Compliance Officer

POSITIONS SUMMARY: 

The Compliance Officer is responsible for overseeing the administration and implementation of the Hospital’s Corporate Compliance Plan.

POSITION RESPONSIBILITIES

ESSENTIAL FUNCTIONS:    

• Attend, facilitate, and report to various committees.
• Serves as focal point for facility compliance.
• Acts as liaison to hospital legal representative regarding compliance and risk issues.
• Reports to CEO
• Shall report at least quarterly to the Chief Executive Officer and Board of Directors on the operation of the Corporate Compliance Plan.
• Should seek advice from the Hospital Legal Counsel when appropriate.
• Assist the CEO with the development of a written policy manual setting forth the standards and procedures to be followed by Hospital employees, agents, contractors, and the Medical Staff members; oversee and monitor the updating of such standards and procedures as necessary.
• Communicate the Hospital’s Corporate Compliance Plan to employees and other groups through training programs, newsletters, memos, and through other appropriate means.  Establish regular training process and process to document regularity and consistency of training on the Corporate Compliance Plan.
• Assist department heads in establishing department-level mechanisms to monitor compliance with standards set forth in the Policy Manual.   Receive periodic reports documenting the implementation of such mechanisms and their results.
• Assist with development and communication of a confidential system for employees and others to seek guidance on business conduct issues and to report suspected violations of law or the Policy Manual or of other Hospital policies and procedures.
• Investigate alleged violations of the Corporate Compliance Plan; work with appropriate parties to remediate violations promptly, properly, and consistently.
• Conduct regular review of Corporate Compliance Plan functioning in order to propose modifications, if necessary, to prevent recurrence of a problem.
• Establish record-keeping system designated to document the ongoing operation of the Corporate Compliance Plan, including documentation of annual certification of compliance training by all employees.
• Required to attend credentialing of medical Staff.
• Oversees management of the contracts with hospital providers.
• Performs other duties as assigned.

POSITION QUALIFICATIONS

MINIMUM EDUCATION:

Bachelor’s Degree

PREFERRED EDUCATION:

Master’s Degree in Business or Healthcare Administration

MINIMUM EXPERIENCE:

1 year experience in related field

PREFERED EXPERIENCE:

3-5 years experience in related field

Qualifications