We are representing a not-for-profit state-wide healthcare agency in their search for a Head of Compliance.
Why Join Us:
- The top Compliance position in the organization, working directly with executive team to successfully develop a robust enterprise wide compliance program across 60 locations
- Make a direct impact in the most vulnerable communities throughout California
- Hands on opportunity to create and implement compliance strategy with the freedom to innovate and execute
- Agile business grown rapidly via both organic expansion and regular M&A activity
Expectations first 12 months:
- Identify key areas of compliance program improvement, initiate strategy and implementation of a streamlined and uniform enterprise wide program
- Spearhead the development, communication, implementation, and oversight of effective operational compliance system
- Grow and configure a talented and capable compliance team via coaching and mentoring
- Establish valued key partnerships with programs and departments across the state
- Finalize the process of standardizing systems between Northern and Southern California
Responsibilities:
- Reporting to the Chief Operating Officer, managing a team of twelve and ensuring a robust, efficient and sustainable program which is compliant with relevant regulations, policies, and procedures
- Ensure there is an active approach to reduce the operational risk profile of the organization, reviewing internal and external risk assessment reports, creating and executing a plan, and monitoring effectiveness
- Develop and maintain a written corporate compliance plan and an annual evaluation of the plan’s effectiveness
- Serve as the primary stakeholder and designated liaison for senior regulatory interactions
- Monitor performance of the compliance program and relates activities on a continuing basis, taking appropriate steps to improve its effectiveness as requirements evolve
- Identify potential areas of compliance vulnerability and risk; develop/implement corrective action plans
- Respond to alleged violations of compliance-related rules, regulations, policies, procedures, and Standards of Conduct by evaluating or recommending the initiation of investigative procedures
- Ensure proper reporting of violations or potential violations to duly authorized enforcement agencies as appropriate and/or required
- Responsible for overseeing compliance monitoring of our health care practices, billing, documentation
(including Medicare and Medicaid), and internal control systems/procedures
- Create and foster a culture of transparency and support for whistleblowers and suspected fraud reporting
- Supply guidance and educational programs to improve understanding of laws and regulatory requirements
- Provide reports and actionable metrics on a regular basis, and as directed or requested, to keep the
Corporate Compliance Committee of the Board informed of the execution and progress of compliance efforts
- Responsible for all patient/client records and that they are maintained according to specific regulations (i.e., HIPAA & 42 CFR Part 2)
- Consult with outsourced attorneys to resolve difficult legal issues related to operational risk
Requirements:
- Essential Education: Bachelor’s degree; Desirable Education: Masters or JD
- Compliance Experience: You must bring significant primary care or behavioral healthcare compliance and leadership experience, including demonstrable exposure to improving and streamlining compliance programs
- Experience should include exposure to HIPAA, CMS, team training and development and regulatory liaison
Application Process for a Head of Compliance: Qualified professionals are to submit resume to Steve Harrison: steve@conselium.com
Published by Conselium Executive Search, the global leader in compliance search.
