HR Compliance Director

CNA Financial Chicago , IL 60602

Posted 3 months ago

Job Summary

Applies senior level knowledge of regulatory human resources compliance to continuously evaluate the company's adherence to all applicable laws and regulations and develops and maintains all necessary HR related policies and procedures. Coordinates with business unit management to develop corrective action plans as needed. Conducts periodic internal reviews/audits to ensure compliance with HR Compliance policies, processes and laws.

Essential Duties & Responsibilities

  • Performs a combination of duties in accordance with departmental guidelines:

  • Directs the work activities and has full management responsibility for the performance and development of subordinate staff in accordance with corporate strategic direction.

  • Oversees, manages, implements and administers compliance support for a variety of HR policies, procedures, practices and provides leadership in driving ongoing improvements in regulatory compliance.

  • Plans, schedules and assigns resources to compliance projects and manages activities of staff in a timely and effective completion on multiple, concurrent projects.

  • Monitors business unit efforts to resolve identified compliance issues and assesses the effectiveness of remediation efforts. Recommends and implements processes to ensure HR Compliance

  • Facilitates communication to business unit management regarding the importance of regulatory compliance. Resolves any questions, provide compliance assistance and implements any new or changing legal requirements relative to HR policies, processes and systems.

  • Responsible for being cognizant of regulatory compliance developments, trends and challenges for the enterprise and individual business areas.

  • Takes an active role in delivering valuable services to assigned areas, enhancing operations, identify compliance gaps and sharing HR best practices, policies, and procedures. Conducts HR compliance training programs as needed.

  • Develops and conducts periodic internal reviews to ensure compliance.

  • Oversee, manage and provide compliance guidance relative to I-9s, E-verify and the Immigration Reform and Control Act, Employee Information Report (EEO-1), and Affirmative Action reports.

  • Oversee, manage and provide compliance support for background check adjudication and hiring decisions to ensure compliance with internal standards and local law.

  • Oversee leave management program and ensure compliance with all applicable laws and regulations.

May perform additional duties as assigned.

Reporting Relationship

Typically AVP or above

Skills, Knowledge & Abilities

  • Senior level knowledge of regulatory compliance.

  • Ability to effectively lead, coach and develop a compliance staff.

  • Ability to achieve results by taking a proactive long-term view of business goals and objectives.

  • Excellent analytical and problem solving skills, with the ability to effectively plan and direct multiple projects.

  • Ability to achieve results by taking a proactive long-term view of business goals and objectives.

  • Excellent interpersonal, presentation, verbal and written communication skills, with the ability to

  • effectively interact with internal and external business partners.

  • Ability to exercise professional judgment and assume responsibility for decisions which have an

  • impact on people and quality of service.

  • Strong knowledge of Microsoft Office Suite and other

  • business-related software.

Education & Experience

  • Bachelor's degree with Master's preferred in a related discipline or equivalent.

  • Typically a minimum of ten years of related work experience.

  • LI-WM1


See if you are a match!

See how well your resume matches up to this job - upload your resume now.

Find your dream job anywhere
with the LiveCareer app.
Download the
LiveCareer app and find
your dream job anywhere

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Director Of Healthcare Compliance

