PURPOSE OF THIS POSITION
The purpose of this position is to implement and maintain an effective compliance program to prevent, detect, and correct illegal, unethical or improper conduct in the BVHS organization. This position is responsible for overseeing development, implementation and adherence to policies, practices, and standards to ensure the organization meets external legal and key regulatory requirements in addition to internal standards and follow-up on compliance issues as they arise. The position reports to the Director of Risk Management and Legal Services and will be responsible for reporting to senior leadership and the Compliance and Audit Committee of the Board.
JOB DUTIES/RESPONSIBILITIES
Duty 1: Conduct an annual compliance risk assessment.
Duty 2: Perform internal compliance investigations and audits throughout the organization, including compiling detailed reports and recommendations to the Director of Risk Management and Legal Services.
Duty 3: Develop effective compliance training materials and perform ongoing compliance training throughout BVHS and the research operation, including the development of computer-based training.
Duty 4: Develop and update compliance-related policies and procedures for the organization.
Duty 5: Assist departments in automation of requested data collection for workplan items.
Duty 6: Consult with departments to assist in the development of action plans for compliance deficiencies.
Duty 7: Provide direction and/or facilitation of the internal compliance subcommittees to achieve the goals of the Corporate Compliance Program.
Duty 8: Maintain communication with external regulatory or review organizations and accrediting agencies (e.g. CMS and Ohio Department of Health) to assure proper interpretations of regulations and impacts on operations. Coordinates work with others within the organization that has responsibility for process improvement, accreditation surveys or other regulatory activities to develop action plans for compliance.
Duty 9: Support and work in conjunction with the Civil Rights Coordinator ensuring compliance- specific issues are appropriately addressed. Maintain position of ADA/504, Section 1557 Compliance.
Duty 10: Research best practices related to compliance programs, including conducting regular reviews of the OIG workplan, corporate integrity agreements, and other industry guidance.
Duty 11: Maintain collaborative relationships with leaders, departments, and functions throughout the organization.
Duty12: Provide regular updates regarding the status of the Corporate Compliance program to senior leadership and the Compliance and Audit Committee of the Board.
Duty13: Other duties as assigned to support the department.
REQUIRED QUALFICATIONS
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