The Deputy Chief Compliance Officer is responsible for assisting the Chief Compliance and Privacy Officer in managing an effective ethics and compliance program. This includes infrastructure development, policy management, training, monitoring/auditing, conducting and documenting investigations, addressing and resolving violations, errors, and deficiencies, tracking corrective actions, performing risk assessments, and designing strategies to prevent future compliance problems. The successful candidate will have comprehensive expertise in managing an effective ethics and compliance program, expert level knowledge of healthcare compliance standards, compliance program development and assessment, relevant healthcare operational issues, business ethics and compliance risks, and the knowledge to effectively manage those risks in a dynamic healthcare environment.
Essential Responsibilities:
Assist the Chief Compliance and Privacy Officer in the development, coordination, and administration of systematic care delivery, including pharmacy, and quality acute and post-acute compliance program.
Ensure compliance with healthcare regulations, including the Stark Law, Anti-Kickback Statute, False Claims Act, Office of Inspector General (OIG) Work Plan, Affordable Care Act, and Health Insurance Portability and Accountability Act (HIPAA) regulations, Emergency Medical Treatment and Labor Act (EMTALA), in addition to federal and state reimbursement program requirements (e.g., Medicare and Medicaid), Employee Retirement Insurance Security Act (ERISA), Americans with Disabilities Act, privacy and consent laws, and licensure requirements, and quality standards.
In coordination with national partners develop to establish the appropriate oversight that enables care delivery and quality practices, policies, and procedures to comply with County, State, and Federal law as well as standards and ethics.
Conduct and document investigations, address and resolve violations, errors, and deficiencies, and track corrective actions.
Co-Chair the Executive Compliance Committee.
Perform care delivery and quality compliance risk assessments and design strategies to prevent future compliance problems.
Maintain strict confidentiality of all compliance and risk management data and ensure the privacy of each patient's protected health information (PHI).
Provide ongoing support, coaching, and advise compliance professionals and related stakeholders regarding compliance matters.
Participate in organizational strategic planning activities and serve on committees and task forces to address specific issues and/or represent the department as assigned.
Develop, mentor, coach, and manage Regional Compliance Leaders and Care Delivery and Quality Leader.
Partner closely with CCPO, Legal, Internal Audit Services, Human Resources, and E&C VP of Investigations/NSIU on significant regulatory, compliance, or government investigations.
Interface and coordinate directly with Physician Medical Groups.