Compliance Practice Specialist - Field Ops

Kaiser Permanente • Clackamas, OR

211d

About The Position

This senior level individual contributor is primarily responsible for conducting local or market compliance activities across multiple disciplines in partnership with internal and external stakeholders and driving compliance field operations. Responsibilities include leading compliance reporting efforts and compliance investigations across multiple business functions. Additional key responsibilities include managing programs or compliance components of larger cross-functional programs and driving activities associated with continued regulatory compliance for multiple business functions by monitoring, interpreting, and designing strategy around regulatory changes. This senior level individual contributor also drives the implementation of compliance efforts by identifying compliance requirements and leads the assessment of current state compliance to identify gaps and corrective actions.

Requirements

• Minimum three (3) years experience in a leadership role with or without direct reports.
• Bachelor's degree in Health Care Administration, Clinical, Law, Public Health, Business or related field.
• Minimum eight (8) years experience in health care compliance, health care operations (quality, risk, etc.), audit, finance, regulatory or public policy development, investigations, information security, or insurance/health plan governance or a directly related field.
• Additional equivalent work experience in a directly related field may be substituted for the degree requirement.
• Master's degree (or higher) may serve as a substitute for a portion of the experience requirement.

Responsibilities

• Practices self-leadership and promotes learning in others by building relationships with cross-functional stakeholders.
• Communicates information and provides advice to drive projects forward.
• Influences team members within assigned unit.
• Listens and responds to, seeks, and addresses performance feedback.
• Adapts to competing demands and new responsibilities.
• Provides feedback to others, including upward feedback to leadership and mentoring junior team members.
• Creates and executes plans to capitalize on strengths and improve opportunity areas.
• Adapts to and learns from change, difficulties, and feedback.
• Conducts or oversees business-specific projects by applying deep expertise in subject area.
• Promotes adherence to all procedures and policies.
• Develops work plans to meet business priorities and deadlines.
• Determines and carries out processes and methodologies.
• Coordinates and delegates resources to accomplish organizational goals.
• Partners internally and externally to make effective business decisions.
• Solves complex problems and escalates issues or risks, as appropriate.
• Monitors progress and results, recognizing and capitalizing on improvement opportunities.
• Evaluates recommendations made and influences the completion of project tasks by others.
• Conducts local or market compliance activities across multiple disciplines and designated medical centers, ambulatory surgery centers, and/or hospitals.
• Ensures team members, including external business partners, provide support to internal and external stakeholders.
• Drives compliance field operations and the resolution of critical issues on a 24/7 basis.
• Designs strategies for the implementation of regulations and regulatory changes.
• Ensures compliance activities are fully documented.
• Researches and keeps abreast of current compliance requirements, regulations, and policies.
• Acts as an end-to-end partner to business line stakeholders.
• Leads compliance reporting efforts across multiple business functions by evaluating and summarizing compliance data, audit information, and potential risks and remedies.
• Identifies and reports key compliance drivers, liabilities, and performance indicators to management.
• Develops presentations to convey key findings to management and other key stakeholders.
• Leads compliance investigations across multiple business functions by coordinating the collection and analysis of quantitative and qualitative data.
• Leads interviews as appropriate and researches key business issues.
• Evaluates and recommends corrective action plans for substantiated allegations.
• Manages programs or compliance components of larger cross-functional programs by identifying and managing stakeholder contacts.
• Assembles teams based on program needs and team member strengths.
• Develops, analyzes, and manages program plans.
• Negotiates and manages program schedules and resource forecasts.
• Drives activities associated with continued regulatory compliance for multiple business functions by monitoring, interpreting, and designing strategy around regulatory changes.
• Determines the impact of changes to the business and provides direction on implementation of changes throughout the business.
• Provides regulatory input before and during inspections to minimize the risks of future non-compliance.
• Drives the implementation of compliance efforts by identifying compliance requirements.
• Leads the assessment of current state compliance to identify gaps and corrective actions.
• Creates or revises complex compliance standards, policies and procedures, and training.
• Monitors ongoing compliance adherence.

What This Job Offers

• Career Level: Senior
• Industry: Ambulatory Health Care Services
• Education Level: Bachelor's degree