Position: Compliance Program Manager
Department: Compliance
Reports to: Senior Compliance Program Director
FLSA Status: Salary
Summary/Objective: Manages NorthStar’s compliance training and communication plans and activities in accordance with state and federal laws, regulations, and organizational policies. Strong contributor to a best-in-class compliance and privacy program.
Essential Functions:
- Responsible for managing ongoing new hire compliance training completion and reporting metrics that are consistent with established thresholds.
- Responsible for managing ongoing conflicts of interest disclosures by clinical staff and reporting metrics that are consistent with established thresholds.
- Responsible for managing compliance staff in assigned annual work plan action items.
- Develop, manage, and complete the annual compliance training and communication work plan in accordance with state and federal laws, regulations, organizational policies and annual risk assessment results.
- Create learning content for annual, new hire, specialized, and board of director compliance training.
- Coordinate with an external consultant to prepare learning modules in Articulate that are consistent with adult learning principles.
- Create the quarterly compliance newsletter for clinical leadership in coordination with compliance department leaders.
- Conduct the annual compliance program awareness survey, report the results, and implement any corrective actions identified through data analysis.
- Coordinate with NorthStar’s communication department on various compliance campaigns on an on-going basis.
- Maintain current knowledge of applicable healthcare compliance requirements, including HIPAA, fraud, waste and abuse standards, federal and state healthcare program rules, and internal policies.
Qualifications:
- Bachelor’s degree in Business, Healthcare Administration, or related field of study
- Demonstrated compliance experience in a hospital, health system, physician group, or other regulated healthcare environment, and competency in Healthcare Compliance
- 2+ years of supervisory, team lead, project lead, or compliance learning and development experience.
- Professional certification in healthcare compliance (CHC/CHPC) is required.
- Experience with learning and development systems, reporting dashboards, and performing data analytics.
Knowledge, Skills and Abilities:
- Strong written communication skills with the ability to produce clear communications.
- High attention to detail and ability to manage complex information with discretion and professionalism.
- Expertise in Microsoft Office applications, including Excel, Word, and PowerPoint.
- Current knowledge of applicable federal and state healthcare regulations.
- Knowledge of compliance program requirements and procedures.
- Strong critical thinking and analytical skills.
- Excellent verbal, written, and presentation skills.
- Strong organizational and planning skills with the ability to manage competing priorities.
- Ability to maintain strict standards of confidentiality and ethical conduct.
- Demonstrate analytical rigor, create reports, dashboards, graphs and charts as required.
Competencies:
- Oral and Written Communication with internal and external clients
- Problem Solving/Analysis
- Initiative
- Thoroughness
- Teamwork Orientation
- Time Management
- Follow-up
- Technical/Professional Knowledge and Skills
- Work Standards
Physical Requirements:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Duties of this job may require working with frequent interruptions.
- Work may involve prolonged periods of sitting, standing, lifting, bending, reaching, and the ability to push or pull items weighing up to 15lbs.
- Requires Manual skills/motor coordination and finger dexterity.
- Specific vision abilities required by this job include close vision and the ability to adjust focus.
- The ability to understand and communicate effectively.
Mental Requirements:
The mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
- The ability to work well under pressure with diverse groups of professionals, CRNAs, and Physicians.
- The ability to maintain reasoning ability and good independent judgement.
- Must demonstrate sensitivity to cultural differences within the team and community.
- Work and deadlines may impose pressure on a routine and frequent basis, substantive contacts with people in stressful situations, delicacy and unpredictability of contacts routinely may create significant/constant stress.
Adherence to Company Policies and Rules:
All employees are expected to adhere to NorthStar’s Code of Conduct, ethics, and policies and procedures that are outlined in the company’s handbook. All employees are expected to provide compassionate care and service.
Diversity:
Employees are required to be sensitive to cultural values, beliefs, and diversity, accepting that the opinions and values of others are as valid as my own. Employees will exemplify and exercise integrity, honesty, and due diligence while carrying out obligations to patients, co-workers, and customers.
AAP/EEO Statement:
NorthStar is an Equal Opportunity Employer. We do not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. We are committed to having a workforce that celebrates diversity, equity, and inclusion. We are an Affirmative Action Employer.