Director, Business Integrity Partner

Description

ScionHealth is recruiting for a Director, Business Integrity Partner, to join our Compliance team.Preferred candidates will live in the Louisville or Nashville metro area.

Job Summary

The Director, Business Integrity Partner (BIP) supports ScionHealth facilities in fostering a Speak Up culture, advising on ethics and compliance risks, and leading internal investigations with regulatory implications.

The Director functions as the Ethics and Compliance program liaison for those in the field at both our Community and Specialty hospitals and is solution- and customer service-oriented in his or her interactions with the field.

BIP team members collaboratively support local facility teams, Support Center stakeholders, and compliance resources with the goal of preventing, detecting, and correcting potential compliance risks.

Position Responsibilities

Leads moderate to high complexity compliance investigations of identified concerns and partners with support center and facility stakeholders to ensure appropriate remediation plans are implemented.

Documents investigations contemporaneously and comprehensively and adheres to investigation plans as closely as possible.

• Guides facility personnel in fact finding, document collection, documentation, interviews, and remedial actions as driven by investigation plans and conclusions.
• Leads and supports facility-designated Ethics and Compliance Officers to foster a culture of compliance within the field and appropriately manage existing and emerging compliance risks unique to the assigned facilities.
• Leverages strong critical thinking and reasoning skills to partner with operations, legal, clinical quality, risk management, HR, and other relevant support center stakeholders to identify, assess, and remediate existing and emerging compliance risks.
• Collaborates with various compliance program functions to provide education, guidance, process documentation, monitoring tools, advice and consults to the appropriate Support Center and facility personnel.
• Advises compliance program and privacy teams on regulatory risks identified within the field to further enhance ScionHealth’s culture of compliance.
• Serve as compliance contact at the Support Center for assigned facilities.Gives effective and timely support to facilities regarding compliance matters.

Refers matters that do not impact compliance to the appropriate internal resources.

Exhibits a general understanding of healthcare regulatory and compliance (e.g., Stark Law, Anti-Kickback Statute, EMTALA, HIPAA, Medicare, and Medicaid billing requirements, etc.,).

Skills Needed

• A clear and dynamic communicator who knows his or her audience : Consistently communicates complex information both verbally and in writing.
• Interacts with individuals at all levels of the organization and can adapt communication for the intended audience.Communicates in a manner that encourages collaboration and open dialogue;

Appropriately identifies and escalates higher risk compliance matters.

A strong, solution-oriented critical thinker : Demonstrates ability to thoroughly analyze situations to develop investigation plans, resources required to fully address a concern, and appropriate next steps.

As compliance concerns are raised, must analyze the scenario, and leverage technical expertise, relationships with stakeholders, process documentation, and historical precedents to drive toward remediation plans.

A well-organized, highly motivated project manager : Sets personal goals and determines how to achieve results with limited direction;

prioritizes and leads multiple complex projects and / or investigations simultaneously including task delegation and oversight.

• A savvy and well-informed risk mitigator : Can identify and collaboratively solve complex problems with functional impact by recognizing risks using data insights and other observed trends, developing, and evaluating potential options to mitigate risks, and leveraging organizational synergies to achieve solutions.
• A natural born leader skills at exercising the power of influence : Ability to lead effective team initiatives; motivates team members to achieve objectives;

and provides clear direction and support to stakeholders.Also works effectively as an individual contributor on a team.

A positive, high-energy entrepreneurial spirit with a focus on customer service : Consistently operates as a team player who demonstrates empathetic reasoning in interactions with the business.

Is comfortable with ambiguity that may accompany a transformational business.

Approximate percent of time required to travel : 25%

Qualifications

Education and Experience

• Bachelor’s Degree or equivalent years of relevant experience required; Master’s degree in Healthcare or Business Administration, healthcare services, or another related field or a Juris Doctorate is strongly preferred.
• Certified Compliance and Ethics Professional (CCEP), Certified in Healthcare Compliance (CHC), Certified in Healthcare Privacy Compliance (CHPC), Certified Fraud Examiner (CFE), or other compliance related certification preferred.
• 5+ years of experience in compliance or a related area such as legal, risk, quality, health care operations, ideally in a provider setting;

detailed understanding of regulatory and health care compliance risk areas; understanding of business operations, objectives, and challenges.

• Depending on a candidate’s qualifications, position may be filled at a different level.
30+ days ago