COMPLIANCE OFFICER - CCHHS

Cook County•Chicago, IL

15d•Onsite

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 all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. The Compliance Officer is responsible for the ongoing development, implementation, maintenance, and evolution of the CCH compliance program and all related compliance activities. This includes, but is not limited to, the development and subsequent assessment of comprehensive policies and procedures, protocols, compliance training, and internal investigations.

Requirements

Master’s degree or higher from an accredited college or university
Three (3) years of conducting complex healthcare analysis and investigations
Leadership competencies to include planning and organizing, problem solving, informing, consulting, supporting, and networking
Knowledge of coding/utilization, billing, medical records, review/analysis, and documentation

Nice To Haves

Master’s degree in Healthcare, Business, Education, or related field from an accredited college or university
Juris Doctor (J.D.)
Professional Registration/Certification as a RN or other clinical healthcare credentials, current & active, including but not limited to RHIA, CPA, CFE, or CHC. (Must obtain CHC credentials within 6-months of hire)
Project Management experience and exceptional organizational skills
Extensive Report Development experience & Policy & Procedure development experience
Knowledge of Health Care Regulatory standards
Excellent Analytical, Written, & Oral Communications skills
Experience in Public Speaking and Business Presentations
Highly developed software application skills - MS Office Access, Excel, PowerPoint, and Word
Behavioral commitment to quality work and customer service philosophy
Strong communication skills – written and verbal; skilled in partnership development and conflict resolution
Strong knowledge of Microsoft Office Suite
Ability to travel to and from any CCH entity, including the Ambulatory Clinics and Cook County entities/offices

Responsibilities

Serves in a leadership capacity to develop the system-wide compliance program in conjunction with the Chief Compliance Officer
Collaborates with operational leadership to facilitate operational ownership of compliance
Synchronizes system-wide compliance program materials and messaging to present a uniform approach
Oversees, directs, delivers, or ensures delivery of compliance training, both global and specialty, for employees, physicians, volunteers, students, vendors, and consultants
Assesses, evaluates, implements, maintains, and updates CCH compliance policies and procedures
Establishes a structured process for regulatory review, monitoring, and dissemination of information. Modifies policies, procedures, and projects to reflect changes in laws and regulations
Develops and coordinates compliance projects with CCH system entities as delineated in the Compliance Program Annual Work Plan and perform prospective reviews in conjunction other personnel as deemed necessary, and as determined by the Chief Corporate Compliance & Privacy Officer
Performs system-wide interviews with all key personnel to validate compliance with established policies and procedures and applicable regulations in conjunction with other personnel, as deemed necessary
Prepares and analyzes a narrative description of the process or function under review in order to evaluate potential strengths and weaknesses and to determine the adequacy of the overall system to ensure compliance, as deemed necessary
Develop reports upon completion of each compliance review, which details recommendations designed to correct any potential weaknesses or areas of non-compliance discovered during the review
Perform Follow-Up reviews as generated by the Compliance Program Work Plan to ensure action plans have been adequately implemented
Assure that Compliance Program reports are produced for the Chief Executive Officer, Board of Directors, and / or the Audit and Compliance Committee of the Board of Directors, as directed by the Chief Corporate Compliance Officer
Establishes and administers a process for receiving, documenting, tracking, investigating, and taking action on all compliance concerns
Perform compliance interviews and investigate reports of alleged non-compliance to determine the validity, nature and scope of the report in conjunction with the designated team members, as identified by the Chief Corporate Compliance & Privacy Officer
Collaborates with operational areas to remediate concerns through action plans to correct potential weaknesses and assure ongoing compliance
Develop Compliance Reports during the course of the investigation and subsequent to the completion of the investigation under the auspices of the Chief Corporate Compliance & Privacy Officer, and Legal Counsel if deemed necessary
Maintains highest levels of confidentiality regarding all departmental operations – in communication both verbal and written and with the use of technology
Ability to prioritize work with minimal supervision and use time effectively. Requires high degree of follow-through despite frequent interruptions
Possess ability to work in a fast-paced environment, which requires handling multiple tasks at once
Review applicable Collective Bargaining Agreements and consult with Labor Relations to generate management proposals
Participate in collective bargaining negotiations, caucus discussions and working meetings
Document, recommend and effectuate discipline at all levels
Work closely with labor relations and/or labor counsel to effectuate and enforce applicable Collective Bargaining Agreements
Initiate, authorize and complete disciplinary action pursuant to CCH system rules, policies, procedures and provision of applicable collective bargaining agreements
Direct and effectuate CCH management policies and practices
Access and proficiently navigate CCH records system to obtain and review information necessary to execute provisions of applicable collective bargaining agreements
Contribute to the management of CCH staff and CCH systemic development and success
Discuss and develop CCH system policies and procedures
Consistently use independent judgment to identify operational staffing issues and needs and perform the following functions as necessary: hire, transfer, suspend, layoff, recall, promote, discharge, assign, direct or discipline employees pursuant to applicable Collective Bargaining Agreements
Work with Labor Relations to discern past practice when necessary