What are the responsibilities and job description for the Compliance Professional position at Luminis Health?
Compliance Professional
Position Objective:
The Compliance Professional is responsible for supporting the development, implementation, and management of the Luminis Health (LH) compliance program to ensure adherence with all applicable federal and state healthcare laws, regulations, and accreditation standards. In this role, the Compliance Professional is responsible for monitoring the effectiveness of the LH compliance program to mitigate risks, ensure ethical practices, and uphold the integrity of our healthcare services. By conducting investigations, audits, providing staff training, and collaborating with departments to address compliance concerns, the Compliance Professional plays a critical role in ensuring safe, lawful, and ethical practices throughout LH.
The Compliance Professional reports to the Compliance Director.
Essential Job Duties:
- In conjunction with the Compliance Director, investigates compliance concerns, summarizes findings and recommends next steps and corrective actions;
- Performs research and analysis of relevant legal and regulatory materials to assist with compliance functions;
- Maintains a working knowledge of federal and state laws, regulations, and guidance including, but not limited to, HIPAA, the Physician Self-Referral law, the federal anti-kickback statute, Medicare and Medicaid laws and regulations;
- Assists in the development and review of departmental and institutional policies to ensure operational effectiveness and compliance with state and federal laws, regulations, and guidance;
- Conducts periodic audits and manages corrective actions plans to ensure compliance with applicable federal and state laws, regulations and guidance;
- Supports Internal Audit in assessing and evaluating risk across the organization and providing support to Internal Audit as needed;
- Develops, coordinates, and provides ongoing education (to include rounding) – ensuring that employees and leadership are knowledgeable of, and comply with, pertinent federal and state laws, regulations, and guidance;
- Participates and contributes in activities to foster compliance awareness throughout the organization;
- Supports the compliance team in compiling reports and analysis of compliance program efforts;
- Meaningfully participates in the development and implementation of annual Compliance Plans/reports;
- Actively participates in preparing for the LH Compliance and Privacy Committee meetings by assisting with agenda development, data analysis, compiling reports, preparing presentations, and providing updates on compliance initiatives; and
- Performs special projects and other duties as assigned.
Educational/Experience Requirements:
The minimum level of education and experience for this position includes:
- Bachelor’s degree in business administration or related healthcare field.
- Knowledge of laws, regulations, and industry guidance applicable to healthcare.
- 3 years experience in healthcare compliance.
- Experience with conducting compliance investigations, audits, and risk assessments.
- Experience with compliance reporting and documentation.
- Ability to develop and deliver training programs.
- Ability to work independently and as part of a team.
- Strong project management and organizational skills.
- Proficiency in Microsoft Word, Excel, and PowerPoint.
- Strong data analytical skills.
- Attention to detail and accuracy.
- Ability to effectively communicate both in writing and orally.
Required License/Certifications:
- Healthcare Compliance Certification from the Compliance Certification Board (“CCB”) and/or a Graduate Certificate in Health Care Compliance within six (6) months of appointment and maintain such certification throughout employment.
