Director, Compliance

Responsibilities

• Development of compliance programs at assigned practices from the due diligence stage to operational standardization of a practice, including addressing organic practice growth and the integration of add-on physician acquisitions.
• Provides subject matter expertise in healthcare compliance and privacy to assigned OneOncology managed physician practices, including healthcare coding, billing and reimbursement, fraud waste and abuse compliance, and conflicts of interest.
• Prepares gap and risk assessments on regulatory risks and develops corrective actions with the compliance leader(s).
• Supports and guides the designated compliance leader(s) at each OneOncology affiliated practice, including administrators and physician leaders serving in such roles.
• Generates and creates reports on compliance activity at assigned practices to OneOncology, Practice leadership, and respective governing boards, as requested.
• Implements compliance systems and processes at assigned practices and supports the sustainability of those systems.
• Develops, implements, and updates compliance policies with consideration of applicable federal and state laws and regulations.
• Develops and maintains productive working relationships between compliance, legal, and operations at the corporate and practice level to ensure that processes are consistently applied, and compliance related efforts are coordinated.
• Reviews all information security and privacy plans at assigned practices to make sure that there are proper liaisons between Compliance and OneOncology IT and Security Departments.
• Maintains up-to-date regulatory knowledge of applicable federal and state healthcare compliance and privacy laws and accreditation and develops initiatives to implement assigned practices.

Qualifications

• MA/MS at a minimum; experience can be substituted for educational requirements.
• 10+ years of experience in healthcare compliance.
• Experience in a physician practice is strongly preferred.
• HCCA certification(s) in Compliance required.
• Up to 20% travel, at a minimum, is required.
• Experience as an RN or LPN strongly preferred.