Compliance Manager

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Compliance Manager
Duties: Support Hospital Compliance Program by: managing the institution-wide conflicts of interest program; assisting in or leading compliance investigations as appropriate; performing assigned projects to support the annual compliance plan and operation of an effective compliance program; providing education and training to Hospital personnel on compliance, conflict of interest, and privacy matters; and supporting the operations of the compliance program. Manage the operation of the institution-wide conflicts of interest office and program, with support from the Compliance Associate and other staff from the Office of Compliance and Privacy as needed. Includes coordinating with other departments and external organizations (e.g., University of Pennsylvania Office of Vice Provost of Research) as needed for smooth operation of the program. Management of the conflicts of interest program includes responsibility for the following functions: collecting and reviewing all annual and research transaction-specific conflicts disclosures from administrative, medical and research staff; identifying and preparing for review any individual and institutional conflicts of interest; providing staff support to the faculty-based Conflict of Interest Committee (COIC), including triaging matters requiring review, preparing monthly meeting agenda case summaries and other meeting materials, leading prep sessions with the Chair of the COIC, and other tasks to ensure the effective and smooth operation of the COIC; issuing determination letters and management plans; monitoring conflict management plans; coordinating with research administration to ensure that information relating to conflicts is timely submitted to government agencies and other sponsors as required; acting as a resource for the institution on conflicts of interest matters; monitoring publicly reported disclosures of payments to CHOP physicians and coordinating appropriate responses where discrepancies are identified; responding to questions from and providing support to members of the medical, research and administrative staff; providing education and training on conflicts; preparing reports for COIC, Board of Trustees Audit, Compliance and Risk Committee (ACRC), Conflict of Interest Steering Committee, Institutional Risk Committee (IRC), and others as required, on conflicts activities; revising and updating as needed the Conflict of Interest policy, SOPs and written office procedures; improving operations and processes related to conflicts functions on an ongoing basis including in response to regulatory changes; and maintaining and updating the conflict of interest intranet site. Responsible for the maintenance of the electronic system for managing the reporting and review of annual and research-transaction specific conflicts of interest disclosures (eCOI), and upgrades to eCOI in response to institutional needs and regulatory changes. Assist in the development and implementation of new policies and procedures. Support compliance program operations as needed, including the annual and ongoing compliance risk assessment process, operation of the compliance hotline, creation of the annual compliance plan, preparation of reports for the ACRC, IRC, operations level Compliance Sub-Committee, and others in management as required, and other tasks as assigned. Job Responsibilities (Continued) Support the Senior Manager of Compliance Operations in staffing the operations level Compliance Sub-Committee, and support other compliance-related committees as needed Lead or participate in compliance investigations as needed. Work with assigned operating departments to develop and maintain departmental compliance plans Work with the Director of Privacy Operations as needed to investigate and respond to potential privacy breaches, provide training on privacy matters, and other special projects as needed. Participate in privacy breach risk assessment reviews. Stay up to date on regulatory and other external events affecting compliance, conflicts of interest and privacy activities within the Hospital Participate in planning, developing and conducting education and training compliance matters, in diverse formats and for various audiences. Perform special projects as assigned.

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