Chief Compliance Officer

3 months ago

Albuquerque, United States First Choice Community Healthcare Full time
Description

A. POSITION SUMMARY

A Chief Compliance Officer's (CCO) primary responsibility is to ensure all procedures and activities are compliant with the company's policies, and that they adhere to state and federal laws and regulations. The CCO drafts, proposes, develops and coordinates the implementation of compliance programs for the company. Through the CCO’s work, the company can reduce its exposure to risks that could result in liabilities, penalties and issues that may cause disruptions in production. The CCO is also part of the team that ensures quality in all company processes and activities.

B. ESSENTAIL DUTIES AND RESPONSIBILITIES 

Well-versed in regulatory and corporate governance best practices. Enforces regulations in all aspects and levels of business as well as providing guidance on compliance matters. Develops and oversees control systems to prevent, detect and respond to violations of legal guidelines and internal policies. Directs development and refinement of complex compliance and ethics programs that ensure entire organization complies with both federal and state requirements. Plans, manages, and oversees compliance functions; areas of responsibility include organizational risk assessments, designing internal compliance plans and controls, conducting compliance testing, and providing compliance reports to senior leadership and board of directors (committee?). Provides regular updates to Management on the status of complaints, type of complaints, and resolutions. Recommends changes to mitigate negative results of complaints. Serves as subject matter expert for compliance requirements under HRSA and 340b drug program. Advises improvements in control systems. Provides oversight of information gathering activities for HRSA and Joint Commission audits and external reviews. Work with the senior leadership team to set compliance direction; develop strategies, policies, and action plans; review compliance developments and assess compliance risks. Perform organizational risk assessments to identify compliance issues; upon completion of impact assessment, codifies the workflow procedure; advises management on workflow processes and standards; advise and train managers and staff on matters of policy. Develop and implement compliance system structure, such as designing annual compliance plans and internal controls. Ensures that compliance issues and concerns within the organization are appropriately evaluated, investigated, and resolved. Analyzes the impact of changes in legislative or regulatory requirements; establishes and monitors procedures to implement necessary changes. Performs related duties as required. Requirements

C. MINIMUM EDUCATION AND EXPEREINCE

Advanced degree in healthcare administration, may substitute for some or all of the minimum health care experience

Minimum of 10 years’ experience in the healthcare field with a focus on program management, performance improvement, clinical risk management, compliance, regulations, auditing and accreditation.

KNOWLEDGE, SKILLS, AND ABILITIES Knowledge of ethics and compliance program elements, principles and practices, privacy, security, internal controls, and audit functions. Knowledge of State and Federal laws and regulations that affect the provision of healthcare and healthcare organizations. Knowledge of standards applicable to not-for-profit corporations as applied to the provision of health care, public health, environmental health, information technology, and, as needed, grant compliance. Knowledge of laws, regulations, policies and requirements applicable to non-profit health systems including Medicare/Medicaid, insurance reimbursement, fraud and abuse laws, accreditation, licensing, and certification standards. Knowledge of compliance investigation and auditing principles and standards. Skill in assessing compliance risk, interpreting and applying applicable laws, regulations, policies, procedures, and professional practice standards for compliance and integrity programs. Skill in diplomacy and establishing positive collaborative working relationships with individuals with a wide array of cultural, educational, and socio-economic backgrounds. Demonstrated skills and experience in assimilating, reconciling, and prioritizing diverse information, recommendations, policy considerations, and organizational objectives. Demonstrated skills in written and oral communication. Skill in assessing complex situations and prioritizing multiple projects and demands. Skill in analyzing and evaluating internal control methods and procedures.

E. PHYSICAL CHARACTERISTICS/WORKING CONDITIONS

This position contains diverse demands and priorities. There are frequent opportunities to relax from any physical exertion, change position in work activities, or break from computer application tasks.

 Physical Effort and Dexterity: Good dexterity to operate personal computer and office equipment. Occasional lifting and carrying related to office duties.   Machines, Tools, Equipment required to be operated: Capable of using office machines and personal computers for word processing, data entry and spreadsheet applications.  Visual Acuity, Hearing, and Speaking: Must be able to read a computer monitor and outputs accurately. Must be able to communicate clearly and accurately for work and safety compliance.  Environment/Working Conditions: Work is mostly inside an office in a controlled environment. Normal office safety precautions and practices are required. Position requires travel throughout the Albuquerque metropolitan area. Work regularly scheduled Monday-Friday, although weekends and evenings may be required to meet with members of the Board of Directors and meet deadlines. Fixes asset inventory may require bending, squatting, or lifting.

This description lists the major duties and requirements of the job and is not all-inclusive. Applicants may be expected to perform job-related duties other than those contained in this document and may be required to have specific job-related knowledge and skills.

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