Corporate Compliance Manager

BestCare Treatment Services • Redmond, OR

2h • $40 - $50

About The Position

JOB SUMMARY: Under the direction of the Director of Quality & Accreditation, the Corporate Compliance Manager is responsible for providing operational support to and daily management of BestCare’s Corporate Compliance Program to ensure full compliance with OIG and all applicable state and federal regulatory requirements; for effectively advancing a culture of accountability towards compliance; implementing/maintaining proactive, timely, and comprehensive standards and procedures; identifying and managing compliance risks effectively; assists with appropriate investigations of suspected non-compliance as directed by the Corporate Compliance Officer/COO, and implementing/monitoring corrective actions, and continuous improvement efforts. This role supports the Compliance Officer/COO and collaborates/works closely with the Director of Quality & Accreditation and the Program Directors. All work is performed in alignment with BestCare’s mission, vision, values, strategic goals, and all state and federal regulations ESSENTIAL FUNCTIONS: As delegated by Director of Quality & Accreditation, coordinates, monitors, and carries out day-to-day compliance activities and support ad-hoc projects; Partners collaboratively and builds strong professional relationships with key leadership across the organization. Supports the teams in problem solving, process improvement efforts, and standardized best practices to achieve corporate compliance initiatives; Manages, coaches, and develops the skills of the leadership team and its individual members in alignment with BestCare’s strategic plan and business needs; Designs and conducts audits and investigations, documents findings and recommendations, and maintains oversight from investigation/audit completion to remediation completed. Assists with assessment of potential findings and collaborates with business partners and compliance leadership to develop appropriate corrective action solutions and ensure appropriate reporting completed in timely manner; Partners with Program Directors for strategic improvement; Works collaboratively with all levels of staff with BestCare to build a strong knowledge of the Compliance Program and maintains compliance with regulatory standards/requirements across the organization. Assesses the need for additional training and education; Leads the Policy and Procedure Committee, ensuring policies are managed and posted timely to the agency policy library; Develops and delivers ongoing staff training programs and communication plans designed to promote an understanding of compliance issues and the consequences of non-compliance; Directs and oversees efforts to communicate compliance standards, awareness, and education for related healthcare compliance; periodically review and revise, as necessary, the Compliance Program’s training materials; provide updates and information briefings on regulatory developments; Develops, revises, implements, maintains, and enforces policies and procedures that ensure BestCare processes and sites operate in a legal, ethical, and efficient manner; Oversees the organization’s policy database and policy management processes to ensure efficient and effective guidance is readily accessible by all staff; Identifies opportunities to standardize and streamline compliance reporting processes to ensure open communication channels and appropriate reporting; Manages and continuously improves the formal system to enable employees to report any noncompliance without fear of retribution, ensuring that the reporting system is adequately publicized and that allegations of noncompliance are investigated and responded to promptly; Performs ongoing regulatory readiness through rounding with all departments (clinical and non-clinical) and assists in the ongoing maintenance of risk assessments and work plan updates; Regularly reviews relevant industry publications to ensure current compliance requirements are recognized, appropriately prioritized, and implemented. Communicates regulatory compliance changes/issues/trends to appropriate groups overseeing timely response to the required changes; Supports the Compliance Officer in the coordination of Compliance Committee meetings and provides regular reports to the committee and any significant compliance issues to ensure appropriate discussion of the matter and appropriate action is taken. Serves on other committees as requested or appropriate; Provides briefings and policy recommendations to executives on OIG corporate compliance issues impacting BestCare as requested; Travels to other BestCare locations as needed; Performs other related duties as assigned. ORGANIZATIONAL RESPONSIBILITIES: Models BestCare’s mission, vision, and values, promoting integrity, compassion, and collaboration; Supports the organization’s commitment to equity and inclusion, fostering an environment of open-mindedness, cultural awareness and respect for all individuals; Aligns department goals with organizational strategic initiatives; Complies with Code of Conduct, Business Ethics, Employee Handbook , and all relevant policies and OARs; Maintains professionalism, confidentiality, and compliance with HIPAA, 42 CFR, and Oregon statutes; Attends required meetings, completes required trainings, and ensures certifications and licenses remain current; Works independently and collaboratively as a positive member of the BestCare team; Performs other organizational duties as assigned.

