Manager, Compliance

Job Summary

Responsibilities

• Participates with leadership in the development and implementation of the Annual Corporate Compliance Work Plan based on an internal risk assessment and federal and state initiatives.
• Provides consultation and guidance to leadership on compliance issues.
• Prepares classes and materials and provides consultation and training to new house staff and employees; conducts annual mandatory training programs and periodic in-services for staff.
• Create and maintains current compliance and HIPAA policies, Compliance Manual and Code of Conduct documents recommending changes as indicated by new regulations.
• Maintains knowledge of current legislation and regulations regarding compliance issues and recommends policy adjustments as indicated.
• Investigates and responds to violations of compliance issues and collaborates with the VP, Compliance and senior management as appropriate for resolution.
• Maintains records of investigations, prepares trend analysis and provides reports for management and regulatory agencies.
• Affords assistance in the supervision of investigational activities of federal, state and local enforcement authorities.
• Identifies high risk areas for review and assists the VP, Compliance to prepare the related remedial or audit plan.
• Participates with leadership in identifying and recommending risk areas for auditing and developing an annual compliance work plan.
• Works closely with the VP, Compliance for the Health Network on compliance-related activities.
• Collaborates with other department staff in the implementation of corrective action plans and takes proactive measures to avoid and/or resolve conflicts that may arise.
• Collaborates with Information Systems staff to maintain current systems and plans for existing system upgrades to enhance productivity and efficiency of the operating system relating to HIPAA Security.
• Manages the distribution of the WMC Health Network Conflict of Interest Questionnaires.

Qualifications/Requirements

• Experience: A minimum of three to five years of experience in compliance or regulatory management in a large tertiary academic hospital or healthcare facility, required.
• Education: Bachelor’s degree required.
• Licenses / Certifications: Certified in Healthcare Compliance (CHC), required