SALT Dental Collective Hiring for Vice President, Corporate Compliance at Phoenix, AZ Full Time

Summary

The Vice President, Corporate Compliance will serve as the lead resource for practice management entities on compliance and business ethics issues. The VP will be responsible for planning, designing, implementing, and maintaining practice management healthcare compliance programs, policies, and procedures that promote a culture that fosters ethical and compliant behavior and provide the basis for ensuring adequate internal controls and compliance with all the laws and regulatory requirements applicable to the practice management entities. The VP is responsible for the development, dissemination, and implementation of policies, standards, and related administrative policies in areas that may include, but are not limited to, Medicare, Medicaid, HIPAA, fraud and abuse laws, state and federal false claim acts, unauthorized use of assets, improper or inadequate documentation, billing and coding and adherence to regulatory compliance and all applicable laws and regulations related to healthcare.

Essential Duties & Responsibilities

• Develop, implement, revise, and oversee the Company’s Compliance Program administration for physician practice management entities. Work closely with other departments to ensure compliance in all other areas specified in the Compliance Program
• Design, conduct, and document an annual risk assessment to determine key compliance risk areas for the Company and physician practice management entities. Incorporate identified risk areas into the Compliance Program with identified risk management strategies including, but not limited to, training needs, monitoring activities, and auditing activities
• Review and revise the Compliance Program as appropriate to address the Company’s needs and regulatory changes in the law and policies and procedures of government and private payor health plans specific to physician practice management entities
• Develop, implement, revise, and oversee a program to educate and communicate the importance of ethical behavior to all employees, board members, vendors, contractors, volunteers, and medical staff specific to physician practice management entities
• Develop, implement, revise, and oversee the administration and training of disseminating the Compliance Program
• Train senior management regarding the Compliance Program and their essential role as a resource to staff specific to physician practice management entities
• Advice and counsel senior management on health care compliance and ethical business practices, keeping abreast of changes that may affect the Company specific to practice management entities
• Advise and oversee the training of all staff regarding healthcare compliance in each department
• Monitor, respond to, and resolve all healthcare compliance and ethics issues that arise from the reporting mechanisms of physician practice management entities, including but not limited to reports from individuals and the Company’s Corporate Ethics Hotline
• Develop policies, programs, and training that encourage managers and employees to report suspected fraud and other improprieties without fear of retaliation by maintaining and publicizing a confidential and easily accessible system for employees to report alleged violations of standards without fear of retribution
• Oversee the Corporate Ethics Hotline according to government guidelines and industry best practices, and communicate any matter deemed potentially illegal, unethical, or otherwise abusive or improper to Company counsel as appropriate specific to physician practice management entities.
• Communicate all matters of required external reporting to the practice management entities governing Board, Executive Management, and CEO, involving legal counsel as appropriate
• Plan, schedule, and lead practice management entities governing Board updates regarding healthcare compliance.
• Oversee compliance with clinical credentialing standards, working with Human Resources as appropriate, to ensure the Company does not contract with or employ parties deemed to be excluded from participation in government programs via the HHS List of Excluded Individuals & Entities and the GSA list of debarred contractors specific to physician practice management entities
• Develop, implement, revise, and oversee Company-wide compliance training standards, working with Human Resources as appropriate to ensure documentation of classes for new employees as well as annual refresher courses for all other employees specific to physician practice management entities
• Oversee internal compliance investigations and audits throughout physician practice management entities. Provide recommendations to the CEO and implement them as appropriate
• Develop, implement, and audit processes for documenting all compliance-related initiatives and activities, including but not limited to an annual compliance and internal audit program work plan, which addresses all compliance, ethics, and audit risk areas specific to physician practice management entities. Report conclusions and recommendations to the CEO
• Establish audit controls and procedures to monitor operational effectiveness and fiscal integrity, coordinating all external audits, including Medicare audits, for clinical operations specific to physician practice management entities
• Act as the HIPAA Privacy Officer for physician practice management entities
• Develop a strategic plan for records and information management programs using best practice methodologies to support and achieve long-range organizational goals
• Establish and maintain collaborative relationships through participation in industry associations
• Interviews candidates for department positions, as necessary
• Responsible for overseeing training for department positions
• Responsible for overseeing performance and any related counseling of department positions, up to and including a recommendation for termination of employment
• Responsible for overseeing the annual review process for department positions
• Maintaining friendly, cordial relations with all clients and employees
• Building and maintaining confidence and credibility with all clients and employees
• Ability to comply with Company standards of operations
• Ability to train department positions on Company standards of operations
• Ability to provide ongoing monitoring of standards by conducting standards testing on department positions
• Ability to adhere to the Core Values of the Company

Requirements

Basic Qualifications: Experience & Skills

• High degree of professionalism and professional image
• Strong interpersonal and relationship building skills
• Strong and effective communication skills
• Positive attitude, change advocate
• Independent decision-making skills, sound judgment
• Excellent organization and multi-tasking skills
• Ability to travel as needed for training and to perform job functions

Education

B.S. required, advanced degree preferred. Certification in Healthcare Compliance through the

HCCA or Health Ethics Trust is strongly preferred. The preferred candidate will have at least.

2-5 years of experience as a healthcare compliance director or higher.

Clinical experience in compliance is strongly desired, preferably in an outpatient or ambulatory.

setting. Knowledge of healthcare compliance and experience with Medicare/Medicaid programs

are strongly preferred.

Knowledge and Skills:

• Microsoft Office
• A demonstrated ability to lead people and get results through others
• Ability to organize and manage multiple priorities
• Strong customer orientation
• Excellent interpersonal and communication skills
• Excellent presentation skills
• Strong team player
• Commitment to company values
• High degree of professionalism and professional image
• Strong interpersonal and relationship building skills
• Strong and effective communication skills
• Positive attitude, change advocate
• Independent decision-making skills, sound judgment
• Excellent organization and multi-tasking skills

Physical Demands/Working Environment

• Ability to travel as needed for training and to perform job functions