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Experience
2 yrs required
Location
Nashville, TN, United States
Posted on
May 28, 2018
Profile
Corporate Compliance Manager
The candidate will assist with developing, implementing and maintaining policies and processes covering the privacy of, and access to, patient health information in compliance with federal and state laws. Will assist in providing guidance to the Board of Trustees and senior management team on matters relating to reporting and compliance. Develops, initiates, maintains and revises policies and procedures for the general operation of the compliance program and its related activates to prevent illegal, unethical or improper conduct. Manages day-to-day operations of the College’s compliance program. Assist in development and periodically reviews and updates of Standards of Conduct to ensure continuing currency and relevance in providing guidance to management and employees. Collaborates with other departments (for example human resources, risk management, and IT) to direct compliance issues to appropriate existing channels for investigation and resolution. Assists the Director of Compliance in such functions as compliance liaison between internal/external customers, internal/external auditors, business partners, committees, consultants, federal/state agency staff, contractors, and fiscal intermediaries. Identifies potential areas of compliance vulnerability and risk, develops and implements corrective action plans for resolution of problematic issues, and provides detail reports with recommendations to the Director of Corporate Compliance on how to avoid or deal with similar situations in the future. Ensures proper reporting of violations or potential violations to duly authorized enforcement agencies as appropriate or required under guidance of Director of Corporate Compliance. Assist in the development of an annual Compliance Work Plan and revises the Work Plan in light of changes in the College’s needs, and in the law and policies and procedures. Ensures integrity of the medical record through education and training of staff and recommendations for operational changes needed as a result of regulatory updates. Establishes and provides direction and management of the compliance hotline. Institutes and maintains an effective compliance communication program for the organization, including promoting use of the compliance hotline, heightened awareness of standards of conduct, and understanding of new and existing compliance issues and relate 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. Maintains regulatory databases. Coordinates or oversees the filing of regulatory forms, reports, etc. Manages the Compliance department’s administrative duties. This includes organizing and maintaining relevant files; preparing necessary reports on activities; supervision of support staff. Performs other duties as assigned. Must have Bachelor’s degree in business/health-related field and 5+ years related experience. Master’s degree, CHC certification and/or JD preferred, 2+ years previous state or federal regulatory or managed care compliance experience required. Experience in academic medical centers preferred.
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