Ethics & Compliance Officer I

Fresenius Medical Care • Waltham, MA

3d • $88,000 - $147,000 • Hybrid

About The Position

Supports Fresenius Medical Care Global vision, core values, and customer service philosophy. Adheres to the FME’s Global Compliance Program, including following all regulatory and division/company policy requirements. Responsible for the development, implementation, and communication of the Global compliance program in assigned areas of responsibility. Implements and monitors compliance as it relates to the assigned business division and directly supports the divisional management team. Responsible for assisting in the development, implementation, and ongoing revision of policies and procedures published through the Compliance department, as well as ensuring that existing and new company policies and procedures are consistent with the objectives of the Compliance department. Assists the assigned business in their efforts to comply with all applicable state and federal laws and regulations. Collaborates with Compliance Audit to contribute to projects related to the Compliance Audit, Self-Monitoring, Data Mining, and Risk Assessment programs for the assigned division. Supports and reports into the Vice President of Global Compliance Care Enablement.

Requirements

• Bachelor’s degree required.
• 2 – 5 years’ experience in healthcare and/or compliance
• Experience in relevant healthcare field preferred
• Strong writing skills with specific experience in the areas of developing, implementing and maintaining policies, procedures and training in a healthcare environment.
• Strong communication, interpersonal and presentation skills, working with both internal and external individuals and entities
• Ability to motivate, lead and coordinate cross-functional teams of senior management personnel.
• Analytic and project management, leadership and team building.
• Strong computer skills, including Excel, Word, and PowerPoint.

Nice To Haves

• Law, MBA or advanced Degree preferred.
• Professional certification such as State Bar Membership, CHC, CIPP or CHPC is a plus.

Responsibilities

• Applies knowledge of compliance and a developed understanding of the business of FME Care Enablement and the assigned division to function as a member of the assigned division’s management team, working to mitigate the risks that impede the division’s goals.
• Acts as an accessible, visible, and available subject matter expert for the business in the Global Functions.
• Establishes a compliance culture as a strategic, competitive advantage.
• Adapts to and reacts to the needs of a rapidly growing and changing business and understands the complexities of a large organization.
• Maintains current knowledge of law, regulation, and market changes that impact all aspects of the business including, but not limited to, Stark Law, Anti-Kickback Statute, Patient Inducement Statute, Health Insurance Portability and Accountability Act, relevant Office of Inspector General (OIG) Model Guidance and applicable Advisory Opinions.
• Works in conjunction with the law department, regulatory and government affairs to better understand operational requirements under the law.
• Assists the business in implementing policies, processes, and monitoring systems in an effort to remain compliant.
• Leads the FME compliance activities within the division to support and enforce the overall Compliance program policies, procedures and standards, and compliance with applicable laws and regulations.
• Participates in the periodic review and update of FMCNA Compliance program policies, procedures, and training, to ensure continuing relevance in providing guidance to management and employees.
• Actively supports the assigned division’s Management team to discuss high-level issues affecting the business and operations and to act as a resource for the division’s management team for all compliance issues.
• Identifies key risk areas and works with the assigned division to mitigate risk through education, training, policy development, and monitoring systems.
• Responsible for developing, implementing, and maintaining relevant compliance training materials.
• Provides guidance to the assigned division in the development and interpretation of policies and procedures.
• Participates in the development and review of new business activities and programs.
• Serves as a resource for employees of the assigned division.
• Coordinates the resolution of compliance-related issues and concerns with the appropriate staff in a timely manner.
• Assists the business in the development and implementation of compliance training programs and educational material tailored to the specific needs of the division, consistent with the Corporate Compliance goals. Programs include introductory training for new employees as well as ongoing training as required.
• Delivers compliance training presentations as necessary, live or virtually.
• Participates in the development of the annual FMCNA compliance plan, including annual compliance plans tailored to the assigned division(s).
• Directs or participates in – collaborating with other departments as applicable – the timely closure of Compliance Action Line (CAL) investigations along with other potential compliance issues not reported through the CAL.
• Responds appropriately to alleged violations of rules, regulations, policies, procedures, and the FME Code of Conduct.
• Acts as liaison with counterparts in the department that support other assigned divisions regarding compliance concerns across assigned divisions.
• Assists with activities related to outside investigations, including but not limited to potential fraud and abuse issues, which could be either general or targeted.
• Assists external counsel in identifying and reviewing pertinent documents.
• Participates in activities related to exclusion screening, which applies to new hires, current employees, vendors, and providers. Investigates and resolves any potential matches.
• Ensures necessary follow-up takes place to resolve open items and that controls are in place to successfully mitigate business and regulatory compliance risks.
• Provides technical expertise, corrective action planning, and other compliance consultation as needed with respect to the assigned division.
• Adapts to and reacts to the needs of a rapidly growing and changing business.
• Completes special projects and reports as needed by the VP of Global Compliance Care Enablement.
• Other duties as assigned, including department-wide projects.
• Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions.

Benefits

• medical, dental, and vision insurance
• a 401(k) with company match
• paid time off
• parental leave
• potential for performance-based bonuses depending on company and individual performance.

What This Job Offers

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