Responsibilities:
REPRESENTATIVE DUTIES
A ll Monitors the reporting channels, including the anonymous telephone reporting system and the web-based incident reporting system. Ensures that the reporting system is adequately publicized. Accurately tracks all issues referred to the Ethics and Compliance Services
A ssists in preparing periodic and annual reports on the Ethics and Compliance Program to executive leadership and the Board of Directors.
S upports the Chief Ethics and Compliance Officer by executing compliance program elements and promoting ethical and compliant behavior to ensure that the program meets or exceeds federal, state, and/or industry standards.
M anages and prioritizes assigned projects to deadlines.
P romotes workforce awareness of ethical and compliant operational practices and effective lines of communication through implementation of compliance awareness projects.
A ssists in the development and execution of risk assessments for organizational divisions, departments, and programs to assess compliance risks.
A ssists in prioritizing risks and developing any necessary corrective action plans.
P erforms other duties as assigned.
H ealthcare Compliance Specialist II and III
D evelops and coordinates appropriate compliance training and education programs for new and existing workforce members.
A ssess the need for additional train and education as needed.
A ssists in reporting to the Ethics, Compliance, Hotline Oversight Committee on any significant compliance issues that have been reported to the Ethics and Compliance Program.
A ssists the Chief Ethics and Compliance Officer with developing and implementing an annual review of an update to the Ethics and Compliance Plan that is consistent with applicable federal/state laws, Office of Inspector General Compliance Guidance, U.S. Sentencing Commission, and IHS standards.
W orks with the Human Resources Department to establish minimum standards for conducting appropriate background and reference checks on potential employees to ensure a work force with high ethical standards.
R eports findings to the Chief Ethics and Compliance Officer and provides appropriate feedback to operational stakeholders.
R eceives compliance and privacy allegations; researches compliance issues; and conducts investigations in accordance with standard practices.
P repares written findings and recommendations for each investigation and provides appropriate recommendations.
R efers issues that may involve non-compliance, misconduct, voluntary disclosures, and/or refunds to appropriate position or department.
C onducts auditing and monitoring activities on policies and procedures, legal and regulatory requirements, grants management, and business practices for compliance, and monitors corrective action plans to ensure that non- compliant issues are addressed.
C onducts compliance program data collection, analysis, and trending.
F unctions as compliance liaison between internal/external customers, internal/external auditors, business partners, committees, consultants, federal/state agency staff, contractors, and fiscal intermediaries.
S erves as acting leader in the Chief Ethics and Compliance Officer’s absence.
H ealthcare Compliance Specialist III
M entors and trains Healthcare Compliance Specialists I and II
Other information:
KNOWLEDGE and SKILLS
A ll
K nowledge of public not-for profit organization’s and ANTHC service lines: health care, public health, environmental health, construction, information technology, administration, and finance operations
K nowledge of ethical principles and compliance program elements.
K nowledge of program and project management techniques.
K nowledge of Alaska Tribal Health System.
K nowledge of Alaska Tribal Health System, ANTHC, and Alaska Native culture(s).
S kill in oral and written communication.
S kill in assessing and prioritizing multiple tasks, projects and demands, and effective project management.
S kill in reading and interpreting policies and procedures, financial reports, and legal documents.
S kill in applying effective education and training techniques.
S kill in interpreting and applying complex laws, rules, and regulations relating to regulatory compliance.
S kill in establishing and maintaining effective working relationships with others.
S kill in operating a personal computer utilizing a variety of software applications.
H ealthcare Compliance Specialist II
K nowledge of applicable federal/state laws, regulations, accreditation standards, and other operational guidelines and directives.
M oderate skill in interpreting policies and procedures, financial reports, and legal documents.
M oderate skill in applicable federal/state laws, regulations, accreditation standards, and other operational guidelines and directives.
A bility to explain and instruct effectively
H ealthcare Compliance Specialist III
A dvanced knowledge of applicable federal/state laws, regulations, accreditation standards, and other operational guidelines and directives.
A dvanced Skill in interpreting policies and procedures, financial reports, and legal documents.
M INIMUM EDUCATION QUALIFICATION
A ll A high school diploma or GED equivalent.
H ealthcare Compliance Specialist II and III
B achelor’s degree in business, health, public health, administration or related field. Equivalent related training, education, or experience may be substituted for education.
M INIMUM EXPERIENCE QUALIFICATION
H ealthcare Compliance Specialist I Non-supervisory - One (1) year of health organization experience.
H ealthcare Compliance Specialist II Non-supervisory - Four (4) years of health organization experience. TO INCLUDE Supervisory- One (1) year involving employee supervision
H ealthcare Compliance Specialist III Non-supervisory - six (6) years of health organization experience. TO INCLUDE Supervisory- One (1) year involving employee supervision
M INIMUM CERTIFICATION QUALIFICATION
H ealthcare Compliance Specialist I N/A
H ealthcare Compliance Specialist II and III Must have or obtain Certified Healthcare Compliance (CHC) certification within one (1) year of hire.
P REFERRED EDUCATION QUALIFICATION
M aster’s Degree in ethics, public administration, health, public health, or related field.