Director, Licensing and Compliance

St. Tammany Health System•Covington, LA

21h•Onsite

About The Position

At St. Tammany Health System, delivering world-class healthcare close to home is our goal. That means we are committed to attracting and retaining the very best professionals for every position in our health system. We believe the pristine beauty of St. Tammany Parish adds to our attractive compensation package. The health system is nestled in the heart of Covington on the north shore of Lake Pontchartrain. It is a peaceful, scenic, community-oriented area with an abundance of amenities to suit every taste. Supports functions of the Corporate Compliance Department of St. Tammany Health System (STHS or System) and the Executive Team. Serves as a regulatory resource for the System and provides advice on compliance with regulations. Provides compliance review in support of System operations for the Executive Team and Board of Commissioners. In conjunction with Chief Compliance Officer, provides direction and oversight of the System’s Corporate Compliance Program (the “Program"), including: Identifying and assessing areas of compliance risk for the hospital; Communicating the importance of the Program to all colleagues; Preparing and distributing all Compliance policies and procedures; Developing and implementing educational compliance programs; Monitoring the internal compliance reporting processes, including the Compliance hotline; Serving as a member of the System’s Corporate Compliance Committee and monitoring the Collaborating with the Executive Team and Board of Commissioners to effectively incorporate the Program within system operations Primary support to VP/Chief Compliance Officer in the ongoing management and oversight of the Program in order to facilitate the prevention of healthcare fraud and abuse and to promote the mission and vision of the System. Communicate critical information to leadership and governance when needed and in accordance with System policies and procedures. Responsible for oversight of and support to the System’s Regulatory and Compliance Auditor. Manages System licensure, including preparing for, obtaining, and maintaining licensure with the Louisiana Department of Health (LDH) and other licensing agencies for STHS facilities and locations as needed. Prepares applications and functional programs and gathers supporting documentation for System licenses, as well as filing relevant paperwork with local, state, federal or other entity in the ordinary course of business and in response to special events or emergencies. Maintains records and submits the necessary documents to keep System licenses, permits and insurance coverage active. Maintain visibility and rounding in departments and units across the System; offer support to leaders, the medical staff and colleagues on compliance initiatives, policies, and processes; encourage collaboration and sharing of feedback on compliance at the department/unit level by attending department meetings.

Requirements

Bachelor’s degree in nursing, Healthcare Administration, or related field required.
Minimum of three (3) years of experience working in a hospital or healthcare system with experience in corporate compliance, credentialing, or licensing.
Must possess a working knowledge of the operations of healthcare systems and pertinent healthcare practices and policies.
Strong interpersonal and communication skills needed to support the preparation of written reports, documents, policies, and various other forms of communication among the healthcare team.
Must be analytical and detail oriented.
Ability to work independently, set priorities, manage complex processes and analysis of data, and maintain privacy, security, and confidentiality of STHS and patient protected health information and matters involving System activities.
Strong communication skills, including verbal and written.
Ability to build strong, mutually beneficial relationships with colleagues, State licensing staff and other subject matter experts.
Ability to interpret complex information.
Self-motivation; needs limited direction and supervision to carry out job functions.
Proficiency in Microsoft Office (required).
Maintains professional knowledge, e.g., attends continuing education to maintain professional and STHS requirements.

Nice To Haves

Certification in Healthcare Compliance (CHC) preferred.

Responsibilities

Supports functions of the Corporate Compliance Department and the Executive Team.
Serves as a regulatory resource for the System and provides advice on compliance with regulations.
Provides compliance review in support of System operations for the Executive Team and Board of Commissioners.
Provides direction and oversight of the System’s Corporate Compliance Program.
Identifies and assesses areas of compliance risk for the hospital.
Communicates the importance of the Program to all colleagues.
Prepares and distributes all Compliance policies and procedures.
Develops and implements educational compliance programs.
Monitors the internal compliance reporting processes, including the Compliance hotline.
Serves as a member of the System’s Corporate Compliance Committee.
Collaborates with the Executive Team and Board of Commissioners to effectively incorporate the Program within system operations.
Provides primary support to VP/Chief Compliance Officer in the ongoing management and oversight of the Program.
Facilitates the prevention of healthcare fraud and abuse and promotes the mission and vision of the System.
Communicates critical information to leadership and governance when needed.
Responsible for oversight of and support to the System’s Regulatory and Compliance Auditor.
Manages System licensure, including preparing for, obtaining, and maintaining licensure with the Louisiana Department of Health (LDH) and other licensing agencies.
Prepares applications and functional programs and gathers supporting documentation for System licenses.
Files relevant paperwork with local, state, federal or other entities.
Maintains records and submits necessary documents to keep System licenses, permits and insurance coverage active.
Maintains visibility and rounding in departments and units across the System.
Offers support to leaders, the medical staff and colleagues on compliance initiatives, policies, and processes.
Encourages collaboration and sharing of feedback on compliance at the department/unit level by attending department meetings.