Director, Compliance

The Compliance Director will have primary responsibility for and will require involvement with all operational compliance needs and risk assessments. The Compliance Director will be expected to use critical thinking, sound judgment and clear communication when directing the development of a practice compliance program.

Responsibilities

• Development of compliance programs at assigned practices from the due diligence stage to operational standardization of a practice, including addressing organic practice growth and the integration of add on physician acquisitions.

• Provides subject matter expertise in healthcare compliance and privacy to assigned OneOncology managed physician practices, including healthcare coding, billing and reimbursement, fraud waste and abuse compliance, and conflicts of interest.

• Prepares gap and risk assessments on regulatory risks and develops corrective actions with the compliance leader(s).

• Provides support and guidance to the designated compliance leader(s) at each OneOncology affiliated practice, including administrators and physician leaders serving in such roles. 

• Generates and creates reports on compliance activity at assigned practices to OneOncology, Practice leadership, and respective governing boards, as requested.

• Implements compliance systems and processes at assigned practices and supports the sustainability of those systems.  

• Develops, implements and updates compliance policies with consideration of applicable federal and state laws and regulations.

• Develops and maintains productive working relationships between compliance, legal, and operations at the corporate and practice level to ensure that processes are consistently applied, and compliance related efforts are coordinated.

• Reviews all information security and privacy plans at assigned practices to make sure that there are proper liaisons between Compliance and OneOncology IT and Security Departments.

• Maintains up to date regulatory knowledge of applicable federal and state healthcare compliance and privacy laws and accreditation and develops initiatives to implement assigned practices.

Key Competencies

• Established Compliance professional in the physician practice or health care provider industries; experience at oncology practices is a plus.

• Ability to manage, prioritize and multi-task various responsibilities.

• Strong communications skills (verbal/written/listening).

• Strong technical skills in Microsoft Office Suite, compliance/legal tracking, and research systems (e.g. Ethico, HealthStream, etc.).

• Must be detail-oriented, handle complex problems, maintain a high level of confidentiality, require minimal direction and work within a team environment.

Qualifications

• MA/MS at a minimum; experience can be substituted for educational requirements.

• 10+ years of experience in healthcare compliance.

• Experience in a physician practice is strongly preferred.

• HCCA certification(s) in Compliance required.

• Up to 20% travel, at a minimum, is required.

• Experience as an RN or LPN strongly preferred.