Job Description

Director Non-clinicalClick Here to Apply OnlineJob DescriptionLocation: Good Samaritan Medical CenterPosted Date: 3/28/2024Job Type: Full TimeDepartment: 0600.73000 CGS AdministrationPOSITION SUMMARY:The Compliance & Privacy Officer is a member of the OCCP at Good Samaritan Medical Center with general duties and responsibilities related to being the focal point for implementing Steward Health Care System's (Steward) Compliance & Privacy Program for the specified Region.This position reports directly to the Good Samaritan Medical Center's President. The Compliance & Privacy Officer needs to be a person of high integrity, and any other duties assigned should not conflict with the Steward's compliance program goals and objectives. This position will be based at Good Samaritan Medical Center.The Compliance & Privacy Officer is responsible for driving implementation of Steward's Compliance Program at the hospital/clinic levelThis position is responsible for driving compliance program 'operational excellence' (i.e., standardization, scalability, effectiveness, and efficiency) related to investigations, reporting, monitoring, education, and corrective action plans to Good Samaritan Medical Center.KEY RESPONSIBILITIES:Drives consistent application of Steward's Code of Conduct and compliance policies to Good Samaritan Medical Center.Ensures that information is provided to Good Samaritan Medical Center's entity-level management to keep them current on the latest compliance program related risks and leading practicesAssists the OCCP in conducting a risk assessment to support the overall annual Compliance PlanReview's conflict of interest disclosure forms for Good Samaritan Medical Center to identify any concerns that may need to be brought to the attention of the System Deputy, Compliance & Privacy Officer and entity leadership for follow-up or resolution Management responsibilities include but are not limited to hiring, training, development, and performance management, as well as continuous improvement of workflow/communication within the team based on leading practice techniques. Assists with professional development of OCCP staff through in-service meetings, education programs, conferences, etc.Develop and manage on-going data analytics efforts, based on the annual Work PlanEnsures quality assurance through an internal process on each investigationMaintains documentation of methods used and individuals involved in verifying compliance; documented identified issues, corrective actions taken, and improvements implementedAssists with the development and delivery of compliance training programs, as assignedEnsures all identified issues are logged in the OCCP database (Comply Track) accurately and timely and conducts regular documented follow up until issues are resolvedLeads investigations or supervises investigations of compliance and privacy concerns at Good Samaritan Medical Center that are raised through the various reporting mechanismsUnder the direction of the Senior Vice President, Chief Compliance Officer, Good Samaritan President, consults with the Office of General Counsel (OGC), as needed, to resolve legal compliance issues Monitors the implementation status of management's corrective action plans in response to identified compliance and privacy issues and facilitates regular discussion on open topics at meetings, including Compliance Committee meetingsAssists with preparing written reports, on a quarterly basis or as requested, to keep the Regional System Deputy, informed of compliance activities and issues for Good Samaritan Medical Center on a timely basis. Also, assists with providing reports to Good Samaritan Medical Center entity-level management on compliance program activities and issues on a regular basis (at least quarterly)Interacts with employees at all levels, always demonstrating impartiality and fairnessEstablishes and retains a cooperative relationship with Medicare Administrative Contractors and others to understand applicable Medicare and other third-party payor requirementsDemonstrates a knowledge and understanding of Steward's policies and procedures and applicable regulatory requirements. Maintains a library of appropriate reference material that will facilitate the understanding of and compliance with applicable requirementsEstablishes and fosters effective working relationships and builds credibility within the Good Samaritan Medical Center to support a culture of complianceIdentifies potential risk areas on an ongoing basis and assists the Good Samaritan Medical Center/clinics with developing risk mitigation and/or corrective action plan strategiesUnder the direction of the Regional System Deputy, Compliance & Privacy Officer acts as a consultative resource on issues concerning compliance, and provides recommendations to enhance policies, procedures, and internal controls, as neededKeeps the Regional System Deputy informed of compliance program activities and issues on a timely basisDisseminates key industry regulator audit updates such as CMS, OIG, etc. to OCCP teamCooperates with the regulators (e.g., CMS, OIG, OCR, State Attorney General, etc.) and other parties, as appropriate, in connection with any privacy or compliance inquiries, audits, or investigationsManages communication, risk assessment, and reporting responsibilities as it relates to identified federal and state data breach lawsParticipates in health care compliance professional organizations to stay abreast of compliance developments and leading industry practicesRepresents the OCCP through participation in various Steward committees and work groups as assignedAttends and/or co-chairs entity-level Compliance Committee meetings as requested and ensures documentation of meeting is complete and timelyParticipates in periodic OCCP team meetings to ensure effective communicationMaintains time and effort reporting records, as assignedCollaborates and works effectively with other Compliance & Privacy Officers and other OCCP team members to drive 'operational excellence' (i.e., standardization, scalability, effectiveness, and efficiency) system-wideDemonstrates respect and regard for the dignity of all patients, families, visitors, and fellow employees to ensure a professional, responsible, and courteous environmentCommits to recognize and respect cultural diversity for all customers (internal and external)Communicates effectively with internal and external customers with respect of differences in cultures, values, beliefs, and ages, utilizing interpreters when neededPerforms other duties, as assigned.REQUIRED KNOWLEDGE & SKILLS:Knowledge and experience with hospital related health care laws and regulations (e.g., Anti-Kickback Statute, Stark Law, etc.), and hospital inpatient and outpatient coding and billing compliance requiredFamiliarity with federal and state privacy laws and regulations requiredFamiliarity with operational, financial, and information technology security procedures and regulations a mustStrong oral/written communication and presentation skills a mustStrong leadership, organizational, interpersonal, and analytical skills, and the ability to function effectively in a fast-paced environmentAbility to prioritize and plan work independentlyAbility to interact with employees at all levelsEffectively work with and coordinate the activities of external consultants and legal counsel, as assignedAbility to anticipate potential issues and proactively respondGood judgment and problem-solving skillsTeam playerAbility to maintain confidentialityEDUCATION/EXPERIENCE/LICENSURE/TECHNICAL/OTHER:I. Education: A bachelor's degree requiredII. Experience: A minimum of 5 years' experience in a health care environment to include demonstrated management and leadership in compliance and privacy. For profit health care experience is a plusIII. Certification/Licensure Software/Hardware: Microsoft Outlook, Word, Excel, Internet Explorer and PowerPointSkills Required. Microsoft Access Skills preferred. Ability to effectively navigate electronic health records and billing systems. Ability to research applicable Medicare, Medicaid and other compliance requirements is requiredIV. Other: Travel Requirements:The ability to travel regionally and nationallyMust have a valid driver's license, provide own transportation, and be able to travel to Steward locations using a variety of modes of transportation Salary range: $150k - $180k Additional InformationAbout Steward Health CareOver a decade ago, Steward Health Care System emerged as a different kind of health care company designed to usher in a new era of wellness. One that provides our patients better, more proactive care at a sustainable cost, our providers unrivaled coordination of care, and our communities greater prosperity and stability.As the country's largest physician-led, minority-owned, integrated health care system, our doctors can be certain that we share their interests and those of their patients. Together we are on a mission to revolutionize the way health care is delivered - creating healthier lives, thriving communities and a better world.Based in Dallas, Steward currently operates more than 30 hospitals across Arizona, Arkansas, Florida, Louisiana, Massachusetts, Ohio, Pennsylvania, and Texas.For more information, visit Application InstructionsPlease click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you

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