COMPLIANCE MANAGER

Overview

Manages the day to day operations of the compliance department and carries out the goals of the corporate compliance program consistent with the organization's mission, vision and organizational values.

Position Reports To: Vice President of Risk & Regulatory

Responsibilities

1. Manages the Corporate Compliance Department including staff performance and department budget.

2. Responsible for hiring, professional development, performance evaluations, discipline, and termination of staff.

3. Develops the annual Compliance Workplan in conjunction with the VP of Risk & Regulatory and manages its performance throughout the year, taking appropriate steps to improve its effectiveness.

4. Maintains tracking systems for compliance related issues and assists in preparing status reports on investigations, findings, and remedial measures.

5. Manages planned and ad hoc projects as they arise.

6. Investigates complaints, concerns, or questions relative to compliance issues, and provides consultative leadership and support to all entities involved as appropriate.

7. Reviews data and conducts audits to determine compliance issues and instances of suspected fraud, waste and abuse.

8. Works with leadership to develop an effective compliance training program, including introductory training for new staff as well as ongoing training for all staff.

9. Manages external auditing contract performance.

10. Prepares quarterly reports for the Compliance Committee detailing compliance initiatives throughout the year and summarizing progress on the annual Compliance Workplan.

11. Develops, reviews, revises and maintains compliance policies, procedures, and guidelines.

12. Stays abreast of compliance developments in health care and its impact on the organization; keeps staff and leadership aware of such changes.

13. Performs other duties as assigned.

Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times.

Qualifications

Required:

• 6 yrs recent/relevant experience and 2 years of relevant leadership experience.

Desired:

• Healthcare compliance experience.
• CHC (Certified in Healthcare Compliance).
• Strong analytical and clear communication skills.
• Thorough research skills.
• Ability to develop partnerships, teamwork, and good working relationships.
• Understands the complexities of a large organization – involves others as appropriate.