Requirements

• High proficiency in MS Office 365 (Word, Excel, Outlook), electronic health record (EHR) system, databases, virtual meeting platforms, internet, and ability to learn new or updated software
• Working knowledge and expertise with healthcare and corporate compliance regulations including but not limited to OIG, HIPAA, 42 CFR Part 2, CURES Act, False Claims, Antikickback, Stark law
• Principles, practices, procedures, and professional standards associated with compliance program management and techniques for evaluation of program effectiveness
• Effective research skills to maintain current knowledge and understanding of state and federal regulations
• Extensive knowledge and experience with industry-leading quality improvement methods and tools
• Strong interpersonal and customer service skills
• Excellent verbal and written communication skills, including ability to persuade, influence, negotiate, and deliver presentations to management teams
• Strong organizational skills and attention to detail, accuracy, recordkeeping, and follow-through
• Demonstrated ability to assess a situation critically and logically, problem solve, and achieve resolution
• Demonstrated ability to use various approaches to build buy-in, achieve favorable outcomes, manage change, and influence others
• Demonstrated ability to collect and analyze data to identify problematic issues and formulate timely and effective performance improvement initiatives
• Demonstrated ability to oversee and manage multiple complex projects concurrently, ensuring effective use of resources and achievement of outcomes
• Ability to effectively lead multidisciplinary teams and establish cooperative working relationships with diverse groups and individuals
• Budget management skills, as well as ability to monitor and address cost effectiveness
• Ability to use good judgment and manage stress appropriately, demonstrate effective critical-thinking skills in a high-paced and, at times, stressful environment
• Excellent time management skills with a proven ability to meet deadlines
• Ability to maintain strict confidence as required by HIPAA, 42 CFR, and Oregon Statutes
• Ability to build and maintain positive relationships
• Ability to function well and use good judgment in a high-paced and at times stressful environment
• Ability to manage conflict resolution and anger/fear/hostility/violence of others appropriately and effectively
• Ability to work effectively and respectfully in a diverse, multi-cultural environment
• Ability to work independently as well as participate as a positive, collaborative team member
• Bachelor’s Degree, preferably in healthcare or related field plus minimum five (5) years of working directly with corporate compliance programs in a healthcare or setting or High School Diploma (or equivalent) plus ten or more (10+) years of working directly with corporate compliance programs in a healthcare setting
• Previous successful managerial or leadership responsibility in healthcare quality management
• Certification in Healthcare Compliance (CHC) or ability/commitment to obtain within one (1) year of hire
• Must maintain a valid Oregon Driver License or ability to obtain one upon hire and be insurable under the organization’s auto liability coverage policy (minimum 21 years of age and at least 3 years without any DUI or moving violations), and must have reliable transportation to travel for work as needed

Nice To Haves

• Bilingual in English/Spanish a plus

Responsibilities

• As delegated by Director of Quality & Accreditation, coordinates, monitors, and carries out day-to-day compliance activities and support ad-hoc projects
• Partners collaboratively and builds strong professional relationships with key leadership across the organization.
• Supports the teams in problem solving, process improvement efforts, and standardized best practices to achieve corporate compliance initiatives
• Manages, coaches, and develops the skills of the leadership team and its individual members in alignment with BestCare’s strategic plan and business needs
• Designs and conducts audits and investigations, documents findings and recommendations, and maintains oversight from investigation/audit completion to remediation completed.
• Assists with assessment of potential findings and collaborates with business partners and compliance leadership to develop appropriate corrective action solutions and ensure appropriate reporting completed in timely manner
• Partners with Program Directors for strategic improvement
• Works collaboratively with all levels of staff with BestCare to build a strong knowledge of the Compliance Program and maintains compliance with regulatory standards/requirements across the organization.
• Assesses the need for additional training and education
• Leads the Policy and Procedure Committee, ensuring policies are managed and posted timely to the agency policy library
• Develops and delivers ongoing staff training programs and communication plans designed to promote an understanding of compliance issues and the consequences of non-compliance
• Directs and oversees efforts to communicate compliance standards, awareness, and education for related healthcare compliance; periodically review and revise, as necessary, the Compliance Program’s training materials; provide updates and information briefings on regulatory developments
• Develops, revises, implements, maintains, and enforces policies and procedures that ensure BestCare processes and sites operate in a legal, ethical, and efficient manner
• Oversees the organization’s policy database and policy management processes to ensure efficient and effective guidance is readily accessible by all staff
• Identifies opportunities to standardize and streamline compliance reporting processes to ensure open communication channels and appropriate reporting
• Manages and continuously improves the formal system to enable employees to report any noncompliance without fear of retribution, ensuring that the reporting system is adequately publicized and that allegations of noncompliance are investigated and responded to promptly
• Performs ongoing regulatory readiness through rounding with all departments (clinical and non-clinical) and assists in the ongoing maintenance of risk assessments and work plan updates
• Regularly reviews relevant industry publications to ensure current compliance requirements are recognized, appropriately prioritized, and implemented.
• Communicates regulatory compliance changes/issues/trends to appropriate groups overseeing timely response to the required changes
• Supports the Compliance Officer in the coordination of Compliance Committee meetings and provides regular reports to the committee and any significant compliance issues to ensure appropriate discussion of the matter and appropriate action is taken.
• Serves on other committees as requested or appropriate
• Provides briefings and policy recommendations to executives on OIG corporate compliance issues impacting BestCare as requested
• Travels to other BestCare locations as needed
• Performs other related duties as assigned
• Models BestCare’s mission, vision, and values, promoting integrity, compassion, and collaboration
• Supports the organization’s commitment to equity and inclusion, fostering an environment of open-mindedness, cultural awareness and respect for all individuals
• Aligns department goals with organizational strategic initiatives
• Complies with Code of Conduct, Business Ethics, Employee Handbook , and all relevant policies and OARs
• Maintains professionalism, confidentiality, and compliance with HIPAA, 42 CFR, and Oregon statutes
• Attends required meetings, completes required trainings, and ensures certifications and licenses remain current
• Works independently and collaboratively as a positive member of the BestCare team
• Performs other organizational duties as assigned

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level