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VP Corporate Compliance Officer

Company: CareSource
Location: Dayton
Posted on: January 16, 2020

Job Description:

Requisition Number 19-1335 Post Date 9/6/2019 Title VP Corporate Compliance Officer City Dayton State OH DescriptionRole & Responsibility

-- Assist the organization in achieving responsible and effective corporate (risk management) and compliance programs

-- Formulates an organization-wide integrated and holistic approach to governance, risk and compliance including strategy, processes, technology and people

-- Proactively identify major risk events

-- Perform risk assessments and compliance investigations

-- Coordinates Ethics & Compliance hotline

-- Monitors key compliance risk areas and may engage outside services for compliance audits

-- Ensure that improvement opportunities and problems identified through auditing and monitoring have been addressed through effective follow up mechanisms including management accountability and remedial action

-- Maintain current knowledge of laws and regulations

-- Establish policies and procedures to maintain compliance

-- Educate on compliance program, policies & procedures and communicate awareness

-- Monitor compliance with laws, regulations, policies and procedures

-- Responds to all concerns reported to compliance functions and hotline

-- Recruit and develop key staff

-- Serves as Chair, Compliance Committee and Vice Chair, ERM Committee

-- Serves as HIPAA Privacy Officer

-- Ensure effective staff compliance training program

-- Responsible for CIA, IRO, OIG, investigations hotline and training (including 7 elements)

  • Perform any other job related instructions as requested, with reasonable accommodation

    Key Decision Rights

    -- Development of compliance policies and procedures

    -- Annual risk and compliance plan

    -- Hiring of Staff

    • Conduct and authorize investigations, in conjunction with Legal

      Cross Functional Interactions

      -- Interact with internal departments, such as Government Affairs, Legal, IT, Finance, Quality, EPM, Markets


      -- Perform duties as established in Board approved program or charter

      -- Effectiveness and efficiency of operations

      -- Reliability of financial reporting

      -- Compliance with applicable laws and regulations

      -- Ensures auditing and monitoring of key compliance risk area

      -- Provides necessary compliance controls relative to IT system implementations and controls

      -- Ensures proper HIPAA privacy and security controls

      • Ethically correct behavior, improved efficiency, improve effectiveness thru insuring operations is managed and supported through the GRC

        Working Conditions

        • General office environment

          RequirementsEducation / Experience


          Bachelor of science degree in business administration, healthcare administration or related discipline is or equivalent work experience is required

          • Master's in Business Administration, Healthcare Administration and/or other related discipline is preferred

          • Seven or more years of compliance or related experience is

          • Senior Executive Leadership experience with a managed care organization or related industry

            Required Competencies / Knowledge / Skills


            Strong working knowledge of compliance theory, practices, laws, regulations, guidelines and professional standards


            Depth in governmental product design and experience working with underserved populations


            Understanding of Medicare/Medicaid regulatory requirements


            Strong understanding of healthcare finances


            Knowledgeable of HCCA, AHIA, COSO


            Commitment to the mission and values of the CareSource Family of Companies


            Strong collaborative skills, working with cross-functional stakeholders and external partners including state and federal regulators


            Effective communication and presentation skills

            Licensure / Certifications

            • Certified in Health Care Compliance (CHC) is preferred

              The statements contained herein describe the essential functions of this position. This description is

              not an all-inclusive listing of work requirements. Individuals may perform other duties as assigned, subject to reasonable accommodation.


Keywords: CareSource, Dayton , VP Corporate Compliance Officer, Executive , Dayton, Ohio

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