Senior Compliance Associate

Job Description Summary

Reporting to the Vice President, Chief Compliance and Audit Officer, the Senior Compliance Associate ensures an organizational assessment of and monitors implementation of South Shore Health’s Compliance Program.

In this leadership role, the Senior Compliance Associate will have primary responsibility for developing and leading activities to ensure compliance with applicable laws, regulations and standards applicable to the South Shore Health System.

They work collaboratively with the Compliance Team and South Shore Health Senior Leadership, medical staff, Directors and Managers in all compliance and audit related activities to ensure adherence to South Shore Health System’s comprehensive Compliance, and Privacy Program.

The Senior Compliance Associate will provide cross-functional coverage of issues and inquiries as needed, as well as participate in various system related projects.

They will serve as an expert in compliance related issues, offer guidance, and lead, as well as participate in, compliance investigations as required.

Job Description

Key Responsibilities :

Ensure sensitive and confidential issues are concisely communicated, resolved, and documented in accordance with applicable legal requirements and organizational policies and procedures for the entire System.

Responsible for coordinating compliance with the Code of Ethics and the standards set forth therein by promoting the principles of ethical and legal conduct in all activities carried out by South Shore Health System.

Responsible for oversight of South Shore Health conflict of interest program.

In partnership with the Legal Department, serve as a subject matter resource and provide consultation services regarding the application and implementation of current legal requirements and organizational policies and procedures.

Monitor legal and industry developments and identify opportunities for their application and integration into compliance and privacy activities.

Assist with developing presentations for the Health System’s Compliance Committee(s) and work group(s).

Review and revise compliance policies and procedures on a periodic basis.

Assist Compliance Leadership with other department activities, as assigned.

Maintain and manage files relating to compliance and privacy activities.

Assist Compliance Leadership with developing and reporting compliance and privacy metrics, as needed.

Assist with implementation of the compliance work plan.

Conduct, coordinate and document internal compliance and privacy investigations in accordance with applicable legal requirements and organizational policies and procedures.

Prepare compliance investigation intake documentation and perform risk assessments to determine reporting requirements.

Maintain a log of compliance investigations and reviews in accordance with department requirements.

Facilitate and promote activities to foster compliance and privacy awareness across the Health System.

Develop and provide compliance education and training offerings.

Serve as strategic partner to internal stakeholders in the assessment and analysis of audit findings (by internal and external auditors) to determine root causes of issues identified and corrective action plans.

Maintain and oversee current regulatory required documentation as appropriate, including but not limited to : Federal (HHS, OIG, OCR, CMS) and State (DPH, in particular) laws and regulations.

Provide support and assistance of the record retention program and policy

Performs other duties as assigned

Job Requirements :

Bachelor’s degree (required)

JD or Master’s Degree (preferred)

5-7 years of work experience in a health care setting with demonstrated knowledge of health care compliance, conflict of interest and / or privacy experience (required)

Supervisory experience (preferred)

Knowledge Skills and Abilities :

Demonstrated knowledge of regulatory, conflict of interest, auditing, compliance and privacy rules

Analyze and develop solutions to complex, varied problems

Perform research regarding complex regulatory requirements

Work effectively both as a team player and leader

Apply judgment and make informed decisions

Excellent organizational skills with attention to detail and accuracy

Excellent interpersonal and communication skills

Foster effective working relationships and build consensus

Interact in a positive, professional manner with colleagues, leadership, medical staff, vendors, and patients

Deliver effective oral presentations and prepare concise written reports for a variety of audiences

Plan, organize, prioritize, work independently and meet deadlines

Knowledge of computer systems and software used in functional area

Effective project management skills; adept at complex project planning and management

Ability to multi-task and effectively manage competing priorities

Translate and articulate complex requirements into terms easily understood by employees and providers at all levels of the organization

Develop and implement training curriculum for adult learners