Researches, plans, implements, and monitors a broad portfolio of compliance systems and initiatives to enable organizational compliance with all applicable Federal, state, and local regulations/laws, as well as overseeing the protection of organizational assets. On an on-going basis, researches and interprets regulations and laws to establish compliance standards, and may develop and/or deliver training and communications/change management relative to new standards.
Assesses organizational systems (both physical and process or data related) to determine gaps in compliance and determine opportunities for remediation and planned sustainment. Advises the organization on all compliance matters. May investigate violations of compliance policy, laws, regulations, etc. or conduct on-going monitoring and reporting to ensure remediation.
May be responsible for project management relative to new compliance initiatives, products, or annual processes. Manage and/or facilitate internal or external audits. May conduct assessments and report on control efficacy, suggest/implement treatment and remediation approaches as well as suggest compensating approaches.
In adherence with the KP Compliance Framework, fosters comprehensive compliance management through a series of activities to comply with all applicable regulations and statutes. Activities include:
Planning: leading the identification of compliance accountabilities; identification of internal and external resources; development of Compliance, Work, and Audit plans; establishing and/or leading compliance-related committees/work groups; and managing external agency relations;
Implementing: leading the identification of compliance requirements and directing related analyses; creation and revision of compliance standards, policies, and procedures; overseeing development and/or delivery of compliance and ethics training; leading the monitoring of compliance adherence; and directing reporting on compliance efforts and programs;
Validating/Sustaining: reviewing compliance programs and content, including leading the design and implementation of risk assessments and/or audits, and overseeing the investigation of instances of reported non- compliance.
Researches and stays abreast of regulations and statutes. Determines impacts of implementation of new regulations and statutes and required notifications, changes, and training.
Communicates required changes, develops tools to assess risks, and leverages existing workgroups/etc. to facilitate required changes. May engage external regulatory and legislative bodies on developing regulations and laws, providing input and representing Kaiser Permanente's interests.
Leading the effort of documentation & maintenance of process narratives.
Minimum twelve (12) years of heath care compliance, health care operations (quality, risk, etc.), audit, finance, project management, regulatory or public policy development, investigations, information security, or insurance/health plan governance experience.
Bachelor's or clinical degree, OR four (4) years of directly related experience.
High School Diploma or General Education Development (GED) required.
License, Certification, Registration
Expert knowledge of health care compliance policies, practices and systems.
Develops advanced compliance principles, theories, and concepts.
Expert knowledge of health care industry practices and standards.
Ability to draft and revise documents including policies, standards, analyses, and reports.
Project management skills.
CISA, CIA or CPA preferred.
Primary Location: Washington,Renton,Renton Administration - Rainier 2715 Naches Ave.
Scheduled Weekly Hours: 40 Shift: Day Workdays: Mon, Tue, Wed, Thu, Fri Working Hours Start: 8:00 AM Working Hours End: 4:00 PM Job Schedule:
Full-time Job Type: Standard Employee Status: Regular Employee Group/Union Affiliation:
Salaried, Non-Union, Exempt Job Level: Individual Contributor Job Category: Information Technology Department:
Information Technology Travel: No
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