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Employment Opportunities

Corporate Compliance and Risk Director

Description

Essential Responsibilities

  • Assist in the review, revision and formulation of appropriate policies/procedures that meet the objectives of a Corporate Compliance Program that manages potential risks/liabilities, guides employee’s in safe work practices and improves patient care; develop methods to administer/evaluate policies and procedures on an ongoing basis.
  • Chair a Corporate Compliance Committee which meets regularly to review high risk areas, 340B Program, contracts, and auditing processes throughout the organization. Consult with CEO, retain legal counsel for purposes of investigation of possible violations.
  • Monitor Corporate Compliance Program; report data to Compliance Committee, CEO and Hospital Board.
  • Coordinate and facilitate organization-wide regulatory compliance with external regulatory inquiries/surveys, including state and federal agencies, CMS, and The Joint Commission.
  • Direct risk reduction activities, including working in tandem with legal counsel and insurance claim managers, to monitor/facilitate all claims against the organization.

Salary / Benefits Minimum salary of $96,374.00 annually and will be based on knowledge and years of experience. In addition, we offer medical, dental, vision, pension plan, paid time off (sick, vacation), life insurance and relocation assistance.

Minimum and Preferred Qualifications

  • Bachelor’s Degree in Health and Human Services field required; Master’s Degree preferred.
  • Minimum of 5 years’ experience in compliance, risk management, quality assurance or related field with previous supervisory experience preferred; healthcare background helpful.
  • Knowledge of laws and regulations pertaining to health care, regulatory compliance, physician billing and information systems, Medicare/Medicaid and financial reimbursement systems, and HIPAA Privacy and Security helpful.
  • Experience interacting effectively with federal and state regulators and enforcement agencies helpful.
  • Ability to read, analyze, and interpret complex documents (financial and other) effectively.
  • Possess exceptional communication and listening skills with an ability to handle conflict, respond effectively to sensitive inquiries and complaints, effectively present information to staff and leadership groups, define problems, collect data, establish facts, and draw valid conclusions.
  • Highly collaborative and professional individual with ability to influence others, deal with conflict, and build strong professional relationships.
  • Strong, independent decision-making ability that leads by example.
  • A demonstrated commitment to integrity, regulatory compliance and ethical decision making.
  • Ability to lead a team effectively in a fast-paced environment.
  • Proficiency w/computers and office software (Word, Excel, Outlook) required; healthcare information systems preferred.
  • Ability to organize and prioritize multiple tasks simultaneously.
  • Ability to successfully pass a pre-hire drug screening and background check.

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