Corporate Ethics & Compliance Specialist jobs in Louisville, KY

ScionHealth is recruiting for a VP & Chief Compliance Officer to join our team!  This is a hybrid role that can be based in either our Louisville, Kentucky Support Center or our Franklin / Nashville, Tennessee Support Center.

Job Summary

The VP & Chief Compliance Officer provides oversight to the enterprise wide ScionHealth Compliance Program focused on preventing, detecting and correcting company and individual conduct that does not meet the standards set forth by the Government in law, regulations and rules and by the Company in its Code of Conduct, policies, procedures and written standards.

Essential Functions

• Develop, maintain, and continuously improve a risk-based compliance program that (1) is effective in preventing, detecting, and correcting non-compliance; (2) builds and sustains a culture of compliance throughout the organization; and (3) satisfies the Government’s standards and expectations for an effective compliance program and applicable compliance program guidance.
• Provide appropriate assurances and reporting to the Company’s Board of Directors, Chief Executive Officer and executive leadership team with respect to the Company’s compliance with laws, regulations, and standards of conduct.
• Partner with management and operational leaders to put in place, maintain and strengthen operational controls and guardrails around key compliance risk areas to enable the business to be quick, agile, and innovative within the bounds of laws, regulations, and standards of conduct.
• Develop, maintain and continuously improve policies, procedures and other written standards governing the operation of the Compliance Program.
• Put in place methods and strategies for monitoring key compliance risk areas, including, i.e., billing and coding compliance, physician arrangements, patient privacy.
• Oversee root cause analyses and investigations of potential compliance failures; coordinate, as necessary, with the General Counsel with respect to significant or high-impact investigations conducted at the direction of legal counsel.
• Develop and maintain a strategic training and communication plan to promote awareness of compliance-related obligations, standards of conduct, compliance reporting channels and an overall culture of compliance within the organization.
• Regularly collaborate with other functions within the organization to effectuate an aligned assurance model.
• Supervises or serves as the Company’s Chief Privacy Officer.
• Approximate percentage of time required to travel:  Up to 25%.

Core Competencies

• Values Every Voice  Seeks to understand different perspectives and cultures; contributes to a work climate where the contributions of all individuals are valued and supported; is sensitive to cultural norms, expectations, and ways of communicating.
• Shows Courage  Faces difficult issues and supports others who do the same; is willing to champion an idea or position despite dissent or political risk; provides direct and actionable feedback.
• Leans Into New Ideas  Learns quickly when facing new situations; experiments to find new solutions and extracts lessons learned from failures and mistakes.
• Instills Trust  Follows through on commitments and keeps confidences; is seen as direct and truthful, shows consistency between words and actions; creates psychologically safe work environments.
• Manages Complexity  Asks the right questions to accurately analyze situations; acquires data from multiple and diverse sources when solving problems; uncovers root cause to difficult problems; evaluates pros and cons, risks, and benefits of different solution options.
• Resourcefulness  Marshals resources (people, funding, material, support) to get things done; orchestrates multiple activities simultaneously to accomplish a goal; gets the most out of limited resources; applies knowledge of internal structures, processes, and culture to resourcing efforts.
• Interpersonal Savvy  Relates comfortably with people across levels, functions, culture, and geography; acts with diplomacy and tact; builds rapport and constructive relationships; picks up on interpersonal and group dynamics.
• Strong written and verbal communication skills; proficient computer skills including knowledge of Microsoft Teams, Windows, Microsoft Office, Adobe.

Education

• Bachelor’s Degree; Master’s Degree or Juris Doctorate preferred but not required.

Licenses/Certification

• Health Care Compliance Association certification (CHC, CHPC, CHC-F) or equivalent certification preferred.

 Experience

• 12 plus years’ experience, including a minimum of 5 years’ experience in a compliance leadership role in the health care industry and a minimum of 3 years' experience managing teams.  Must demonstrate advanced competency in two or more of the following areas:  (1) health care operations; (2) health care transactions; (3) health care regulatory/fraud and abuse; (4) health care investigations/disputes; (5) revenue cycle management; and (6) health care compliance.

Depending on the candidate’s qualifications, this role may be filled at a different level.