Chief Compliance and Integrity Officer

Lurie Children's HospitalChicago, IL
$270,189 - $401,906Onsite

About The Position

The Chief Compliance and Integrity Officer (CCIO) oversees the organization’s development and direction of Lurie Children’s Compliance and Privacy programs to meet Federal, state and local regulatory requirements, and applicable professional standards while supporting the growth of Lurie Children's. Also, the position helps ensure systems are in place to promote compliance with Lurie Children's policies and procedures, including the Lurie Children's Code of Conduct. The Office of Compliance and Integrity functions as an independent and objective body empowered to review and evaluate issues and concerns within the organization. The CCIO has direct, unfiltered access to the Board Committee overseeing the Compliance and Privacy program and authority to escalate matters without management interference.

Requirements

  • Bachelor’s degree and an advanced degree, such as a J.D. or Master’s Degree required.
  • Current CHC certification or successful certification within twelve months of start date.
  • Ten years of experience in healthcare and knowledge of all elements of corporate compliance and privacy programs, knowledge of laws, rules, and regulations regarding privacy, healthcare billing and coding, healthcare delivery and operations, research, teaching and conflict of interest management.
  • Previous experience working with board and board committees on corporate compliance matters.
  • Strong working knowledge of performing auditing and monitoring of system level compliance and privacy issues.
  • Expert knowledge of aspects of Medicare, Medicaid, and government health insurance reimbursement, laws and regulations applicable to an academic medical center, including fraud and abuse laws, EMTALA, provider licensure, HIPAA and state law equivalents.
  • Knowledge of the issues and challenges facing the clinical, education, and research components of a complex health institution with a full understanding of, and ability to adopt corporate compliance and privacy efforts to effectively respond to changes in healthcare and research practices, legal/regulatory changes and technological trends.
  • Ability to identify and assess potential concerns across numerous risk dimensions by rubric and impact to the organization.
  • Excellent interpersonal skills and the ability to communicate at all levels of Lurie Children's and with key constituencies in the regulatory community.
  • Effectively communicate and educate in a way that builds and maintains a climate of trust and inspires commitment from others to achieve organization goals.
  • Exhibits effective presentation skills with small and large audiences.

Nice To Haves

  • Prior experience in an academic medical center or complex integrated healthcare delivery system is strongly desired.

Responsibilities

  • Develop and oversee implementation and management of Lurie Children's Compliance Program and Privacy Program infrastructure development, maintenance, and enhancement, striving for best practice program activities.
  • Promote and foster a culture of ethical and compliant behavior and oversee the adoption of internal controls to aid compliance with legal, regulatory, and internal standards.
  • Oversee Lurie Children's Code of Conduct and policies and procedures crafted to guide compliant operations and activities.
  • Collaborate with internal audit and enterprise risk functions on conducting periodic risk assessments.
  • Consult with the attorneys in the Legal Services Department on complex legal issues, law and regulatory interpretation, and external or internal investigations requiring attorney-client privilege.
  • Collaborate with the Lurie Children’s Cybersecurity function by providing objective analyses, recommendations, and other support.
  • Oversee implementation of Lurie Children’s Compliance and Privacy work plans, including planned, scheduled, as well as unexpected and ‘for cause’ periodic audits and assessments.
  • Develop, implement, manage and distribute policies, procedures and practices designed to ensure compliance with Compliance and Privacy requirements set forth in federal and state health care and other government guidance.
  • Assess and monitor risk mitigation efforts related to third-party vendors and business partners.
  • Meet regularly with the CEO to keep them informed of matters brought to the attention of the Office.
  • Oversee response to alleged violations of laws, rules and regulations, policies and procedures, and the Code of Conduct, including to governmental agencies.
  • Oversee appropriate evaluation, investigation and resolution of reported concerns; report alleged violations to various enforcement agencies, as required.
  • Use objective and quantifiable metrics to routinely report Compliance and Integrity Office activity to the CEO, Compliance Committee, and the Medical Center Board’s Audit and Compliance Committee.
  • Chair of the organization’s Compliance Committee, providing the Committee with education and reports of the organization’s compliance and integrity-related activities and responding to questions about that activity.
  • Advise and consult with senior management, department leaders, and the Board of Directors on changes in legal and regulatory requirements and expectations as they are identified by the Office of Compliance and Integrity Office, in collaboration with the Legal Services Department.
  • Collaborate with the Stanley Manne Children’s Research Institute leadership to support and provide expertise to research compliance efforts, including matrixed reporting by the Research Compliance Officer to the Compliance and Integrity Officer.
  • Collaborate with the Pharmacy department leader to support and provide expertise to pharmacy compliance efforts, including matrixed reporting by the Pharmacy Compliance Director to the Compliance and Integrity Officer.
  • The authority to hire, separate, promote, demote, write and administer performance evaluations.
  • Other job functions as assigned.

Benefits

  • Medical, dental and vision insurance
  • Employer paid group term life and disability
  • Employer contribution toward Health Savings Account
  • Flexible Spending Accounts
  • Paid Time Off (PTO), Paid Holidays and Paid Parental Leave
  • 403(b) with a 5% employer match
  • Supplemental Life, AD&D and Disability
  • Critical Illness, Accident and Hospital Indemnity coverage
  • Tuition assistance
  • Student loan servicing and support
  • Adoption benefits
  • Backup Childcare and Eldercare
  • Employee Assistance Program, and other specialized behavioral health services and resources for employees and family members
  • Discount on services at Lurie Children’s facilities
  • Discount purchasing program
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