Executive Director, Corporate Compliance

Executive Director Of Corporate Compliance

How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful : to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.

Work Shift : Day (United States of America)

Job Summary :

The Executive Director of Corporate Compliance will assist the VP, Compliance and Chief Privacy Officer with the day to day operations of the Corporate Compliance Department. This position is responsible for managing compliance and privacy activities regarding corporate compliance and privacy audits & investigations, compliance and privacy education & research and clinical integration. This includes monitoring statutes, regulations, and Conditions of Participation along with industry trends to identify and mitigate compliance risks in the clinical settings relating to clinical integration and post acute care. The Executive Director will develop and implement compliance / privacy policies, procedures, education materials, risk assessments and audits from the clinical integration and post-acute care perspective and be responsible for the Compliance Office Communications based on these activities.

Core Responsibilities and Essential Functions :

1. Management of Corporate Compliance Functions a. Regulatory Research : Maintains current knowledge of applicable federal and state clinical based laws and accreditation standards. Strategizes with Director of Corporate Compliance and Audit and key departments to meet WellStars business needs and provide world-class patient care within the parameters of state and federal requirements. Collaborates with HIM, Service Line Leaders, Application Analysts, etc., to develop and maintain appropriate EMR build and access in compliance with state and federal law requirements and Conditions of Participation, as directed. b. Policies and Procedures : Develops and revises compliance policies and procedures to reflect current laws, regulations, and standards. Collaborates with key departments, committees, legal counsel, and management to ensure that changes are implemented across the System. c. Oversees the management of corporate compliance incidents reported via the compliance hotline 2. Compliance / Privacy Education Program Development and Maintenance a. Develop compliance and privacy education materials based on regulatory requirements, industry trends and in response to incident trends. b. Coordinate presentation of orientation materials for New Employee Orientation, New Leader Orientation, New Provider Orientation, etc. Annual Risk Assessment Development Participate in the development and completion of risk assessments based on clinical regulatory changes, industry trends and investigation results for WCP, WHN and Post-Acute Care Services. 4. Coordinates focused reviews a. Requests data on population for sampling. b. Analyzes data and selects sample data for audit and assessment. c. Requests records and sets up meetings for on-site reviews. d. Utilizes Microsoft Excel / Access to collect / analyze / report findings / trends. e. Creates executive summary with findings and recommendations. References governmental regulations where needed. f. Conducts exit conference with staff, physician, and executive leadership team when appropriate Performs other duties as assigned Complies with all WellStar Health System policies, standards of work, and code of conduct.

Required Minimum Education :

Master's Degree or JD

Required Minimum License(s) and Certification(s) :

All certifications are required upon hire unless otherwise stated.

• CHPC - Cert Healthcare Privacy Compli-Preferred or CHPS - Cert Healthcare Privacy & Sec-Preferred

Required Minimum Experience :

Minimum 5 years in healthcare setting Required and Minimum 3 years in healthcare compliance or equivalent Required and Experience / knowledge of clinical integration operations required Required and HIPAA Privacy experience Required

Required Minimum Skills :

Must communicate well with others and present a positive image to the public, hospitals, and other healthcare providers. Clear, concise, and persuasive writing and presentation skills. Strong critical thinking, organizational skills and an orientation to deadlines and detail. Ability to respond well under pressure. Strong skills in use of information systems, databases, Excel, and Microsoft Word. Enjoys working as a member of a cohesive team and is good at doing so. Well-developed communications and consensus building skills. Knowledge of health care compliance policies, practices, and systems. Ability to develop advanced compliance principles, theories, and concepts. Ability to draft and revise documents including policies, standards, analyses, and reports

Join us and discover the support to do more meaningful workand enjoy a more rewarding life. Connect with the most integrated health system in Georgia, and start a future that gives you more.