Executive Director, Compliance (TEMP) at Cape Cod Healthcare

Hyannis, Massachusetts, United States -

Full Time

Start Date

Immediate

Expiry Date

29 Apr, 26

Salary

0.0

Posted On

29 Jan, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Healthcare Compliance, Regulatory Requirements, Auditing, Training, Collaboration, Process Improvement, Corrective Action Planning, Communication, Leadership, Payor Requirements, OIG Compliance, Healthcare Policies, Continuous Improvement, Healthcare Regulations, Compliance Education, Reporting

Industry

Hospitals and Health Care

Description

1. Reports to the Chief Compliance Officer. 2. Review all payor requirements, such as National Coverage Determinations and Local Coverage Determinations and develop a plan to operationalize the requirements within the system to ensure compliance. 3. Oversees payors requirements to assure compliance with federal and state healthcare rules and regulations. 4. Partner and collaborate with Department and Senior Leadership to assure compliance with federal and state healthcare rules and regulations. 5. Conduct routine audits to assure compliance with regulatory requirements, 6. Routinely train and educate on federal and state payor healthcare rules and regulations, Compliance Work Plan and Cape Cod Healthcare policies and procedures 7. Prepare and provide reports routinely to the Chief Compliance Officer, Compliance Committee and Senior Leadership as required. 8. Create and manage any corrective action plan due to gaps and/or non-compliance identified. 9. Consistently provides service excellence to all patients, family members, visitors, volunteers and co-workers. 10. Challenges current working practices identifies process improvement opportunities and presents recommendations and solutions to management. Engages and commits to the organization’s culture of continuous improvement by actively participating, supporting, and promoting CCHC Pillars of Excellence. 11. Other duties as needed. • Graduate of an accredited School of Nursing, Advanced degree preferred. • Must have 5+ years of Healthcare Compliance experience. • Must hold or obtain in 2 years a Certified in Health Care Compliance (CHC) certification. • Understanding and knowledge of healthcare payor rules and requirements • Ability to evaluate and educate on healthcare regulatory requirements. • Knowledgeable of OIG’s Seven Element of a Successful Compliance Program and US Federal Sentencing Guidelines • Prior experience presenting multiple levels of healthcare. • Previous Compliance Integrity Experience preferred. • Certification in healthcare compliance a plus. • Ability to read, write and communicate in English

Responsibilities

The Executive Director, Compliance will oversee payor requirements and ensure compliance with federal and state healthcare regulations. This role includes conducting audits, training staff, and preparing reports for senior leadership.