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Regional Compliance Manager

Hartford HealthCare
New Haven, CT, US
Full-time

Description

Job Schedule : Full Time

Standard Hours : 40

Job Shift : Shift 1

Shift Details : Monday-Friday

Work where every moment matters.

Every day, almost 30,000 Hartford HealthCare colleagues come to work with one thing in common : Pride in what we do, knowing every moment matters here.

We invite you to become part of Connecticut’s most comprehensive healthcare network.

The Regional Compliance Manager is the primary responsible party for the review of all corporate compliance-related inquiries and investigations.

The role also coordinates the timely review and response for all non-compliance (i.e., HR and Patient Advocacy) reports received by the Office of Compliance and Integrity (OCI).

The Program Manager, Corporate Compliance & HHC Regional Compliance Manager builds strong relationships to monitor the response and resolution to all identified issues, reports, allegations, deficiencies, etc.

Responsibilities include but, are not limited to the following :

Conducts and coordinates compliance investigations into matters including, but not limited to, the Anti-Kickback Statute, Stark Law, Exclusion Statute, EMTALA, Beneficiary Inducement, Antitrust and other State and Federal non-privacy healthcare laws and regulations.

Maintains all investigation notes and files in a contemporaneous, organized manner within the OCI incident reporting database.

Strives to close all investigations and respond to all routine inquiries within OCI department standards and industry benchmarks.

Exhibits critical thinking skills to identify and respond to potential compliance program violations. Recommends solutions and corrective actions to remediate any identified compliance program violations and monitors the successful implementation and sustainability of associated corrective action plans.

Recommends specific sanctions and disciplinary measures when necessary and appropriate.

Serves as the key corporate compliance liaison to one or more specific Regions and / or Networks of HHC. In the capacity of the OCI liaison, develops and maintains strong working relationships with leadership and prepares quarterly reports to the Regional ELT to keep them apprised of compliance-related activities and investigations impacting the Region / Network.

Conducts risk assessments on a continuous basis to evaluate and mitigate compliance risk. Links risk assessment activity to the development and prioritization of annual OCI Work Plan.

Keeps all assigned OCI Work Plan activity up to date and identifies and escalates any barriers that may prevent any work from being accomplished as planned.

Performs compliance due diligence activities for system business transactions including mergers, acquisitions and joint ventures.

Develops, implements, promotes and maintains policies and procedures. Facilitates education on policies and procedures as required.

Provides guidance to all levels of staff and management on compliance and regulatory issues. Addresses new and emerging compliance laws and requirements in collaboration with HHC management, including the development of education materials and policies and procedures as necessary.

Maintain current knowledge of applicable federal and state laws and other regulations and accreditation standards, and monitor compliance and audit standards and changes in regulations to ensure organizational adaptation and compliance.

Qualifications

Education :

Bachelor’s Degree required.

MBA, MHA, JD with major coursework in business administration, health care administration, or law preferred.

Experience :

A minimum of six years of health care compliance experience, preferably in a large Healthcare system setting or in a consulting capacity.

Licensure, Certification, Registration

Certified in Healthcare Compliance (CHC) or Certified Compliance & Ethics Professional (CCEP)

We take great care of careers.

With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth. Here, you are part of an organization on the cutting edge helping to bring new technologies, breakthrough treatments and community education to countless men, women and children.

We know that a thriving organization starts with thriving employees we provide a competitive benefits program designed to ensure work / life balance.

Every moment matters. And this is your moment.

30+ days ago
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