Compliance Specialist

US-NE-Omaha
2 weeks ago
Job ID
2017-2002
# of Openings
1
Category
Compliance

Overview

The Compliance Specialist will assist the assigned Immanuel business line in complying with Federal, State and local laws and regulations impacting the assigned business line.  Primary responsibilities of this position including assisting the Corporate Compliance Officer in the design, creation and oversight of the business line’s compliance program. The Compliance Specialist will also assist the Corporate Compliance Officer in the development and maintenance of the Compliance Department’s systems, training and reference documents.  Supports and lives out Immanuel’s Mission and CHRIST Promises.

Responsibilities

Key Areas

Key Responsibilities and Duties of the Job

Compliance Program

  • Prepare, review and/or revise policies based on applicable Federal, State and local laws and regulations for the general operation of Immanuel and the assigned Subsidiaries’ Compliance Program and its related activities to prevent illegal, unethical or improper conduct. Collaborate with other departments, regulatory agencies and others as required to obtain approval of policies or business decisions.
  • Serve as a resource to assigned business line regarding compliance with new or existing Federal, State and local laws and regulations which impact the development and operation of the assigned business line.
  • On an on-going basis works extensively with assigned business line and others to assure compliance with key Federal and State laws and regulations impacting the business line and its compliance program.
  • Collaborates with other departments to appropriate existing channels for investigation and resolution.  Assist in investigations for assigned business line as may be needed.
  • Responds to alleged violations of rules, regulations, policies, procedures and the Code of Conduct by evaluating or recommending the initiation of investigative procedures.
  • Assist in the development of implementation of appropriate compliance training and conduct new hire orientation compliance training and other trainings as assigned.
  • Acts as independent review to ensure that compliance issues/concerns within the business line are being appropriately evaluated, investigated and resolved.
  • Attends business line Compliance Committee meeting and risk assessment meetings and reports results of compliance efforts to the Corporate Compliance Officer.
  • Assist Corporate Compliance Officer with the compliance reports to the Corporate Compliance Committee and Board of Directors.
  • Communicates and promotes to the business line the use of the Compliance Hotline, awareness of the Code of Conduct and understanding of new and existing compliance issues and related policies.

General Compliance

  • Researches specialized areas or topics to become the company resource for a particular subject (e.g. Pace Program, Medicare, Long Term Care, HUD) and complete related projects, such as developing, revising and/or maintaining reference materials (e.g. articles, Roadmaps, Charts, technical assistance guides, regulatory alerts) and/or sharing relevant information with Compliance Department members and others as appropriate.
  • Participate in reviewing, recommending improvements and/or revising published Compliance Department standardized procedures, including, but not limited to, the following areas:  compliance audits, document drafting, electronic filing, maintaining compliance library, record retention and standardized documents.
  • Assist in the development and creation of a Compliance Infrastructure.  Provide updates and maintain current information for Compliance’s Infrastructure.
  • Creates and maintains docket entries in Compliance Department Docket system relating to on-going deadline dates for assigned business service line.
  • Participates in regularly scheduled Compliance Department meetings.
  • Participates in periodic one-on-one meetings with the Corporate Compliance Officer to review progress on individual goals, job responsibilities, pending work and other assigned projects.
  • Participates in Compliance Department strategic planning and implementation.

Other

  • Performs other duties as assigned or requested.

Qualifications

Education-

  • Bachelor’s Degree is required.
  • Master’s Degree or Juris Doctorate JD is preferred.
  • Equivalent years of experience may substitute for education requirement.

Experience-

 

  • Four (4) years of demonstrated experience in compliance, HIPAA privacy and/or legal experience in the health care industry is required.
  • Equivalent years of education may substitute for experience requirement.

 

 

Other Requirements –

 

  • Certification in Healthcare Compliance is preferred.

 

KSA- Knowledge Skills and Abilities-

  • Ability to be a self-starter who is capable of taking the initiative to effectively perform job duties and responsibilities.
  • Ability to work in a fast pace environment and plan effectively using proactive approach, keeping appointments, following through on commitments and handle multiple tasks.
  • Ability to work cooperatively as part of a team in support of a total project.
  • A strong analytical ability, particularly with regard to being able to concisely identify issues, summarize the same and communicate complex materials into critical, salient points.
  • Ability to draft and review documents for consistency in all of the following areas: legal and regulatory compliance, relevant business decisions and fact circumstances, use of correct grammar, punctuation and terminology, document formatting and overall readability.
  • Ability to research Federal, State and local laws and regulations, utilizing regulatory websites and other relevant online resources.
  • Knowledge of regulatory standards, compliance laws and practices related to federal programs, legal requirements, specific agency regulations and internal operating standards such as HIPAA, the Patient Protections and Affordable Care Act (PPACA) and related compliance communicated by the OIG, DHHS, CMS and related agencies.
  • Knowledge of PACE and Long-Term Care rules, regulations and statutes.
  • Skilled in the development, organization, facilitation and monitoring of compliance standards.
  • Ability to develop and conduct educational sessions for a variety of audiences.
  • Ability to value, demonstrate and promote the Principles and Standards set forth in the Code of Conduct, Immanuel policies and privacy programs.
  • Ability to hold true to one’s integrity and practice discretion.
  • Ability to build trust and integrity at a variety of levels cross-organizationally and outside the organization.
  • Ability to communicate verbally and in writing and use tact and diplomacy in interactions at all times.
  • Ability to develop and follow a work plan.
  • Ability to interpret, draft, revise and negotiate contracts.
  • Ability to respond to complaints and government auditors/representatives in a thorough and timely manner.
  • Ability to travel for business meetings, training and compliance audits.

 

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