Director, Compliance Program

Position Focus :

Reporting to the Senior Director of Compliance, performs in the role of Compliance Program Director overseeing the daily and ongoing tasks of the compliance program. The Compliance Program Director will direct and oversee the development and implementation of all elements of the Compliance Program. Seeking an individual with strong work ethic and excellent collaboration and communication skills. Ideal candidate will have a passion for healthcare compliance and understanding of operationalizing a compliance program that is data driven. Must be able to navigate complex system and collaborate across multiple stakeholders.

Direct a team of Analysts to manage compliance program activities related to the education, policy, compliance program workplan items, and compliance investigations. Develop and oversee the preparation, tracking, maintaining, and distribution of various compliance program reports. These reports will reflect internal compliance program activities and reflect department specific data to be provided to clinical departments on a quarterly basis. Role will continually analyze reports and prepare recommendations on compliance program strategy. Oversee multiple complex compliance program related projects to ensure clear deliverables are defined and deadlines are met. Direct and oversee confidential and complex compliance investigations with strong focus on Conflict of Interest (COI) investigations and Section 1557 investigations and policy issues. Process to include root cause analysis to identify issues and providing recommendations to correct any identified issues. Direct and oversee compliance corrective action plan implementations in partnership with department specific designees. Requires ability to work with multiple departments and guide leaders on defining scope, goals and deliverables for compliance related corrective action plans. Role will partner with department Clinical Department Liaisons, Senior Directors and Chairs to implement effective corrective actions plans and ensure that identified compliance issues are addressed promptly and appropriately. Develop engaging and data driven compliance committee materials. Materials include but are not limited to power point presentations, executive summary of audit findings and related data reports. Role will be heavily involved in analysis of program data to ensure that the program is able to demonstrate effectiveness across seven elements. Direct and oversee the annual Compliance Risk Assessment and Risk Analysis process including but not limited to the development of the final annual Compliance Workplan. The plan will include a plan for audit activities, program development, policy development and education activities. This role will require close collaboration across senior leaders and departments to ensure an accurate and complete assessment of risks and a strategic plan to mitigate those identified. Direct, develop and implement policy content for Section 1557, ADA, Service Animals, Language Assistance, Use of Scribes, Teaching Physician Policy, and other compliance related policies and procedures and standardization related to document control for Yale School of Medicine and the clinical practice to ensure alignment with the health system and Aligned Clinician Enterprise (ACE). This role will also partner and support other areas in developing policy and procedure content. The role will play an active role in a variety of policy development committees.

COVER LETTER IS STRONGLY PREFERRED!!!

Education & Experience Equivalency : AS=2 year, BA= 4yrs, MA= 6 years, Doctorate=10 years

Essential Duties

1. Directs one or more functional areas within an administrative department of the University and ensure compliance with University policies and procedures. 2. Directs analytic and research support for educational policies and planning and develops and approves administrative policies affecting assigned functional areas of the University. 3. Directs and establishes parameters for major projects for the department and University. 4. Interprets federal policies and regulations and educates staff and administration about regulations, restrictions, and the legal responsibilities of the University. 5. Directs and implements policy and program modifications and develops standards to ensure compliance with federal, state and local regulations. 6. Develops and administers an operating budget for the assigned department consistent with University policies and procedures. 7. Develops cost savings objectives and goals; authorizes major purchases and negotiates contracts that range from routine to complex in nature. 8. Establishes and implements long- and short-range goals for the functional area consistent with University goals and objectives. 9. Directs the development of related automated systems to support the function; determines office policies and procedures for use of automated systems. 10. Directs the evaluation and selection of vendors and negotiates contract details including work steps and pricing with the vendors on behalf of the assigned functional area. 11. Works with internal and external contacts to solve problems that range from routine to complex in nature. 12. Represents the University in discussions and negotiations with various governmental agencies. 13. Directs a staff of exempt and nonexempt employees. 14. May perform other duties as assigned.

Required Education and Experience

Bachelor’s Degree in related field. Seven years of experience or an equivalent combination of education and experience.

Required Skill / Ability 1 :

Demonstrated supervisory experience as a people manager. Exceptionally strong computer skills (Word, Excel, Outlook, Power Point) with the ability to learn new computer applications. Strong clerical aptitude, sound judgment and ability to operate with a sense of urgency in a fast-paced environment.

Required Skill / Ability 2 :

Exceptional written, oral, interpersonal, and presentation skills. Ability to adapt communication style to address the needs of individuals at all levels throughout the organization. Demonstrated experience working effectively with key stakeholders at multiple levels of complex organizations is essential.

Required Skill / Ability 3 :

Strong organizational skills and standards for professional excellence, accountability, and integrity. Demonstrated ability to develop and implement compliance related policy and procedures. Demonstrated ability to lead collaborative work and produce high-quality written documents.

Required Skill / Ability 4 :

Demonstrated ability to facilitate confidential compliance related investigations and guide leaders in effective and prompt corrective action plans. Role will require strong process improvement and project management skills for complex compliance projects as well as ability to define key compliance performance indicators that relate to activities.

Required Skill / Ability 5 :

Demonstrated ability to develop and conduct training.

Preferred Education, Experience and Skills :

Masters or JD preferred. Academic Medical Center experience preferred. Preferred experience with MDAudit, ComplyTrack, Navex or related software.

Preferred Licenses or Certifications :

CHC certification is required upon hire or within 1 year of hire.

Drug Screen

Health Screening

Background Check Requirements

All candidates for employment will be subject to pre-employment background screening for this position, which may include motor vehicle, DOT certification, drug testing and credit checks based on the position description and job requirements. All offers are contingent upon the successful completion of the background check. For additional information on the background check requirements and process visit "Learn about background checks" under the Applicant Support Resources section of Careers on the It's Your Yale website.

Posting Disclaimer

The intent of this job description is to provide a representative summary of the essential functions that will be required of the position and should not be construed as a declaration of specific duties and responsibilities of the particular position. Employees will be assigned specific job-related duties through their hiring departments.