Compliance Manager

Summary/Objective

The Compliance Manager supports the Compliance and Privacy Programs. This role functions as support that helps review and evaluate compliance issues/concerns within the organization. The position assists the Executive Director in ensuring that management and employees comply with the rules and regulations of regulatory agencies, that company policies and procedures are being followed, and that behavior in the organization meets the company’s standards.

The Compliance Manager position exists:

• to assist the Executive Director in compliance matters, and

• to assist the Executive Director in investigations.

Duties and Responsibilities

• Support the Executive Director in the Management of the Compliance Program
• Collaborates with other departments (e.g., Finance, Internal Audit, Human Resources, etc.) to manage compliance issues to appropriate existing channels for investigation and resolution.
• Keeps up to date on changing governmental requirements, reporting obligations, and other related areas identified in the future.
• At the direction of the Executive Director, investigates alleged violations of rules, regulations, policies, procedures, and standards.
• Monitors compliance activities by other departments to remain abreast of the status of all compliance activities and to identify trends.
• At the direction of the Executive Director, analyzes and identifies potential areas of compliance vulnerability and risk; develops/implements corrective action plans for resolution of problematic issues; and provides general guidance on avoiding or dealing with similar situations in the future.
• Provides reports regularly, and as directed or requested, by the Executive Director.
• Manages and monitors the Audit and Monitoring schedules for the CAG meeting ensuring each department and business unit is timely in their reports to the CAG.
• Under the guidance of the Executive Director, performs audits to ensure compliance standards are being met.
• Management of the Anonymous Hotline.
• Coordinates with the appropriate departments to develop effective compliance training programs and report statistics on compliance training and education efforts.
• Develops periodic compliance reports.
• Monitors the performance of Compliance and related activities continuingly.
• Manages the development and implementation of policies and procedures departments and business units in achieving the goal of updated policies and procedures every two years.
• Manages the maintenance and revision of policies and procedures for the general operation of the Compliance Program and its related activities to prevent illegal, unethical, or improper conduct.
• Manages the communication regarding new or changed policies and procedures
• Serves as the Privacy Officer.

Required Knowledge, Skills, and Abilities

• Ability to use independent judgment and to manage and impart confidential information.

• Knowledge of current and emerging compliance issues and trends.

• Knowledge of public policies, legislation, guidelines, and standards pertaining to operational areas that include discrimination and sexual harassment in the workplace.

• Demonstrated ability to develop institutional policies and procedures.

• Strong critical thinking skills and the ability to analyze, summarize and effectively present data.

• Knowledge of concepts, practices, principles and procedures of strategic business planning and reporting.

• Strong interpersonal and communication skills and the ability to work effectively with a wide range of constituencies in a diverse community.

• Strong analytical, evaluative, and objective critical thinking skills.

• Demonstrated understanding of compliance systems and controls.

• Ability to interpret and advice on the application of various laws and regulations.

• Advanced knowledge and understanding of investigation, negotiation, mediation, and complaint resolution process of the organization's high level/sensitive claims.

• Knowledge of team-building principles and techniques.

Competencies

• Ethical Conduct.

• Communication Proficiency.

• Time Management.

• Technical Capacity.

• Thoroughness.

• Business Acumen

• Consultation

• Critical Evaluation

Required Education and Experience

• Bachelor’s Degree in Business or a field relevant to Boundless practices

• At least three years of experience directly related to the duties and responsibilities specified.

Preferred Education and Experience

• Experience in healthcare compliance is a plus.

Supervisory Requirements This position has no supervisory responsibilities but is responsible for assigning work and goals for projects and committees.

Work Environment 

This job operates in a variety of offices and other environments. This role routinely uses standard office equipment such as computers, phones, and other electronic devices with associated programs and applications. This position works both remotely from an authorized home or other work location, from assigned company sites, as may be assigned or authorized from time to time.

Physical Demands 

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

While performing the duties of this position, the employee is regularly required to sit and use hands to finger, handle, or feel objects, tools, or controls. The employee is frequently required to reach with hands and arms and talk or hear. The employee is occasionally required to walk. The employee may lift and move up to 10 pounds. Specific vision abilities required by this position include close vision, color vision, and the ability to adjust focus.

Position Type/Expected Hours of Work

Some flexibility in hours and telecommuting is required to complete work assignments and responsibilities to Boundless clients. This is not a position that has assigned start and stop times each day. The demands of the work dictate the hours required for work. Work demands routinely exceed forty (40) hours per week. Still, this position has a great deal of autonomy to determine the hours necessary to complete the work, provided that supervisor approval has been obtained.

Travel 

Travel is primarily throughout Central Ohio during the business day, although some out-of-area and overnight travel may be expected.