Shrewsbury, Massachusetts
Baltimore, Maryland
Fort Myers, Florida
Saint Cloud, Minnesota, Minnesota
Posted: 19-Sep-24
Location: Irving, Texas
Salary: Open
Categories:
Internal Number: 221432
Summary:
The Director Compliance Joint Ventures and Acquisitions contributes to CHRISTUS?s mission and vision by directing the compliance program efforts supporting the Ambulatory Surgery Centers, Joint Ventures and Mergers and Acquisitions. The Director leads the evaluation, development, evolution, implementation, and day-to-day management of the Compliance Program with a focus on the Ambulatory Surgery Centers, Joint Ventures and Mergers and Acquisitions. The Director is well-versed in laws and regulations impacting the healthcare industry and experienced in leading a team and overseeing day to day compliance functions. This position also supports various ah-hoc activities such as policies and procedures, risk assessments, internal audits, etc. as part of the CHRISTUS compliance program. The Director Compliance Joint Ventures and Acquisitions reports to the Vice President of Compliance.
Responsibilities:
?Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
?Leads the development and execution of the annual Compliance Work Plan for ambulatory surgery centers and joint ventures.
?Serves as the primary liaison with CHRISTUS Health?s ASC and JV business stakeholders in coordinating the response to audits and investigations conducted by regulatory agencies and contractors related to billing, coding, clinical documentation, medical necessity, appropriateness of care, and other issues involving Medicare, Medicaid, and other federal and state health care programs.
?Remains current with new rules, regulations, and revisions by CMS and other regulatory agencies. Monitors regulatory, legal, and industry developments and identifies opportunities for their application to the Corporate Compliance program.
?Collaborates with the Ambulatory Surgery Centers (ASC) team to review findings of audits on processes, coding/billing, etc.
?Leads the compliance due diligence and integration efforts for new business ventures.
?Collaborates with other departments to ensure education and process implementation with respect to existing or new federal and state laws, regulations, legislation, etc.
?Contributes to the Compliance Department's annual audit work plan to improve overall program effectiveness.
?Conducts billing/coding audits or internal audits as needed.
?Routinely reviews and revises, as necessary, policies and procedures.
?Investigate, audit, and remediate alleged violations or incidents of noncompliance and verify that compliance deficiencies are corrected.
?Collaborates closely with senior leadership, operations, legal, risk management, finance, and Information Security to identify and resolve compliance issues in accordance with overall CHRISTUS Health business objectives.
?Responsible for managing CHRISTUS JV and ASC compliance and ethics program referred to as the Compliance Program and at the direction of VP, Corporate Compliance.
?Ensures appropriate investigation of compliance issues.
?Maintains appropriate files and records to document the effectiveness of CHRISTUS Health?s Compliance Program activities.
?Assists in the preparation of reports to the Audit and Compliance Committee of the CHRISTUS Health Board of Directors concerning activities of the compliance function, including the completion status of the annual Work Plan, significant findings from completed compliance audits, and the status of management actions plans in response to previously reported findings.
?Implements and leads the ASC Compliance Committee.
?Ability to be flexible, multitask, switch priorities, and work comfortably in a deadline-driven/productive environment.
Requirements:
- Bachelor?s Degree in Hospital Administration, Finance, Law, Accounting, Health Services Management, Health Information Management, Nursing or Business is required.
- Master?s Degree in Hospital Administration, Finance, Law, Accounting, Health Services Management, Health Information Management, Nursing or Business or Juris Doctor is preferred.
- 10+ years of progressive experience in healthcare compliance, legal, audit, administration, or operations.
- Minimum of 5 years of experience leading system/regional-level compliance audit programs.
- Certification in Healthcare Compliance (CHC) is preferred.
Work Type:
Full Time
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