Chief Compliance Officer

Job Profile Summary

This role focuses on ensuring the organization's business activities are conducted ethically and in compliance with relevant regulations, laws, and standards. In addition, this role focuses on performing the following Legal Leadership duties: Controls, directs, and participates in the activities of the organization through a hierarchy of managers and supervisors. Responsibilities also include long-term strategic planning, determining the policies of the organization, and allocating its resources and making decisions regarding organization growth and diversification to accomplish entity's vision. An executive role that provides strategic vision and/or tactical/strategic direction across multiple teams with the majority of time spent on overseeing area of responsibility and directing the responsibilities of employees. Goal achievement is typically accomplished through performance of direct and/or indirect reports. An entity sub-function head role accountable to establish and implement strategies that have short to mid-term (1-3 years) impact on business results in alignment with function objectives. Leads multiple teams of directors/senior managers and managers and develops short to mid-term (1-3 years) plans for optimizing the function or sub-function and the talent required to execute strategies in job area.

Job Overview

This position reports to the Board Audit & Compliance Committee and to the General Counsel and oversees the Corporate Compliance Program, functioning as an independent and objective person who, directly or through staff or independent third-party persons or organizations, reviews and evaluates compliance issues/concerns within the organization. The position is responsible for establishing standards and procedures that seek to prevent illegal, unethical, and improper conduct, for ensuring these standards are communicated and institutionalized throughout the company, and for monitoring the company’s compliance with these standards and procedures.

Job Description

Minimum Qualifications:

1. Bachelor’s degree in healthcare administration, financial auditing, law, or related field.

2. Ten (10) years of compliance experience in a regulated healthcare related field.

3. Three (3) years of management experience.

3. Extensive experience and understanding of applicable healthcare laws, including fraud and abuse statutes and regulations.

Preferred Qualifications:

1. Advanced degree in healthcare administration (MHA), finance, or law (JD).

2. Five (5) years of management experience.

3. Auditing experience.

Duties and Responsibilities: The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list. Other duties and responsibilities may be assigned.

1. Chairs the company’s Corporate Compliance Committee.

2. With the input and approval of the Board Audit & Compliance Committee, reviews and revises the company’s existing compliance policies and procedures as necessary to implement the compliance program and to identify and address potential areas of vulnerability regarding compliance with Federal health care programs requirements.

3. Identifies changes in applicable laws, rules, regulations, standards, and related trends that are relevant to the compliance program and makes necessary modifications to policies and procedures.

4. Responds to alleged violation of rules, regulations, policies, procedures, and standards of conduct.

5. Develops and oversees a system for uniform handling of such allegations and actual violations.

6. Ensures proper reporting of violations or potential violations to duly authorized internal staff and to enforcement agencies as appropriate and/or required by law.

7. Provides reports on a regular basis to keep the CEO and the Board Audit & Compliance Committee informed of the operation and process of compliance efforts and of any significant compliance issues.

8. Provides reports at least quarterly to the Board Audit & Compliance Committee, to keep Board Members informed of the operation and process of compliance efforts and of any significant compliance issues.

9. Designs and executes education and training programs for employees where functions or responsibilities involve compliance with laws or standards of conduct including introductory training for new employees and ongoing training for all employees. Partners with HR, legal and other departments as needed.

10. Monitors the performance of the Compliance Program and related activities on a continuing basis and with periodic audits, taking appropriate steps to improve effectiveness of the program.

11. Manges the relationship with the outsourced vendor for the internal audits including risk assessment and identified audits.

12. Works with legal to review Conflict of Interest disclosures by Board Members and key workforce members.

Physical Requirements:

1. Professional office environment with typical office requirements such as computers, phones, photocopiers, filing cabinets, etc.

2. This is largely a sedentary role, which involves sitting most of the time, but may involve movements such as walking, standing, reaching, ascending / descending stairs and operating office equipment.

3. Frequently required to speak, hear, communicate, and exchange information.

4. Able to see and read computer displays, read fine print, and/or normal type size print and distinguish letters, numbers, and symbols.

5. Occasionally lift and/or move up to 25 pounds.

Skills & Abilities:

1. Trusted, respected, and recognized as having high integrity; Ability to maintain the highest level of confidentiality on all matters.

2. Self-confident, with demonstrated moral courage.

3. Ability to communicate bad news, even when conflicting with the company’s accepted practices.

4. Perseverance in investigating alleged noncompliance.

5. Ability to read, analyze, and interpret applicable laws and regulations, policies and procedures, general business periodicals, and professional journals.

6. Ability to write reports, business correspondence, and procedure manuals.

7. Ability to effectively present information and respond to questions from groups of managers including the Board, employees, clients, customers, regulators, attorneys, and the general public.

8. Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.

9. Knowledge of and capable of performing PC applications including MS Word, Excel, PowerPoint, and Access.