What are the responsibilities and job description for the Healthcare Compliance Manager position at Modern Day Management?
Healthcare Compliance Manager
Job Description
About Us
Groth Pain and Spine is Long Island's number one pain management practice because we value our team and treat everyone as valuable individuals. We have high standards and expect a great work ethic with patient-centered values. We believe in going the extra mile for the patients we serve and the people who work for us! As a more modern practice, we focus on teamwork, collaboration, and proactive problem solving so that we are always ahead of the game and building together.
What You’ll Be Doing
- Develop, initiate, maintain, and revises policies and procedures for the general operation of the Compliance Program and its related activities to prevent illegal, unethical, or improper conduct.
- Manages day-to-day operations of the Compliance Program.
- Develops and periodically reviews and updates Code of Conduct to ensure continuing currency and relevance in guiding management and employees.
- Collaborates with other departments to direct compliance and privacy issues to appropriate existing channels for investigation and resolution.
- Responds to alleged violations of rules, regulations, policies, procedures, and Standards of Conduct by evaluating or recommending the initiation of investigative procedures. Develops and oversees a system for uniform handling of such violations.
- Works closely with human resource personnel on regulatory issues.
- Reviews and responds to escalated patient complaints, including handling patient communication as well as proper documentation of actions taken and resolution.
- Investigates, analyzes, and reports, as required, on product complaints, including handling patient communication as well as associated documentation.
- Works with and leads the compliance committee to ensure that compliance and/or privacy issues/concerns within the organization are being appropriately evaluated, investigated, and resolved.
- Monitors, and as necessary coordinates, compliance activities of other departments to remain abreast of the status of all compliance activities and to identify trends.
- Identifies potential areas of compliance and/or privacy vulnerability and risk; develops/implements corrective action plans for resolution of problematic issues and provides general guidance on how to avoid or deal with similar situations in the future.
- Provides reports on a quarterly basis, and as directed or requested, to keep the Corporate Compliance Committee (internal, and of the Board) and senior management informed of the operation and progress of compliance efforts.
- In conjunction with the Director of Operations, oversees and maintains corporate accreditation, currently limited to Quad A. This includes notification of required events, survey completion, mock audits, performance improvement tracking, and audit participation.
- Maintains the proper state pharmacy or DME required licensure as required.
- Ensures proper reporting of violations or potential violations to duly authorized enforcement agencies as appropriate and/or required.
- Responds to Office of Civil Rights (OCR) requests and all other governing authorities, with collaboration of the company leadership team.
- Monitors government sites for news, changes, and updates in rules and security that might impact company’s Compliance Program and Privacy practices.
- Ensures information related to company compliance and privacy policies that appear in the public domain, such as the corporate website, is up to date.
- Specifies required compliance and privacy-related employee training.
- Participates in and manages special projects and activities as requested.
Requirements:
- BA/BS from an accredited university
- 2 years of progressive compliance experience
- 2 years writing corporate policies and procedures
- Working knowledge of HIPAA, OSHA, NYS Labor Laws
- Excellent organizational, project management, research, and writing skills
- Strong oral communication and presentation abilities
- Familiarity with medical terminology and regulatory agencies
- Ability to uphold confidentiality and work independently
- Proficiency in Microsoft Office Suite
Preferred:
- RN or other healthcare licensure highly preferred
- Certified in Healthcare Compliance (CHC) or equivalent
- Experience in healthcare
Why You’ll Love Working Here
- Medical, dental and vision insurance Life and AD&D
- 401k with company contribution
- Annual paid PTO and paid holidays
Additional Necessities
General office environment that will include frequent or continuous periods of talking, sitting, typing, and repetitive motions of the hands/wrists. This position also requires occasional bending, squatting, standing, and walking.
Salary : $115,000 - $150,000