Compliance Program Manager

7 days ago


Lebanon, New Hampshire, United States Dartmouth Health Full time
Job Summary

The Compliance Program Manager will be responsible for implementing and maintaining the local Member compliance program. This includes directing proactive and reactive compliance activities, maintaining core elements of the program, and serving as a resource for D-HH Corporate Compliance.

Key Responsibilities
  • Assist with execution of the D-HH Corporate Compliance Program by serving as a resource to complete designated core activities and other auditing projects across the System.
  • Collaborate with D-HH Corporate Compliance to perform the Member Annual Risk Assessment, develop the Annual Work Plan, and facilitate Dashboard Metric Reporting.
  • Responsible for the Member program and execution of activities based on the approved Annual Work Plan, ensuring all assigned Member-related D-HH Annual Work Plan activities remain up to date.
  • Identify, manage, and escalate any barriers to leadership that may prevent work from being accomplished as planned, proactively coordinating identified activities for the future development and prioritization of the Annual Work Plan.
  • Regularly report compliance activities through Member Management Compliance Committee meetings and other governance structures, working with D-HH Corporate Compliance to prepare written quarterly reports to apprise D-HH of compliance-related activities and investigations impacting the Member facility.
  • Develop and maintain strong working relationships with Operations and Leadership at both the Member and D-H Corporate Compliance to promote effective communication and achieve program objectives.
  • Exhibit critical thinking skills to identify and respond to Member day-to-day compliance issues, conduct compliance investigations to respond to reactive matters, and maintain all investigation documents in a contemporaneous, organized manner within the D-HH Corporate Compliance incident reporting database.
  • Perform auditing and monitoring of select risk topics for the Member as identified by the OIG Work Plan, internal recommendation, and/or determination from other regional and national relevant areas of focus.
  • Complete core elements of the Member program, including but not limited to, resolution of Exclusion Screening, Compliance HelpLine, and assistance with Conflict of Interest; evaluation of the OIG Work Plan process; and assessment of related compliance policies and procedures.
  • Implement Member training requirements related to the compliance program, including but not limited to such areas as new employee orientation and Annual eLearning.
  • Maintain current knowledge of applicable federal and state laws and other compliance regulations in collaboration with D-HH Corporate Compliance, monitoring compliance and audit standards and changes in regulations to ensure adaptation and compliance.
Qualifications
  • Bachelor's Degree required.
  • Preferred MBA, MHA, JD with major coursework in business administration, health care administration, or law.
  • A minimum of three years of health care compliance experience, preferably in a large Healthcare system setting or in a consulting capacity.


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