Job Summary

This position plans, designs, implements and maintains a compliance program including related policies, procedures and processes with a principal focus on an assigned (a) hospital or other health care facility, (b) provider group, (c) ancillary service or business area, or (d) business support area (collectively referred to herein as the Assigned Area). Serves as a role model for ethical management behavior and promotes an awareness and understanding of high ethical standards consistent with the organizations values and federal and state legal requirements. Based on the Assigned Area, serves as the compliance program resource and liaison, including HIPAA and privacy compliance.

Essential Functions

Minimum Qualifications

Must possess a strong knowledge of business and/or healthcare compliance as normally obtained through the completion of a bachelors degree in business administration, accounting/finance, or health care related field.

Requires knowledge of laws and regulations pertaining to health care, regulatory compliance, physician billing and information systems, Medicare/Medicaid and financial reimbursement systems, and HIPAA Privacy and Security issues. Must possess strong planning skills and problem solving skills. Must possess strong oral and written communication skills to effectively interact with senior management team, physicians and federal and state governing bodies. Must also possess highly effective negotiating skills to communicate and interact with senior management team and physicians.

Preferred Qualifications

Masters Degree preferred; previous health care or academic compliance experience preferred; minimum 3 years of healthcare or academic management experience preferred.

Additional related education and/or experience preferred.