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