• Compliance Program Director

    Job Locations US-IL-Chicago
    Posted Date 1 month ago(6/8/2018 11:37 AM)
    Requisition ID
    2018-5874
    Category
    Leadership
    Position Type
    Regular Full-Time
    Shift
    Days
  • Overview

    General Summary of Position Responsibility:

     

    Responsible for operating the Children’s Hospital of Chicago Medical Center (“Medical Center”) Corporate Compliance Program (“Program”) under the direction of the Sr. Director, Compliance Operations.  Guides Compliance staff in day-to-day operations and oversees and manages fraud, waste and abuse (FWA) Program processes and related activities.  Participates in the development and deployment of new functions to expand Program activities in order to achieve and maintain an effective Program.

    Responsibilities

    • Support the administration of the Corporate Compliance Program under the direction of the Sr. Director Compliance Operations.
    • Participate in the periodic review and revision of the Compliance Program with changes in the needs of the organization, as well as updates in the regulatory environment.
    • Provide support in hiring Compliance Department staff, and outside consultants as necessary, and managing staff and consultants, when required, in the implementation of the Compliance Program.
    • Assist in the implementation and maintenance of programs/tools to promote efficiency with tracking, maintaining and reporting Compliance Program activities and processes.
    • Participate in campaigns to heighten awareness of the Compliance Department function, as well to disseminate information and collect employee feedback.
    • Support development of Compliance Department reporting materials and presentations for the Executive Compliance Committee; assist in preparing materials for board committee reporting.
    • Assist with the preparation and dissemination of educational and training that focuses on the elements of the Compliance Program so that physicians, employees and volunteers are aware of the Code of Conduct, policies and pertinent federal and state laws and regulations.
    • Maintain a current working knowledge of Federal and State regulations and requirements as they affect the Medical Center, monitor healthcare regulatory environment and advise on new and/or revised laws and regulations.
    • Participate in the development and revision of compliance related policies.
    • Collaborate with internal legal counsel, revenue cycle, HIM, IM, operational leadership, and other subject matter experts throughout the Medical Center.
    • Participate in the development, implementation and tracking of, and reporting on, the Annual Compliance Work Plan.
    • Manage the reporting system for employees to report concerns and obtain assistance; coordinate with HR and leadership on appropriate handling of issues, adequate mechanisms for enforcement of compliance requirements and violation discipline.
    • Participate in activities/committees/work groups related to new electronic medical record system implementations, billing and documentation rules/regulations, laws and payor contractual requirements.
    • Support affiliated medical groups on corporate compliance matters (e.g. electronic medical record system, billing and documentation rules/regulations, and payor requirements).
    • Assist in overseeing management's completion of corrective actions in response to compliance matters identified through audits, investigations and internal monitoring programs conducted by the Compliance Program.
    • Manage the Joint Affiliate Conflict of Interest Disclosure survey process and coordinate follow-up and resolution of potential conflicts with Medical Center leadership.
    • Manage the exclusion checks/screening processes on providers, employees and vendors against OIG Sanction List and other governmental databases.
    • Other job duties as assigned.

    Qualifications

    1. Bachelor’s degree required with a Bachelor’s degree in in Health Care Administration, Business Administration or a related field preferred. Certification by the Health Care Compliance Association (HCCA) preferred.
    2. Five (5) plus years applicable healthcare compliance experience; in an academic medical center preferred.
    3. Demonstrated ability to communicate, both verbal and in writing, complex compliance issues in a clear and understandable manner.
    4. Ability to manage multiple priorities and concurrent projects.
    5. Prior experience in creating presentation materials and delivering content.
    6. Knowledge of healthcare regulatory environment and skills in researching state and federal laws, rules and regulations.
    7. Strong project management skills.
    8. Ability to work effectively in a fast-paced, demanding environment with employees at diverse levels.
    9. Decisive and ability to exercise good judgment under pressure.

    Options

    Sorry the Share function is not working properly at this moment. Please refresh the page and try again later.
    Share on your newsfeed