To design, manage and execute compliance projects/program across the system, diverse departments and populations. Serves as project manager in collaboration with key stakeholders to improve organizational compliance with federal and state healthcare laws and regulations. This position is responsible for supporting the execution of compliance projects at the subsidiary level.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
Coordinate, support and proactively maintain a mandatory Compliance Training program amongst the Cecil County Campus; including content, distribution and completion tracking.
Leads the annual compliance training campaign for Cecil County employees and medical staff; works directly with the Corporate Compliance Officer, senior leaders and key department stakeholders to fulfill the Inspector General's compliance training requirements.
Assist in development of organizational compliance auditing/monitoring activities, including periodic reviews of the individual department auditing/monitoring functions.
Support or conduct focused audits/reviews to investigate adherence with policies, and legal/regulatory requirements and to identify and evaluate exposure resulting from defective compliance monitoring processes.
Develop Corrective Action Plans to address deficiencies identified by auditing/monitoring activities in specific departments or on an organization-wide basis.
Implement and maintain a system of management reporting that provides timely and relevant information on all aspects of auditing/monitoring and compliance issues.
Direct efforts to communicate compliance initiatives, including written materials and training programs, designed to promote awareness and understanding of compliance issues, the Organizational Code of Ethics and related law, regulations and government directives or guidance.
Assist in promotion of a corporate culture that fosters ethical and compliant behaviors and provides the basis for ensuring adequate controls to maintain compliance with law, regulations and payer requirements throughout the Health System.
Facilitates, leads and participates in the quarterly Cecil County Campus Compliance Steering Committee meetings.
Interpret statutes, regulations, and regulatory communications for potential impact on the health system.
Implement and maintain a compliance monitoring program/plan for Cecil County Campus.
Develop and maintain effective formal and informal relationships with internal departments, subsidiaries, and third party administrators to enhance understanding of compliance and regulatory requirements.
Lead and/or participate on project teams and coordinate interdepartmental resources to successfully implement new legislative changes.
Implement or direct development of organizational policies and procedures to guide and support compliance with federal and state laws and regulations.
Recommends resources to support compliance projects and meet organizational needs.
Provide consultation on compliance matters to facilitate decision-making at all levels of management.
Identifies opportunities for improvement and alternate strategies when goals are not met.
Actively participates in system wide management activities, attends meetings and in-service/educational
programs and other activities as requested.
Maintains required credentials; assume responsibility for ongoing professional growth; exhibit a high level of professionalism; act as role model for staff and others in the organization.
Maintains confidentiality of patient/members and staff information.
Performs assigned work safely, adhering to established departmental safety rules and practices; reports to supervisor, in a timely manner, any unsafe activities, conditions, hazards, or safety violations that may cause injury to oneself, other employees, patients and visitors.
Performs other related duties as required.
EDUCATION AND EXPERIENCE REQUIREMENTS:
Bachelor's Degree from an accredited institution with a major field of study in clinical health care, Health Services Administration, Business Administration, Accounting, Finance or related field.
Must be Certified in Healthcare Compliance (CHC)
Master's degree preferred.
Clinical background preferred.
Auditing background required.
Minimum of 4 years' experience in health care compliance or related activities.
Experience leading, facilitating and participating in multi-disciplinary teams required.
Internal Number: JR54251
About Christiana Care Health System
Christiana Care Health System is headquartered in Wilmington, Delaware and is one of the country's largest health care providers, ranking 21st in the nation for hospital admissions. Christiana Care is proudly a Nurse Magnet recognized institution. Christiana Care Health System is also one of the largest health care providers in the mid-Atlantic region, serving all of Delaware and portions of seven counties bordering the state in Pennsylvania, Maryland and New Jersey. A not-for-profit, non-sectarian health system, Christiana Care includes two hospitals with more than 1,100 patient beds, and is a major teaching hospital with two campuses. Christiana Care is continually recognized for excellence on a regional and national level. Our role in the community is expressed in the Christiana Care Way: "We serve our neighbors as respectful, expert, caring partners in their health. We do this by creating innovative, effective, affordable systems of care that our neighbors value."Christiana Care is a great place to work because we value diversity and recognize it to be a core part of our success. Because of the diversity of our employees, affiliated health professionals and volunteers, we are... positioned to meet the unique needs of our patients and community. We acknowledge and celebrate the uniqueness and talent of each employee. Because of our talented workforce we are able to provide a quality healthcare experience to our patients and community. We strive to create an inclusive environment in which individual diversity can be leveraged and thrive. Christiana Care Health System is an equal opportunity employer, firmly committed to prohibiting discrimination, whose staff is reflective of its community and considers qualified applicants for open positions without regard to race, color, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law.