We are representing a large regional healthcare system in their search for a Program Director Compliance & Privacy.
Why Join Us:
- Position reporting directly into the SVP Chief Compliance Officer
- Included in Fortune Magazine’s ‘100 Best Companies to Work For’ in 2021 and the previous six years
- Well-established organization with over 20,000 employees across a diverse and stable business network
- Business with a technology-forward approach to growth and a strong patient-first approach to healthcare delivery
Responsibilities:
- Reporting to the SVP Chief Compliance Officer, managing a team of one
- Oversee, lead and administer the hospital compliance and privacy programs consistent with policies
- Serve as Chair for Entity Compliance Committee and Privacy Committee for assigned entities
- Communicate the importance of compliance and compliance program to senior management, the hospital Board of Trustees, the entity compliance committee, and hospital employees
- Increase knowledge of the relationship between services provided to patients, medical record documentation reimbursement, and audit liability, and other pertinent compliance topics
- Develop and/or implement education programs addressing compliance and privacy
- Work in cooperation with Central Business Office and the Billing Compliance Committee on matters related to the hospital Chargemaster, billing and/or charging matters
- Maintain specific knowledge and skills related to the Code of Business Ethics necessary to answering questions and providing guidance to hospital personnel on business ethics questions or concerns
- Work in coordination with the Privacy Officer as needed to carry out privacy initiatives and activities
- Lead hospital department leaders and staff in coordination of efforts pertaining to audits and/or compliance-related matters and topics
- Motivate staff to use a variety of mediums and facilitate an atmosphere of teamwork and common goal achievement
- Oversee the application of System Compliance policies
- Oversee the application of Privacy Program policies taking appropriate steps to mitigate damage from breach of privacy policies and practices, when necessary
- Identify and assess areas of compliance and privacy-related risk and related internal controls for these risk areas
- Oversee entity compliance and privacy monitoring and auditing activities and coordinate as needed with System Compliance staff
- Communicate audit/monitoring findings
- Monitor the day-to-day activities of the hospitals to further its compliance objectives
- Conduct and oversee investigations as appropriate; coordinate investigations with legal counsel and System Compliance Officer for major violations of law or policy
- Oversee and follow-up, as applicable, implement corrective actions to investigations and other issues generated by the compliance and privacy program
Qualifications:
- Essential Education: Bachelor’s Degree; Desirable Education: JD
- Desirable Certification: CHC or CPCO
- A minimum of five years healthcare compliance and privacy experience, including compliance with federal and state regulations related to coding, documentation, billing practices, Medicare/Medicaid
Application Process for Program Director Compliance & Privacy: Qualified professionals are to submit resume to Steve Harrison: steve@conselium.com
Published by Conselium Executive Search, the global leader in compliance search.