Heartland Alliance

Posted 1 week ago

VIEW JOBS 12/5/2018 12:00:00 AM 2019-03-05T00:00 Summary: The Director of Healthcare Compliance will be responsible for the development, implementation and monitoring of a healthcare compliance program. This role will be responsible for providing compliance oversight, guidance and direction to Heartland Alliance Health (HAH) and Heartland Alliance (HA) programs. The position is a part of the Enterprise Risk Management (ERM) department and reports directly to the Chief Risk Officer (CRO) with a dotted line to the Chief Growth Officer for HAH. Essential Duties and Responsibilities: Compliance Program * Develops and oversees HAH compliance program. * Oversees HAH policy management workflows and policy * Develops and maintains relevant policies, procedures, training and compliance plans related to the compliance program. * Ensures HAH policies and practices comply with federal and state laws/regulations and follow industry guidelines to prevent illegal, unethical, or improper conduct. * Develops, presents and manages an annual compliance calendar identifying all requirements to be completed by HAH, including timetables and accountability measures. * Assists with identification, implementation, and maintenance of entity privacy policies. * Works with ERM and HAH teams to ensure day-to-day operations of the program are established. Partners with teams and staff to identify areas where compliance input and guidance is required. * In accordance with the compliance program and plan, monitors business activities and conducts systematic review for compliance with applicable rules and regulations to include HIPAA, Accreditation, CMS, and HRSA Compliance Manual. Identifies potential areas of compliance vulnerability and risk; develops/implements corrective action plans for resolution of problematic issues, and provides general guidance on how to avoid or deal with similar situations in the future. * Specifically manages organization re-certifications for FTCA, CARF, PCMH and accreditation Quality Improvement Plan (QIP). * Communicates updates and changes on regulatory and legal changes including HRSA Compliance manual, PINs, and Pals. * With ERM department monitors CSM compliance and sanction adherence. * Leads HAH CARF accreditation survey, survey preparation and follow-up and ongoing readiness assessments or monitors. * Leads preparation for HRSA reviews, review preparation, coordination and follow-up. * Participates in PCMH accreditation preparation and follow-up. * Oversees False Claim reporting. Risk Management * Contributes to the Enterprise Risk Management Plan; mitigates HAH specific risks as identified in the annual work plan. * Contributes to leadership training and discussions and business processes to imbed identification of company key and event based risk. Elevates such risk to HAH Senior Leadership Team and Chief Risk Officer. * Oversees Incident Reporting process and staff training for HAH. Ensures incident reports are accurate and responded to in a timely fashion. Through regular reports and dashboards, keeps HAH management updated on trends, concerns, and areas of improvements. * Ensures the HAH Safety and Emergency Preparedness Team, the HAH Health and Safety Committee and the Emergency Preparedness Manager (ERM department) are educated on applicable compliance standards for FQHCs, HUD, State Medicaid, Medicare, and CARF. Ethics, Conflict of Interest, and Investigations: * Manages compliance investigations and resulting corrective action plans. Responds to alleged violations of rules, regulations, policies, procedures, and the HA Code of Ethics by evaluating, recommending and conducting (upon request of CRO) the investigative procedures. Serves as the HAH representative for the ethics reporting hotline. * With the ERM team, acts as an independent review and evaluation body to ensure that compliance issues/concerns within the organization are being appropriately evaluated, investigated and resolved. * Ensures False Claims reporting mechanisms are in place * Oversees participant grievance policies and procedures. Tracks and ensures timely response.Trends and provides regular reports to HAH management and ERM. Contract/Agreements Management: * Evaluates and makes recommendations on HAH contract management business processes to retain and ensure compliance of clinical, personnel, City, State, Federal and Foundation contracts, Memorandums of Understanding, and agreements. * Ensures executed contracts are in a central repository and electronic records of contracts and proposals are retained, including Business Associate Agreements, Provider Agreements, and Collaborative Agreements. * Directly oversees CMS 855A Applications. Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Master's Degree in a field of Health Care. * Minimum of five years of compliance work experience in a healthcare environment; risk management experience a plus; FQHC experience preferred. * Certifications in Healthcare Compliance and Privacy highly preferred. * 2+ years of accreditation and FQHC experience required. * Strong working knowledge of HIPAA, HRSA, CMS, False Claims Act, Anti-Kickback, OIG and state regulations. Practical understanding of healthcare compliance requirements with the ability to provide appropriate guidance to team members. * Intermediate-Advanced Computer skills – Microsoft Office (Word, Excel, SharePoint and Outlook). * Clear and concise interpersonal and verbal communications skills and the ability to communicate effectively with a variety of personnel at all levels both internally and externally. * Sound judgment and strong commitment to ethical conduct and integrity. * Strong problem solving skills with the ability to identify relevant risks and propose solutions that consider relevant business objectives and compliance concerns. * Ability to work independently in a fast-paced and dynamic environment. * Strong attention to detail, excellent organizational skills, and the ability to work on multiple projects with tight timelines. Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * While performing the duties of this job, the employee is regularly required to talk and hear. * The employee is regularly required to sit, stand and walk. * The employee is regularly required to use hands to key, handle, or feel and reach with hands and arms. Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * The noise level in the work environment is usually moderate. Heartland Alliance makes all hiring and employment decisions, and operates all programs, services, and functions without regard to race, receipt of an order of protection, creed, color, age, gender, gender identity, marital or parental status, religion, ancestry, national origin, amnesty, physical or mental disability, protected veterans status, genetic information, sexual orientation, immigrant status, political affiliation or belief, use of FMLA, VESSA, military, and family military rights, ex-offender status (depending on the offense and position to be filled), unfavorable military discharge, membership in an organization whose primary purpose is the protection of civil rights or improvement of living conditions and human relations, height, weight, or HIV infection, in accord with the organization's AIDS Policy Statement of September 1987. Heartland Alliance Chicago IL

HR Compliance Director

CNA Financial