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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

      Accountability

      -- 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

            required
          • 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.

              CONFIDENTIAL AND PROPRIETARY

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

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