COMPLIANCE OFFICER - CCHHS

Cook County•Chicago, IL

19d

About The Position

The Compliance Officer reflects the mission and vision of Cook County Health (CCH), adheres to the organization’s Code of Conduct and Corporate Compliance Program, and complies with relevant policies, procedures, guidelines, and regulatory and accreditation standards. The role is responsible for the ongoing development, implementation, maintenance, and evolution of CCH’s compliance program and related activities, including policies and procedures, protocols, compliance training, and internal investigations. In conjunction with the Chief Compliance Officer, the Compliance Officer provides leadership in developing the system-wide compliance program, partners with operational leaders to build compliance ownership, and coordinates consistent program materials and messaging. The position oversees compliance training for employees, physicians, volunteers, students, vendors, and consultants; evaluates and updates policies and procedures; and establishes processes for regulatory review and communication of changes in laws and regulations. The role coordinates compliance reviews and projects, conducts interviews and investigations, prepares reports and recommendations, follows up on corrective action plans, and helps remediate compliance concerns with operational areas. It also administers the process for receiving, documenting, tracking, investigating, and acting on compliance concerns, and maintains strict confidentiality. The position reports to the Chief Corporate Compliance & Privacy Officer and may require travel to CCH entities, ambulatory clinics, and Cook County offices.

Requirements

Master’s degree or higher from an accredited college or university.
At least three years of experience conducting complex healthcare analysis and investigations.
Leadership competencies in planning and organizing, problem solving, informing, consulting, supporting, and networking.
Knowledge of coding/utilization, billing, medical records, review and analysis, and documentation.
Project management experience and exceptional organizational skills.
Extensive report development and policy and procedure development experience.
Knowledge of healthcare regulatory standards.
Excellent analytical, written, and oral communication skills.
Experience in public speaking and business presentations.
Highly developed software application skills, including Microsoft Access, Excel, PowerPoint, and Word; strong knowledge of Microsoft Office Suite.
Commitment to quality work and a customer service philosophy.
Strong communication skills, partnership development skills, and conflict resolution skills.
Ability to travel to and from CCH entities, including ambulatory clinics and Cook County entities and offices.
Ability to comply with hospital and department safety requirements, including personal protective equipment, hand washing and sanitizing, and applicable engineering and work practice controls.

Nice To Haves

Master’s degree in Healthcare, Business, Education, or a related field from an accredited college or university.
Juris Doctor (J.D.).
Current and active professional registration or certification as an RN or other clinical healthcare credential, including RHIA, CPA, CFE, or CHC; CHC credentials must be obtained within six months of hire.

Responsibilities

Lead development of the system-wide compliance program in conjunction with the Chief Compliance Officer.
Collaborate with operational leadership to facilitate operational ownership of compliance.
Coordinate system-wide compliance program materials and messaging for a uniform approach.
Oversee, direct, deliver, or ensure delivery of global and specialty compliance training for employees, physicians, volunteers, students, vendors, and consultants.
Assess, evaluate, implement, maintain, and update CCH compliance policies and procedures.
Establish a structured process for regulatory review, monitoring, and dissemination of information, and update policies, procedures, and projects to reflect changes in laws and regulations.
Develop and coordinate compliance projects and prospective reviews with CCH system entities in accordance with the Compliance Program Annual Work Plan and direction from the Chief Corporate Compliance & Privacy Officer.
Interview key personnel to validate compliance with policies, procedures, and applicable regulations.
Analyze processes or functions under review to identify strengths, weaknesses, and whether the system adequately ensures compliance.
Prepare reports on completed compliance reviews, including recommendations to correct weaknesses or areas of non-compliance.
Conduct follow-up reviews to verify that action plans have been adequately implemented.
Ensure compliance program reports are produced for the Chief Executive Officer, Board of Directors, and/or the Board’s Audit and Compliance Committee, as directed.
Establish and administer processes for receiving, documenting, tracking, investigating, and acting on compliance concerns.
Conduct compliance interviews and investigate alleged non-compliance to determine the report’s validity, nature, and scope.
Collaborate with operational areas on remediation and action plans to correct weaknesses and maintain compliance.
Develop compliance reports during and after investigations under the direction of the Chief Corporate Compliance & Privacy Officer and, when necessary, Legal Counsel.
Maintain the highest levels of confidentiality in departmental operations and communications.
Prioritize work with minimal supervision, follow through despite interruptions, and manage multiple tasks in a fast-paced environment.
Review applicable collective bargaining agreements and consult with Labor Relations on management proposals; participate in negotiations, caucuses, and working meetings.
Document, recommend, and effectuate discipline; work with Labor Relations and/or labor counsel to enforce applicable agreements and initiate, authorize, and complete disciplinary actions under CCH rules and policies.
Direct and effectuate CCH management policies and practices, and use CCH records systems to obtain information needed to administer collective bargaining agreements.
Contribute to management of CCH staff and system development, discuss and develop system policies and procedures, and exercise independent judgment on staffing actions as necessary.
Work with Labor Relations to determine past practice when necessary.