Associate Regional Compliance Officerr – Thomas Jefferson University Hospital (Full Time)

Support the Regional Compliance Officer (RCO) in overseeing all compliance activities, functions, and initiatives related to the development, implementation, oversight, and maintenance of the Corporate Compliance and Ethics Programs, with a focus on preventing fraud, waste, and abuse.

Responsibilities

• Manage day-to-day operations within the region’s compliance program to ensure alignment with the Enterprise Corporate Compliance Program, specifically for Thomas Jefferson University Hospital.
• Implement risk-based management of all reports and guidance requests, including hotline reports through Jefferson’s Alert Line and responses to regulatory notices.
• Collaborate with the enterprise compliance team to develop, oversee, update, and manage region-related policies owned by the enterprise corporate compliance team.
• Deliver education, updates, and support to key stakeholders, including senior leadership, to ensure awareness and alignment with compliance-owned policies, including Jefferson’s Code of Conduct and Ethical Behavior.
• Serve as a liaison with departmental and hospital functional areas to represent compliance program initiatives and approved workplan activities.
• Provide daily guidance to Thomas Jefferson University Hospital to ensure alignment with federal and state regulatory standards.
• Respond to alleged violations of policies, procedures, and standards of conduct by evaluating or recommending investigative procedures and corrective/preventive action plans.
• Assist with planning and supporting internal proactive audits, including updates to compliance team members, key stakeholders, and business units.
• Coordinate with the RCO in managing external investigations and audits by regulatory enforcement agencies.
• Support the planning and execution of materials for compliance governance reporting, including hospital board compliance and privacy committees, and management compliance councils.
• Provide timely compliance reports on KPIs and industry benchmarking data related to local hospital and regional compliance activities.
• Exercise judgment in developing departmental compliance work plans, evaluating audit findings, investigating compliance matters, and providing targeted education and resources.
• Assist in managing staff and delegating assignments.
• Lead internal investigations and provide routine and ad-hoc reports as needed.
• Manage regional-related benchmarking efforts for Thomas Jefferson University Hospital.
• Analyze new developments in compliance and industry best practices, sharing insights with internal and external stakeholders.
• Conduct activities to continuously assess and improve compliance effectiveness at regional and enterprise levels.
• Prepare summary reports on strategic initiatives, audits, investigations, and corrective action plans.
• Assist the Chief Compliance Officer (CCO) and compliance leadership in ensuring Jefferson Health’s Compliance Program meets federal regulatory standards.

Requirements

• Bachelor’s degree in Health Care, Business Administration, Public Administration, or a related field required. JD or Master’s degree preferred.
• Healthcare Compliance Certification from the Compliance Certification Board (CCB) within six months of appointment, maintained throughout employment.
• 5+ years of progressively responsible experience in health and medical services or a related field.
• Experience and/or certifications in acute care facilities or physician practice group environments highly preferred.
• Hospital or physician practice group experience with state department of health highly desirable.

Skills

• Strong project management and organizational skills.
• High proficiency in Microsoft Office, including Word and Excel.
• Thorough understanding of Federal and State laws, rules, and regulations governing:
  • Fraud, waste, and abuse
  • Billings, payments, overpayments, and mandatory reporting
  • Provider exclusions
  • Whistleblower protection
  • Human subject research compliance
  • Quality assurance
  • Corporate governance
  • Health information privacy and security
  • Employee privacy and confidentiality
  • Conditions and requirements for participation in government healthcare programs
  • Other compliance-related topics necessary for an effective compliance and ethics program

Benefits

• Comprehensive benefits package for full-time and part-time colleagues, including:
  • Medical (including prescription), dental, and vision insurance
  • Supplemental insurance (life, AD&D, short- and long-term disability)
  • Flexible spending accounts
  • Retirement plans
  • Tuition assistance and discounts at Thomas Jefferson University after one year of full-time service or two years of part-time service
• Voluntary benefits, including group rates on insurance and discounts.
• Access to medical (including prescription) insurance for all colleagues, including those working less than part-time (e.g., per diem, adjunct faculty, Jeff Temps).

Schedule

Workday Day (United States of America)