Director of Compliance- Part-Time

JOB SUMMARY:

The purpose of this position is to implement policies, procedures, and practices designed to ensure the organization is conducting business in full compliance with CIA, State, and Federal Health Care program laws, regulations and requirements.

ESSENTIAL JOB DUTIES:

To perform this job, an individual must perform each essential function satisfactorily, with or without a reasonable accommodation.

• Develop, initiate, maintain and revise policies and procedures for general operation of the compliance program and related activities to prevent illegal, unethical or improper conduct
• Manage day-to-day operation of the compliance program
• Develop Standards of Conduct to ensure continuing currency and relevance in providing guidance to management and employees; review and update periodically
• Collaborate with other departments (ex., Human Resources, Clinical and IT) to direct compliance issues to appropriate existing channels for investigation and resolution
• Consult with Chief Compliance Officer as needed to resolve difficult legal compliance issues
• Respond to alleged violations of rules, regulations, policies, procedures and standards of conduct by evaluating or recommending the initiation of investigative procedures
• Develop and oversee a system for uniform handling of such violations
• Monitor, and as necessary, coordinate compliance activities of other departments to remain abreast of the status of all compliance activities and to identify trends
• Identify potential areas of compliance vulnerability and risk; develop and implement corrective action plans for problematic issues; provide general guidance on how to avoid or manage similar situations in the future
• Provide reports on a regular basis to ensure success with all compliance efforts
• Ensure proper reporting of violations or potential violations to duly authorized enforcement agencies as appropriate or required
• Work with the Human Resources Department and others as appropriate to develop an effective compliance training program, including appropriate introductory training for new employees and on-going training for all employees
• Monitor the performance of the compliance program and related activities on a continuing basis, taking appropriate steps to improve its effectiveness
• Other duties as assigned

JOB REQUIREMENTS:

• Possess working knowledge and understanding of federal and state laws, regulations and statues; effectively communicate essential information to the workforce
• Demonstrate proficient ability to complete project assignments
• Punctuality, reliability
• Successful completion of required training
• Manage stress appropriately
• Handle multiple priorities effectively
• Independent discretion/decision making
• Make decisions under pressure
• Multi-task, meet deadlines, prioritize
• Position may require flexible hours, unscheduled overtime or occasional week-end work
• Some travel may be required

REQUIRED QUALIFICATIONS:

• Education:

o Bachelor's Degree required; Master's Degree preferred

o CHC Health Care compliance preferred

• Experience:

o Minimum 10 years' experience in healthcare compliance and privacy

o Experience managing complex compliance and privacy issues across a variety of patient care settings

o Experience working under a Corporate Integrity Agreement

o Specific experience managing compliance and privacy training

COMPANY COMPETENCIES:

• Respect - We treat people as they want to be treated, showing regard for their rights and privacy
• Integrity - We emphasize honesty, fairness, and doing the right thing even when no one is watching
• Teamwork - We work collaboratively to improve processes, resolve problems and reward results
• Excellence - We hold ourselves to the highest standards, aspiring to zero defects in every task
• Compassion - We respond to those who need help with sensitivity and a positive attitude
• Professionalism - We perform our duties with skill, good judgement and politeness

JOB COMPENTENCIES:

1. Analytical Thinking: Able to gather and analyze data and reach appropriate conclusion; solves problems in a timely manner.

2. Customer Service: Possesses good interpersonal skills while dealing with emotional or difficult situations; responds promptly to customer's needs.

3. Accountability: Accepts responsibility for own decisions, actions and results; able to maintain dependable behavior in times of crisis or complexity.

4. Attendance: Is consistently at work and on time; ensures work responsibilities are covered; returns from lunch and breaks appropriately; arrives at meetings on time; notifies supervisor of pending absences.

5. Communication: Speaks and writes clearly and persuasively; listens and receives clarification.

6. Ethical Behavior: Upholds organizational values and abides by state and federal regulations; maintains confidentiality of HIPAA information; treats others with respect.

7. Initiative: Seeks increased responsibility; sets self-improvement goals linked to the organizational goals.

8. Job and Industry Knowledge: Demonstrates knowledge of the position and industry; seeks additional information.

9. Productivity and Quality of Work: Maintains high level of performance while demonstrating commitment to accuracy and thoroughness.

10. Teamwork: Displays ease working with others; contributes ideas and skills to team; puts success of team above own interests.

SCOPE AND LEVEL OF WORK:

• Complexity: Duties assigned are generally complex and may be of substantial intricacy. Work assignment is performed within an established framework under general instructions but requires simultaneous coordination of assigned functions or projects in various stages of completion.
• Decision Making: Exercises judgment and discretion, and is responsible for determining the time, place and sequence of the work performed.
• Communications: Contacts with the public or employees where explanatory or interpretive information is exchanged, defended, and gathered and discretion and judgment are required within the parameters of the job function.
• Supervision Received: Performs work with supervisory oversight. Under general supervision, the employee receives assignments and is expected to carry them through to completion with substantial independence. Work is reviewed for adherence to instructions, accuracy, completeness, and conformance to standard practice or precedent. Recurring work clearly covered by guidelines may or may not be reviewed.

SUPERVISORY RESPONSIBILITES:

• Does not have direct supervisory responsibilities
• Occasionally needs manager's direction due to extraordinary circumstances