1174 Director Compliance AHC.doc



Aurora Health Care

|POSITION: Director & Deputy Chief Compliance Officer |DATE: May 2003 |

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|REPORTS TO: Vice President & Chief Compliance Officer |ANALYST: MAR |

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|DEPARTMENT: Corporate Compliance |REVISED: November 2009 |

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|JOB CODE: 1174 |REVISED BY: Mark Rountree |

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POSITION PURPOSE:

Directs the implementation, administration, and evaluation of system-wide compliance of state and federal regulations, and the protection of health care privacy, confidentiality, and security.

REPORTING RELATIONSHIP:

• Reports to the Vice President & Chief Compliance Officer, who in turn reports to the Senior Vice President Aurora Health Care.

• Reporting directly to this position are the compliance officers and administrative support.

ESSENTIAL FUNCTIONS:

• Directs and administers compliance investigations, surveys, responses to regulatory agencies, audits, and the resolution of issues related to regulatory requirements. Works with the Chief Compliance Officer, attorneys, key medical center leadership, and physicians to identify, research, and resolve compliance issues and correct federal/state regulation violations.

• Oversees the monitoring and interpretation of regulatory changes impacting compliance and ensures new/changing regulations are appropriately communicated.

• Responsible for implementing the annual Compliance Work Plan

• Conducts and annual compliance risk assessment in coordination with the Chief Compliance Officer. Coordinates the continuous quality improvement efforts specific to the corporate compliance program.

• Oversees the ongoing activities of all Aurora compliance officers. Participates in the leadership of multiple Compliance Committees.

• Develops and administers policies and procedures to accomplish department-specific and organizational initiatives.

• Performs human resources responsibilities for staff which include interviewing and selection of new employees, promotions, staff development, performance evaluations, pay adjustments, resolution of employee concerns, disciplinary counseling, terminations, and employee morale.

• Responsible for understanding and adhering to the Aurora Health Care Code of Excellence and for ensuring personal actions, and the actions of employees supervised, comply with the policies, regulations and laws that affect Aurora’s business.

NON-ESSENTIAL FUNCTIONS:

The following non-essential job functions are listed to inform you of significant duties and/or skills that form some of the bases for evaluation for merit increases of employees in this position. This does not exclude consideration of applicants who do not possess the ability to perform those skills or duties upon application.

• Additional duties as assigned.

SPECIALIZED KNOW-HOW AND REQUIREMENTS:

• Knowledge of health care finance and clinical health care practices equivalent to that which would be acquired by completing a regionally accredited bachelor’s degree program.

• Knowledge, skills and abilities required to perform this job are typically acquired through a minimum of seven years of progressively responsible experience in corporate compliance within a health care environment that includes experiences in managing and leading compliance activities and large scale projects; implementing regulatory changes; identifying, investigating, and resolving complaints; and analyzing and interpreting federal and state legislations.

• Leadership experience should include management of staff, budgets and health care compliance functions at the manager or director. Demonstrated ability to lead a team in a matrix management structure.

• Advanced knowledge of federal and state health care regulations and ability to research those regulations.

• Demonstrated ability to handle sensitive discussions with physicians, management, outside legal counsel and regulatory agencies.

• Excellent organizational skills. Expertise in leading multiple large projects simultaneously which includes planning the life cycle of the project, and identifying key project activities. Proven ability of development of sound proposals and successful program implementation.

• Demonstrated ability to work and function in a complex corporate system environment. Excellent written and verbal communication skills and the ability to communicate effectively with all levels of employees and leadership, which is necessary to collaborate with staff/leadership/physicians/attorneys and to address difficult and controversial issues.

• Demonstrated proficiency in the Microsoft office (Word, Excel, PowerPoint, Access) or similar products. Demonstrated ability to prepare spreadsheets, graphics, and other presentation materials.

MENTAL/PHYSICAL REQUIREMENTS:

• Must be able to drive to various sites so therefore will be exposed to weather and road conditions.

• Operates all equipment necessary to perform the job.

• Exposed to normal office environment.

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