VP Corporate Compliance, Risk-Based Functions

JOB SUMMARY

Reporting to the SVP, Chief Corporate Ethics and Compliance Officer, the VP Corporate Compliance is responsible for planning, developing, and enforcing compliance programs for Baylor Scott and White Health (BSWH), which includes varied compliance risk-based functions and programs such as hospital regulatory compliance, provider compliance, research compliance, third party compliance and other compliance activities. Leads the development of compliance programs to prevent and detect non-conformance to laws as assigned, regulations, standards, and BSWH policies and ensures the implementation of a compliance program for assigned area of the organization. Develops and implements strategies, policies, procedures, and practices that establish BSWH standards for compliance. Ensures compliance to all applicable laws, regulations, and accreditation standards, such as the Joint Commission, Centers for Medicare and Medicaid (CMS), National Committee for Quality Assurance (NCQA), and Occupational Safety and Health Administration (OSHA). Responds and reacts to changes and developments in laws or the regulatory environment that might affect BSWH compliance and implements necessary changes. Investigates, audits, and resolves alleged violations or incidents of nonconformance and verifies that compliance deficiencies have been corrected. Provides key support and reporting to the Audit and Compliance Committee of the BSWH Board. May develop and implement targeted compliance training curriculum. Collaborates closely with executive leadership, operations, legal, risk management, finance, and Information Security to identify and resolve compliance issues in accordance with overall BSWH business objectives.

A system Vice President (VP) develops strategy and business plans for one or more business units or functional areas. Business unit or area may include a level of smaller entity vice presidents (e.g., small hospitals, clinics, etc.). Leads strategy development and execution, identifies resourcing needs, and provides guidance for significant tactical decisions. Focuses on current-year operations and participates in establishing multi-year strategies and business plans. Erroneous decisions at this level tend to have a long-term negative effect on the success of the organization. Leads and directs a large division, multiple departments, or a single business unit. Typically directs multiple levels of subordinate vice presidents (entity/region), directors, and/or managers covering varied disciplines and skill levels. Has managerial accountability for staffing and budgets for a large span of control (at least 2 directors/managers) or is over a critical but small staff function. Exercises wide latitude in determining objectives and approaches to critical assignments. Responsible for executing a portion of the business strategy.

ESSENTIAL FUNCTIONS

• Oversees the corporate compliance risk based functions for BSWH.

• Develops and implements the annual compliance audit work plan based upon risk assessment, current patterns and trends in the industry, outstanding corporate integrity agreements or settlements, or BSWH specific issues.

• Develops and communicates corporate compliance updates, progress, and status reports for the Chief Compliance Officer, Corporate Compliance Committee, and Board of Trustees Audit & Compliance Committee.

• Leads compliance improvement programs and activities, including key response time, service quality, risk mitigation, and completion of corrective action plans.

• Collaborates with BSWH senior leadership to implement the compliance reviews, including risk assessment, program development, education, and program monitoring.

• Oversees compliance audits that includes potential problem identification and intervention to offset adverse impact.

• Leads the selection and development of curriculum for annual and new-hire compliance education for all BSWH employees.

KEY SUCCESS FACTORS

• Bachelor's degree in healthcare administration, or related field or equivalent experience required. Master's degree or Juris Doctorate (JD) strongly preferred.

• 7 years of healthcare compliance experience with complex regulatory environments, preferably a large-scale, multi-facility healthcare system or integrated delivery network.

• 3 years of experience in a leadership role.

• Experience developing, scaling, and leading an enterprise-wide compliance program.

• Strong working knowledge of healthcare compliance practices, ethics, and regulatory requirements.

• Experience conducting healthcare compliance investigations and addressing non-compliance.

• Healthcare compliance professional certification preferred (e.g., Certified in Healthcare Compliance (CHC),

• Excellent written, verbal, and presentation skills.

MINIMUM REQUIREMENTS

• Bachelor's degree or equivalent experience required; Master's Degree or Juris Doctorate (JD) preferred
• 7 years of experience