NOW HIRING: Corporate Compliance Officer –
Corporate Compliance Officer (CCO) will develop, direct and manage the companywide Compliance Program. This role will resolve compliance issues, identify high-risk compliance areas and mitigate those risks. Oversees day-to-day operations of the corporation’s comprehensive ethics and compliance function, including compliance with Sarbanes Oxley. Develops and implements strategies for all activities relating to standards of conduct, and ethical relationships. Responsible for effectively communicating ethics and compliance standards and procedures to all employees and other agents, through training programs and publications. Provides expert advice and interpretation of the code of ethics and compliance, including the applicability of the organization’s policies and programs to specific situations. Participates in updating and maintenance of company-wide confidential reporting systems. This role will also be responsible for the privacy program. Help ensure the business units comply with required regulations and expectations.
The CCO will report to the CEO. The CCO will also have substantial accountability to the board of directors.
May directly/indirectly supervise Quality Management dept., Compliance Specialist, Internal Auditors, Privacy Officer and Security Systems Officer.
ESSENTIAL JOB DUTIES AND RESPONSIBLITIES
This role implements and monitors company policies and procedures to ensure compliance with all applicable federal, state and local laws, regulations and accreditation requirements including Medicare and Medicaid reimbursement, STARK and Anti-Kickback Safe Harbor, CARF and HIPAA, as well as non-healthcare specific requirements.
- Obtains, develops, reviews and/or approves health care compliance and privacy training content including but not limited to: HIPAA, data security, fraud and waste prevention, and compliance documentation.
Compliance Program (60%)
- Develop, define, implement, and lead the company-wide Compliance Program to continue to foster a culture of compliance within the organization by framing discussions, reporting data and trends, and assessing culture
- Develops and delivers health care compliance awareness campaigns annually.
- Conduct or direct investigations into reported compliance concerns, including any financial, contractual, information systems, or operation function within departmental or supporting corporate functions, such as Accounting. Develop and oversee a system for uniform handling of any violations.
- Identify potential areas of compliance vulnerability and risk; develop/implement corrective action plans for resolution of problematic issues, and provide general guidance on how to avoid or deal with similar situations in the future.
- In partnership with Human Resources, the Compliance Committee and legal counsel, when appropriate, will ensure that reported concerns are promptly and thoroughly investigated; with suitable corrective or remediation action and discipline when appropriate.
- Oversee all Conflict of Interest (COI) matters.
- Collaborate with leadership/management to increase awareness of Compliance initiatives.
- Implement and Chair the Compliance Committee; report and educate staff on related issues, topics, and trainings to ensure importance of ethical and legal conduct is communicated to all employees.
- Develop policies and programs to encourage all employees to report suspected fraud and other improprieties without fear of retaliation.
- Provide quarterly comprehensive update of Compliance Program including ongoing audits to Board Officers and Compliance Committee.
- Works with general counsel to ensure any matter potentially requiring external reporting is promptly and appropriately investigated and communicated internally or to the prime contractor and to government agencies, such as DHS, OCR and Office of Inspector General, according to established requirements.
- Manage, coordinate, guide and collaborate with department officers across the organization to ensure alignment of processes, procedures, and understanding to ensure simplification, coordination, and innovation in compliance procedures, training, and education.
HIPAA Privacy (30%)
- Monitor federal privacy laws and policies for changes affecting company privacy program.
- Responsible for the privacy program to ensure compliance with all applicable laws and regulations regarding collection, use, maintenance, sharing, and disposal of personally identifiable information by programs and information systems. Update, at least annually, the privacy plan, policies, and procedures as required to address changing requirements.
External Audits (10%)
- Conduct and/or coordinate appropriate external audits, risk assessments, etc.
- Bachelor’s degree in business law, accounting, finance, business administration/ management, or related field; and,
- Five or more years of progressively responsible compliance experience, involving audits, risk management, and/or ethics and privacy programs;
- Certified Compliance and Ethics Professional (CCEP), Certified Healthcare compliance (CHC) or similar designation/certification; or attainment no later than three (3) years from date of hire;
- Strong proficiency level in MS Office products.
- Ability to pass a criminal background check; possess and maintain a level one fingerprint clearance; meet and maintain company driving requirements.
- Masters or Postgraduate level (e.g., PhD, MD, JD).
- Five 5+ years of experience.
- Demonstrated experience with laws and regulations regarding Centers for Medicare and Medicaid Services (CMS) billing, coding, credentialing and documentation.
- Certified Health Care Compliance.
- Demonstrated experience with the False Claims Act, Stark and Anti-Kickback Statute
KNOWLEDGE, SKILLS, ABILITIES:
- The role of Corporate Compliance Officer requires tact, curiosity, open-mindedness and a passionate commitment to fairness and the truth. Equally important is the combination of outstanding critical thinking skills, interpersonal skills and emotional intelligence;
- Must have discretion and the ability to conduct highly confidential work in a matter-of-fact way with no personal investment or prejudgment as to the investigation’s outcome.
- Must be very detail-conscious and scrupulously accurate in note taking, recording and reporting of investigation processes and outcomes.
- An overriding sense of humanity is crucial. It is invaluable in effectively gathering facts while remaining appropriately sensitive to those being interviewed, those alleging misconduct, and those who are allegedly committing the misconduct.
- Experienced in the principles of investigative process and reporting.
- Working knowledge of health care/labor laws.
Standard work schedule: 08: 00 am – 5:00 pm with flexibility to work evenings and weekends as needed.
- Full Time positions include Medical (H.S.A., H.R.A, F.S.A.), Vision, and Dental, Life/AD&D.
- Employer matching 403(b) retirement savings plan.
- Short Term and Long Term Disability.
- Employee Assistance Program
- Nine paid holidays per year and paid time off accrual.
- Access to health coach and wellness incentives.
- Employees have access to two company fitness centers.
- Tuition reimbursement up to $1,000
Marc Community Resources, Inc. is an Equal Opportunity Employer – All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, disability status, protected veteran status, or any other characteristics protected by law.