementation of work projects on behalf of the Compliance Program and department. Conducting investigations of compliance-related matters, often of a confidential and sensitive nature, preparing related reports, and recommending and implementing corrective and other action to prevent and remediate the violation and/or risk to the organization. Developing, revising, implementing, and maintaining effective education and training programs. Drafting newsletter articles on educational topics. Participating in educational opportunities to expand compliance knowledge and understanding among team members across the organization. Conducting and/or overseeing auditing of the contract and document retention process. Developing standards for contracts, policies, and related documentation, including standardized language and/or provisions to protect the organization. Assuring and verifying the inclusion and appropriateness of contract text and attachments and resolving discrepancies in line with organizational rules and guidelines. Assisting with the monitoring of various programs and requirements, such as conflicts of interest, excluded provider reviews, the compliance “hotline,” etc. Conducting and/or overseeing auditing of the contract, policy, and document retention process. Assisting the HIPAA Privacy Officer in developing, implementing, and managing the Privacy Audit Plan (e.g. performing random access audits, identifying risks to be reviewed, and reporting to regulatory agencies). Facilitating responses to internal or third-party inquiries. Facilitating, preparing, and providing reports to the necessary councils, committees, and other forms of leadership, including the preparation of agendas and minutes. Performing oversight of internal/external reviews and/or audits as directed. Assists with the implementation and maintenance of related health system policies and practices used across the organization. Maintains deadlines on deliverables and communicates on an ongoing basis with business partners and internal clients about contractual and compliance-related issues. Defining, designing, and implementing policies, processes, and educational programs, as well as partners in collaborative projects in support of the contracting process, creating and implementing policies, maintenance of significant documentation, the Integrity, and Compliance Program, and the overall legal program. Developing and administering ongoing oversight and education within the organization regarding contract management, policy creation and revisions, document retention, and compliance-related matters.

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