What are the responsibilities and job description for the Regional Director, Compliance position at Adventist Health?
Nestled between Burbank and Pasadena, Adventist Health Glendale is one of the area’s leading healthcare providers. We are comprised of a 515-bed hospital, two urgent cares, home care services, comprehensive cardiology care and a vast scope of services located in the San Fernando Valley. We are committed to the development and empowerment of our nurses and have received Magnet designation from the American Nurses Credentialing Center. Glendale is known for its urban living, with easy access to dining, entertainment, shopping, amusement parks and outdoor recreation. Adventist Health Glendale is proud to be part of the thriving, diverse community since 1905.
Job Summary:
Maintains primary responsibility for developing, implementing, directing, monitoring and enforcing the regional compliance program, with all applicable laws, standards and regulatory requirements for the organization. Collaborates across the organization to develop and maintain documented comprehensive plans to promote compliance for areas of responsibility. Serves as a member of the leadership team and provides direction and independent review of strategic and business initiatives to ensure conflicts of interest are minimized and regulatory compliance is followed. Supervises and directs the activities of various levels of assigned personnel utilizing both professional and supervisory discretion and independent judgment.
Job Requirements:
Education and Work Experience:
- Bachelor’s Degree or equivalent combination of education/related experience: Required
- Master's Degree: Preferred
- Seven years' technical experience: Preferred
- Five years' experience leading health care regulatory and compliance functions: Preferred
Essential Functions:
- Directs investigations, in conjunction with counsel as appropriate. Acts on matters related to compliance, including the flexibility to design and coordinate internal investigations (e.g., responding to reports of problems or suspected violations) and any resulting corrective action. Reviews and revises compliance plan based on regulatory and operational changes, etc. Provides senior leadership with comprehensive reports of activities and outcomes, as requested. Ensures all appropriate employees and management are knowledgeable of, and comply with, Federal/State requirements. Reports on a regular basis to the Chief Executive Officer (CEO), and the Board Compliance Committee (BCC) on the progress of the implementation and the operations of the compliance program.
- Disseminates changes in related healthcare regulations or standards, and the application of such changes to current policies, procedures or processes to appropriate staff. Conducts and directs risk assessments based on laws and regulations, and operational practices. Identifies and directs process improvement opportunities and facilitates the design of new processes and Standard Operating Procedures (SOPs) that create accountability and compliance. Directs and ensures that internal control systems are capable of detecting significant instances or patterns of illegal or unethical conduct by employees or agents.
- Plans and directs efforts related to monitoring and auditing of risk areas, including establishing standards, processes, and assessment and tracking tools to evaluate compliance with regulations, policies, procedures, and internal control processes. Analyzes, monitors and audits outcomes to determine operations' compliance with regulatory requirements. Identifies potential risk areas. Facilitates early and appropriate response to potential risks. Assists in identifying and promoting best practices. Monitors implementation of corrective action plans and documents resolution of any identified regulatory violations.
- Directs and oversees investigations related to areas of responsibilities. Identifies and reports findings, trends, problems, and activities that may indicate a need for change in policies, procedures, internal controls, or training. Leads major organizational initiatives to ensure new systems align with existing processes and compliance requirements. Establishes a framework for effective, risk-based compliance systems that promote transparency and accountability across the organization. Establishes performance metrics for critical processes and compliance standards to identify opportunities for continuous improvement.
- Collaborates with appropriate staff, operations, and other departments to ensure alleged compliance issues or regulatory violations are thoroughly investigated, and plans of correction are implemented where indicated. Establishes and administers a process for receiving, documenting, tracking, investigating and taking action on all complaints concerning the organization's compliance practices. Exercises independent judgment in recruiting, training, coaching, supervising and directing assigned staff. Maintains current knowledge of applicable Federal and State laws, regulations, and accreditation standards.
- Performs other job-related duties as assigned.
Organizational Requirements:
Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations, including, but not limited to, measles, mumps, flu (based on the seasonal availability of the flu vaccine typically during October-March each year), COVID-19 vaccine (required in CA, HI and OR) etc., as a condition of employment, and annually thereafter. Medical and religious exemptions may apply.
Additional Details: This position will cover the Southern CA Network.
