Director, Compliance Officer in Fairfield, CA at Northbay Healthcare

Date Posted: 2/20/2021

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    4500 Business Center Drive
    Fairfield, CA
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:
    2/20/2021

Job Description

req4769

Director, Compliance Officer

Full Time, FTE: 1; 
Administration Center
Fairfield, CA (GreenValley)

At NorthBay Healthcare the Director, Compliance Officer manages the oversight and maintenance of a high-quality, effective, best practices compliance program to prevent and detect violations of law and other misconduct.  Promotes consistent, ethical practices and maintains a commitment to compliance with applicable federal, state, and local laws, rules, regulations and internal policies and procedures. Conducts biannual audit of physician contracts, identify issues, meet with stakeholders, develop corrective action plan, monitor corrective action plan, and provide education to ensure compliance with physician contract compliance program.

The Director assists with the development, amendment, and monitoring of effectiveness of compliance work plans. Assists with the development and implementation of a compliance performance measurement program to ensure effectiveness of controls, monitoring, and risk mitigation. Conducts, coordinates, and oversees internal investigations as well as implementation and completion of resulting action plans. Coordinates and oversees responses to external audits and government inquiries.  Manages the operation of the corporate compliance hotline.  Determines impact of applicable laws, regulations, guidance, and rules.  Communicates and monitors implementation of required changes. Develops and supervises the delivery of training and education programs for compliance, privacy, and security.

This role oversees the Corporate Compliance Program for NorthBay Healthcare System, objectively reviewing, evaluating and providing guidance to the organization on compliance and privacy issues and concerns.  This role ensures the Board of Directors, management and employees are in compliance of all NorthBay, State and federal rules and regulations for all company policies and procedures, as well as regulatory agencies.  Serve as a role model for ethical management behavior and promotes awareness and understanding of positive ethical principles.

                                                                 PRIMARY JOB DUTIES

  • Subscribes to and follows the NorthBay Way. The NorthBay Way is a set of value-based behaviors that are to be consistently demonstrated and role modeled by all employees that work at NorthBay Healthcare. The NorthBay Way principles consist of Caring, Communication, Collaboration and Competence. Employees have the responsibility and accountability to demonstrate and role model these behaviors. Employees are empowered to provide feedback to peers, co-workers, and/or physicians, when appropriate to address behavior consistent and inconsistent with the NorthBay Way.
  • Provides leadership and counsel to the Board of Directors on all compliance related matters.
  • Ensures NorthBay Compliance program is robust and up to date with current regulations. This includes self-management of the program and external audits of NorthBay’s compliance program.
  • Collaborates with other departments to investigate and resolve HIPAA and compliance concerns. Reports HIPAA breaches to patients, CDPH, and HHS as required. Consults with outside counsel as needed to resolve difficult legal compliance issues.
  • Responds to alleged violations of rules, regulations, policies, procedures, and Standards of Conduct by evaluating or recommending the initiation of investigative procedures. Collaborates with Human Resources to ensure addressing compliance violations in a manner consistent with our HIPAA consequences policies.
  • Establishes him/herself as a visible, approachable individual who is transparent, proactive and effective communicator who builds a culture that actively seeks input from compliance to ensure NorthBay’s day-to-day operations are optimized and have mitigated any compliance risk.
  • Acts as an independent review and evaluation body to ensure that compliance Issues/concerns within the organization are being appropriately evaluated, investigated and resolved.
  • Works closely with senior leaders as a strategic business partner dedicated to managing and reducing potential risk and exposer to external regulatory review and scrutiny.
  • Represents NorthBay Healthcare on assigned external committees and promotional or public relations efforts.
  • Attends NorthBay Healthcare Board of Directors meetings as requested.
  • Develops and monitors personnel, operational, and capital budgets for assigned services.
  • Ensures the development of policies, procedures, standards of care, and standards of practice that are consistent with current practice and professional standards.
  • Educates appropriate staff and implements regulatory requirements.
  • Conducts the investigation of reports of non-compliance by executing internal and external corrective action plans to effectively resolve compliance issues within prescribed time constraints.
  • Conducts internal compliance audits. Analyzes and interprets audit findings, preparing and completing audit responses, and developing the corrective actions as appropriate.
  • Updates the corporate-wide compliance awareness training and education program.
  • Monitors and revises the Corporate Compliance Program and Compliance Policies & Procedures as necessary.
  • Maintain professional education, awareness, and knowledge of current regulations and best practices in the health care industry.
  • Functions as the organizations Privacy and Data Security Officer to ensure compliance with laws, regulations, and policies that govern information privacy and data security.
  • Develops and maintains the annual compliance audit list.
  • Implement training and education to ensure NorthBay Healthcare employees and appropriate third parties are appropriately informed of their responsibilities related to information privacy and data security.
  • Monitors and audits NorthBay Healthcare’s compliance with information privacy and data security regulations. Promptly responds to detected offenses with appropriate corrective action.
  • Assists with the preparation of the Corporate Compliance annual report for the NorthBay Healthcare Board of Directors.
                            

JOB SPECIFICATIONS

Education: Master’s Degree in related field required, or JD required.

Licensure/Certification: CHC and/or CHPC.

Experience: At least 6 years of progressively responsible experience in compliance, internal audit or a legal department in a healthcare setting. Extensive knowledge of healthcare fraud and abuse laws, regulations, and guidance including but not limited to HIPAA, Anti-Referral Law, Privacy and Security regulations and Stark.

Skills: Strong writing proficiency and oral communication skills. Strong analytical and problem-solving skills. Proficiency in working with Microsoft Office products. Exceptional ability to manage multiple projects and deadlines.

Interpersonal Skills:The NorthBay Way is a set of value-based behaviors that are to be consistently demonstrated and role modeled by all employees that work at NorthBay Healthcare.The NorthBay Way principles consist of Caring, Communication, Collaboration, and Competence.

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