Job Description
Job Description
Reporting to the Chief Operating & Business Innovations Officer, the Director of Compliance is responsible for administering and managing the facility’s Corporate Compliance, Risk and Ethics Programs.
EDUCATION AND QUALIFICATIONS :
- A bachelor’s degree is required, Master’s degree preferred.
- Certification in Healthcare Compliance required.
- A minimum of three years’ experience in one or more of the following fields : compliance management, quality improvement, health information management, healthcare administration, business administration, legal support or insurance claims investigation, and settlement or patient care.
- Knowledge of statistics, data collection, analysis, and data presentation.
- Excellent interpersonal communication and problem-solving skills.
- Knowledge of federal and state laws and regulations and accreditation standards.
ESSENTIAL JOB RESPONSIBILITIES :
Develop and implement the organization’s compliance, risk and ethics programs.Facilitate and participate in the organization’s Compliance Committee.Ensure compliance with federal CMS regulations, Florida Statutes, and all other applicable laws, regulations, and requirements.Complete and monitor ADRs and other audits from MAC, Federal or State agencies.Manage and maintain the Policy Management system.Investigate and analyze root causes, patterns, trends or program functions to identify, initiate and implement performance improvements. Manage the Incident Reporting System.Act as a point of contact during regulatory surveys and investigations.Educate and train the leadership and staff, as to the compliance, risk and ethics programs, and their respective responsibilities in carrying out the compliance management program.Attend various on-site meetings and training courses, some may require travel.