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Job Details

VP - Chief Integrity amp Compliance Officer

Company name
St. Joseph's Hospital Health Center System

Location
Syracuse, NY

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Master's Degree

The VP - Chief Integrity & Compliance Officer

serves as a Vice President of St. Joseph Health System's (SJH) and is responsible for leadership, direction and oversight of the Integrity & Compliance Program (ICP). The ICP is designed to ensure SJH has established systems, policies and procedures to effectively comply with applicable laws and regulations pertaining to its business activities, including those pertaining to federal and state health care programs and the privacy of patient health information.

The VP - Chief Integrity & Compliance Officer

is a member of senior management and reports directly to Chief Executive Officer (CEO), with dual accountability to the Trinity Health System Integrity & Compliance Officer for implementation and operation of the ICP in accordance with standards established by Trinity Health.

ESSENTIAL FUNCTIONS

1. Knows, understands and demonstrates Trinity Health's Mission, Vision and values in leadership behaviors, practices and decisions.

2. Provides oversight and leadership to the implementation and ongoing operation of SJH's Integrity & Compliance Program (ICP) including Privacy.

3. Chair the SJH local Integrity & Compliance Committee and ensure the Integrity & Compliance Committee meets regularly (minimum quarterly) with appropriate representation and participation of key management and staff consistent with Trinity Health guidelines.

4. Oversee distribution of the Code of Conduct and appropriate orientation of associates, medical staff and key business partners at the time of initial hire, credentialing, contracting, etc.

5. Coordination with management in establishment of policies and procedures addressing areas of significant legal, regulatory or other compliance risk impacting SJH operations.

6. Coordination with management in establishment of policies for ongoing training, education programs for associates, physicians, and board members in support of the ICP.

7. Establishment of effective communication programs for colleagues, physicians, board members and other key stakeholders to promote awareness and understanding of the Code of Conduct, the ICP, and laws and regulations impacting SJH operations.

8. Oversee the establishment of routine, periodic internal auditing and monitoring activities to assess compliance with applicable laws, regulations, and SAHS and Trinity Health policies in support of the ICP. Assists in ensuring the cooperation and support of SAHS management in the performance of internal audits conducted by Trinity Health.

9. Establish procedures for the effective follow-up and timely investigation of compliance issues reported to the Regional Integrity & Compliance Officer or to the Trinity Health Integrity Line (i.e., hotline), including reports of alleged violations of laws, regulations and SJH and/or Trinity Health policies.

10. Coordination with SJH Human Resources in establishment of policies and procedures supporting the ICP in the areas such as associate background checks, exclusions screening, and disciplinary actions for violations of the Code of Conduct, laws and regulations and SJH and/or Trinity Health policies.

11. Provide oversight to management's completion of corrective actions in response to compliance matters identified through audits, investigations and internal monitoring programs conducted by the ICP.

12. Where appropriate, assist SJH and Trinity Health General Counsel's Office and/or Trinity Health in response to regulatory investigations or other legal matters identified through the ICP.

13. Ensure SJH CEO and senior management is appropriately involved and communicated with concerning significant activities of the ICP, including the status of investigations, audits or other issues requiring management's corrective actions.

14. Provide regular reports to SJH Board of Trustees/Directors (or delegated committee of the board) concerning the operations of the ICP, and the status of any significant legal, regulatory or other compliance matters being addressed by the organization, including external regulatory audits or investigations.

15. Serve as a member of the Trinity Health Integrity & Compliance Officers Council (ICO Council) providing input and feedback to Trinity Health management in the design and ongoing operation of the ICP.

16. Communicate timely with the Trinity Health System Integrity & Compliance Officer and SJH General Counsel's Office concerning significant legal and regulatory matters, including investigations conducted by the Department of Justice, Department of Health and Human Services Office of Inspector General, fraud or investigative units of federal health care program contractors, state attorney general, IRS, etc.

MINIMUM QUALIFICATIONS

1. Undergraduate degree required. Masters degree or other post-graduate degree desirable.

2. Minimum of 10 years of health care industry experience. Significant leadership role and participation in compliance program activities for an acute care hospital, or health system. Demonstrated understanding of healthcare compliance program operations, federal regulatory compliance requirements, including those pertaining to Medicare, Medicaid and third-party payers, fraud and abuse laws and regulations, and revenue-cycle operations is desired.

3. Excellent written and verbal communication skills.

4. Excellent customer service orientation with ability to relate directly, openly and effectively with internal and external stakeholders at all levels of the organization.

5. Demonstrated competency in program planning, management and supervision.

6. Ability to be persuasive, yet diplomatic with an ability to work with disparate parties in reaching consensus.

Company info

St. Joseph's Hospital Health Center System

Company Profile

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