System Chief Compliance Officer

Job Summary:

Reporting to the Executive Vice President - Chief Resource Officer with a dotted line to the Chief Executive Officer, the Chief Compliance Officer is an administrative leader who is responsible for the development and oversight of all aspects of the system wide compliance program, ensuring adherence to the organizational mission, vision and values. The scope of responsibility of the Chief Compliance Officer includes developing the annual compliance plan, performing or arranging proactive compliance audits, overseeing third-party audits, chairing the corporate compliance committee, monitoring of governmental audits, responding to compliance concerns, monitoring the compliance hotline, arranging or creating compliance training,developing and/or overseeing the implementation of corrective action plans, developing and revising policies and procedures related to corporate compliance, and preparing reports on compliance for senior management and the Board of Directors. The Chief Compliance Offier oversees the compliance function for all areas of Benefis Health System including Benefis Hospitals, Benefis Medical Group, Benefis Senior Services, Benefis Community Care, Peace Hospice, Benefis Community Hospitals, Inc. and any related joint ventures, regional affiliate, and management arrangements.

FLSA:

EXEMPT

DUTIES AND RESPONSIBILITIES:

Develops new policies as needed and annually reviews and, if necessary, revises compliance related policies and procedures

Coordinates and administers compliance risk assessments and investigation activities, monitors compliance functions, and performs surveys to assess risk potential. Supports, and ensures the implementation of the System compliance management strategies and action plans.

Performs investigations and responds to compliance reports and concerns raised by employees and other third parties. Records and collects documents and evidence related to any compliance report and investigation, and maintains work product in accordance with legal requirements. Ensures collaboration and mitigation of risk through coordinated effort with leadership and, as appropriate, outside counsel.

Collaborates with other departments (e.g., Operations, Human Resources, etc.) to direct compliance issues through appropriate channels for investigation and resolution. Consults with counsel as needed to resolve legal compliance issues.

Manages the day-to-day operations of the Compliance Program.

Assists with and documents any self-disclosure related to a receipt of an overpayment for Medicare or Medicaid

Stays current with federal regulations and CMS requirements and communicates new regulations with stakeholders and senior leadership as required.

Monitors, and as necessary, coordinates compliance activities of other departments to remain abreast of the status of all compliance activities and to identify risk areas or trends in noncompliance.

Chairs Compliance Committee and Compliance Work Groups, ensuring that agendas and minutes are maintained and circulated in advance, that action items are followed up on, and meetings are run efficiently.

Attends System Board Audit Subcommittee as staff.

Coordinates system-wide approaches for compliance risk mitigation including designing compliance training curriculum, developing program content and providing education to leadership teams and staff that supports skills and competency development in compliance management.

Demonstrates understanding of basic concepts of laws and regulations.

Prepares reports summarizing compliance related activities and matters as requested by the EVP-CRO, CEO, or the Board of Directors.

Monitors the compliance hotline.

Effectively communicates and coordinates with outside legal counsel.

Demonstrates effectiveness in developing, implementing, and monitoring of the System's annual compliance program.

Accurately demonstrates use of database systems to document occurrences, committee review, and actions. Compiles reports for committees and administrative team.

Oversees compliance reporting, including coordinating with counsel, development of corrective actions and reporting to related agency.

Communicates with senior management on appropriate responses to compliance events in accordance with legal requirements.

Develops the annual compliance work plan (and seeks other leaders input into the same), Compliance budget preparation and monitoring, timily completion of performance reviews, participates in quality improvement, safety and risk programs.

Demonstrates awareness of the responsibilities of the position and how it interfaces with the rest of the Health System team. Works closely with all department members as required, is flexible to meet the needs of the department and changes in the workload.

Demonstrates strong leadership management, organizational skills, the ability to function under stresssful situations, and meet deadlines.

Maintains a good working relationship both within the department and with other departments in Benefis Health System.

Communicates appropriately and clearly with patients, visitors, physicians, staff, management and administrative team.

Demonstrates the ability to deal with a variety of people, deal with stressful situations, and handle conflict.

Demonstrates awareness of the responsibilities of the position and how it interfaces with the rest of the Health System team. Works closely with all department members as required, is flexible to meet the needs of the department and changes in the workload.

Education/Experience Requirements:

Bachelor's degree with a degree in health administration, business or other related field.

Five years current experience and/or training in quality improvement, process improvement, risk management, compliance, or other relevant quality control skills.

Five years of management experience required.

Master's degree in appropriate health related field preferred.

Certification in Healthcare Compliance (CHC) through the Health Care Compliance Association (HCCA) is preferred.