Posted Under: New England, Northeast jobs in Executive; Executive jobs in zipcode 3031
Posted On: 2019-07-13 00:00:00
Sr. Compliance Manager POSITION SUMMARY: Reports to the Chief Compliance and Privacy Officer. Serves as lead #manager for the compliance and privacy program for Eastern Connecticut Health Network and provides additional support for Waterbury Health. The Compliance and Privacy program# #includes education, training, policies and procedures, investigation of compliance matters, auditing, and reporting. Coordinates compliance-related activities and projects. Serves as a role model for ethical behavior and promotes awareness and understanding of positive ethical and moral principles consistent with the mission, vision and values of the organization and those required by federal and state law. # QUALIFICATIONS: # EDUCATION/CERTIFICATION: # Required: Bachelor#s Degree # Desirable: Advanced license or certification: MBA, MHA, CPA, CIA, JD Certified in Healthcare Compliance Professional certification in privacy Combination of education and work experience may be considered. # EXPERIENCE: # Minimum five #years of healthcare experience in a #compliance, legal or related operational role at a hospital or medical group Knowledge of health care compliance programs and guidance, healthcare reimbursement (coding and billing practices), privacy, security, fraud and abuse regulations. # COMPETENCIES: # Demonstrated leadership skill. Experienced and comfortable working in a collaborative and consensus-building environment and ability to work with diverse constituents internally and externally. Ability and skills to achieve results in a matrix organization. #Possess extremely strong interpersonal and diplomacy skills. Demonstrated organization and project management skills. Ability to prioritize and plan work independently. # Ability to research and interpret federal and state regulatory requirements related to compliance and privacy. Ability to compile data from various sources and to analyze and interpret the data in order to provide alternatives and make recommendations. Strong verbal and written English communication skills, with the ability to present ideas clearly, concisely and persuasively to audiences at all levels within the organization. Demonstrate independent and creative thinking, high level of self-motivation, team orientation, professionalism, trustworthiness, and respect for others. Possess excellent Word, Excel, PowerPoint and SharePoint skills and the ability to new learn new software programs. Valid driver#s license as travel between facilities is an essential function of the role. # ESSENTIAL DUTIES and RESPONSIBILITIES: # # Continuously carries out the PMH/Eastern Connecticut Health Network Mission (#ECHN#) to attain excellence in the provision of healthcare services by consistently fulfilling the commitment to quality, and by compassionately and skillfully delivering continuously improving total patient centered service. Coordinate the development and implementation of the PMH Compliance Program pertaining to for ECHN under the Direction of the Chief Compliance Officer (#CCO#). Oversee say to day operations of the compliance department and activities including Compliance Committee meetings. Assist with the development, implementation, and training of the ECHN workforce on various compliance, privacy and ethics topics including but not limited to new employee training recurring training for current workforce members and specialized training as needed. Promptly investigate and resolve potential and actual compliance and privacy issues through collaboration with relevant management. Document all issues in the compliance data base; prepare periodic reports from the database system. Ensure that compliance reports are prepared accurately and timely for review by management and/or board members. Coordinate with Administration, Finance, Legal, Business Development, Research, IT, Human Resources and other departments in ensuring day to day compliance with the PMH Compliance Program, ECHN policies and procedures, and applicable laws and regulations. Ensure that all members of the workforce (employees, contractors, medical staff, volunteers and students) are screened prior to start date and monthly thereafter to identify any individual or entities convicted of a federal health care offense or excluded from participation in federal or state programs and remove any such individuals as necessary.# Coordinate and implement a system for reporting of conflicts of interest as well as investigate and resolve such conflicts. Oversee the monitoring and review procedures related to detecting potential non-compliance. Research, investigate and monitor federal and state regulations and determines how those regulations impactthe organization. Serve as a resource to operational staff regarding those regulations. Assist with the development and implementation of the annual compliance and privacy Workplan. #Monitor and audit hospital operations and activities in accordance with the plan. Conduct compliance reviews of department policies, processes, procedures and workflows to determine compliance with applicable laws, regulations and corporate policies, identify compliance gaps and suggest process improvements that facilitate compliance. Assist with the research, drafting, and maintenance of policies and procedures to ensure system compliance with applicable federal and state laws and regulations. Organize and facilitate Corporate Compliance Operating Committee to effectively incorporate compliance activities into daily operations. Participate actively with Department Directors on daily operations and system wide initiatives. Other duties as assigned by the CCO.