Compliance officer [h1.location_city]
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Compliance officer • dallas tx
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Metrocare ServicesDallas, TX, United States- [job_card.full_time]
Are you looking for a purpose-driven career? At Metrocare, we serve our neighbors with developmental or mental health challenges by helping them find lives that are meaningful and satisfying.
Metrocare is the largest provider of mental health services in North Texas, serving over 55,000 adults and children annually. For over 50 years, Metrocare has provided a broad array of services to people with mental health challenges and developmental disabilities. In addition to behavioral health care, Metrocare provides primary care centers for adults and children, services for veterans and their families, accessible pharmacies, housing, and supportive social services. Alongside clinical care, researchers and teachers from Metrocare's Altshuler Center for Education & Research are advancing mental health beyond Dallas County while providing critical workforce to the state.
Job Description :
The Chief Compliance Officer oversees and manages compliance within the organization. The position ensures the Center and its employees are following regulatory, contractual and accreditation requirements, internal policies and procedures, and that behavior in the organization meets the company's Standards of Conduct. The Chief Compliance Officer is responsible for providing guidance to the Board of Trustees and executive / senior management on all matters related to compliance.
ESSENTIAL DUTIES AND RESPONSIBILITIES :
The essential functions listed here are representative of those that must be met to successfully perform the job.
Compliance Officer Role & Responsibilities :
- Ensures that all departments are following HIPAA, HITRUST and other accreditation standards that apply to Metrocare.
- Monitors compliance with federal, state, and local regulatory requirements : Stays abreast of laws and regulations that might affect the organization's policies and procedures.
- Develops, initiates, maintains, and revises policies and procedures for the general operation of the compliance program and its related activities to prevent illegal, unethical, or improper conduct.
- Develops policies and programs that encourage managers and employees to report suspected fraud and other improprieties without fear of retaliation.
- Manages day-to-day operation of the compliance program including direct management of compliance team members, providing routine supervision, training, guidance and performance management feedback.
- Collaborates with Human Resources to develop, review and update Standards of Conduct to ensure continuing currency and relevance in providing guidance to management and employees.
- Collaborates with other departments to direct compliance issues to appropriate existing channels for investigation and resolution.
- Consults with General Counsel as needed to resolve difficult legal compliance issues.
- Responds to alleged violations of rules, regulations, policies, procedures, and Standards of Conduct by evaluating or recommending the initiation of investigative procedures to the appropriate department.
- Develops and oversees a system for uniform handling of compliance related violations.
- Monitors, and as necessary, coordinates compliance activities of other departments to remain abreast of the status of all compliance activities and to identify trends.
- Identifies potential areas of compliance vulnerability and risk, develops and implements corrective action plans for resolution of problematic issues, and provides general guidance on how to avoid or deal with similar situations in the future.
- Provides reports on a regular basis, and as directed or requested, keeps the Corporate Compliance Committee and senior management informed of the operation and progress of compliance efforts.
- Ensures proper reporting of violations or potential violations to duly authorized enforcement agencies as appropriate or required.
- Manages the compliance hotline.
- Institutes and maintains an effective compliance communication program for the organization, including promoting : (a) use of the compliance hotline; (b) heightened awareness of Standards of Conduct, and (c) understanding of new and existing compliance issues and related policies and procedures.
- Works with the Human Resources Department and others as appropriate to develop an effective compliance training program, including appropriate introductory training for new employees and ongoing training for all employees and managers.
- Monitors the performance of the Compliance Program and related activities on a continuing basis, taking appropriate steps to improve its effectiveness.
- Ensure contractors and agents who furnish medical services to the health system are aware of the requirements of the compliance program with respect to coding, coverage, billing, marketing, etc.
- Responds to government investigations and queries as the principal point of contact.
- As applicable, develops, implements and monitors corrective actions with all health system departments, providers and sub-providers, agents and, if appropriate, independent contractors.
Privacy Role & Responsibilities :
Information Security Role & Responsibilities :
The development and enforcement of information security policies and procedures, measures and mechanisms to ensure the prevention, detection, containment, and correction of security incidents.
COMPETENCIES :
The competencies listed here are representative of those that must be met to successfully perform the essential functions of this job.
QUALIFICATIONS
EDUCATION AND EXPERIENCE :
DRIVING REQUIRED : Yes
MATHEMATICAL SKILLS :
REASONING ABILITY :
COMPUTER SKILLS :
CERTIFICATIONS, LICENSES, REGISTRATIONS :
PHYSICAL DEMANDS & WORK ENVIRONMENT
PHYSICAL DEMANDS :
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation can be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the incumbent is regularly required to talk and hear, use hands and fingers to operate a computer and telephone. Due to the multi-site responsibilities of this position the incumbent must be able to carry equipment and supplies (up to 15 pounds).
The position may require sitting in excess of 4-6 hours a day.
TRAVEL :
NOTICE ON POSITIONS THAT REQUIRE TRAVEL TO / FROM VARIOUS WORKSITES
Positions that are "community-based," in whole or part, require the incumbent to travel between various worksites within his / her workday / workweek. The incumbent is required to have reliable transportation that can facilitate this requirement. The incumbent is further required to meet the criteria for insurability by the Center's risk management facilitator; and produce proof of minimal auto liability coverage when applicable. Failure to meet these terms may result in disciplinary action up to and including termination of employment, contract, or other status with Metrocare.
WORK ENVIRONMENT :
The work environment described here is representative of that which an employee encounters while performing the essential functions of this job. Reasonable accommodation can be made to enable individuals with disabilities to perform the essential functions.
Benefits Information and Perks :
Metrocare couldn't have a great employee-first culture without great benefits. That's why we offer a competitive salary, exceptional training, and an outstanding benefits package :
Equal Employment Opportunity / Affirmative Action Employer
Tobacco-Free Facilities - Metrocare is committed to promoting the health, well-being, and safety of Metrocare team members, guests, and individuals and families we serve while on the facility campuses. Therefore, Metrocare facilities and grounds are tobacco-free.
No Recruitment Agencies Please