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Vice President and Chief Compliance Officer

Boston, MA, USA | Leading Healthcare - Hospitals Company

  • Industry:
    Healthcare - Hospitals
  • Position Type:
    Full-Time
  • Functions:
    General Management
    Legal / Compliance
  • Experience:
    10-12 years
Job Description:
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BMC Health System’s Vice President and Chief Compliance Officer is responsible for the implementation and ongoing operation of the corporate compliance and privacy programs for BMC Health System, including Leading Healthcare - Hospitals Company, BMC HealthNet Plan, Boston University Medical Group, and Boston Accountable Care Organization. The Vice President and Chief Compliance Officer is responsible for taking all necessary actions to enforce standards/programs adopted pursuant to the Health System compliance and privacy programs by means of auditing, training, mandating compliance and corrective action, and recommending necessary disciplinary action. Reporting to the SVP & Chief Legal Counsel, the Chief Compliance Officer is responsible for taking all necessary action under the compliance programs to enforce policies and compliance standards/programs by auditing, training, mandating compliance, and corrective action, and recommending necessary disciplinary action.


ESSENTIAL RESPONSIBILITIES / DUTIES:


Establish, maintain and revise compliance policies and procedures reasonably capable of preventing unethical, illegal, or other conduct not complying with Health System policies or compliance standards/procedures, and otherwise carrying out the policy and purpose of the compliance and privacy program.

Take all necessary steps to communicate compliance standards and procedures to all employees, with a special emphasis on training and the dissemination of training materials.

Take all reasonable steps to achieve compliance with written standards through monitoring, auditing and implementing other systems designed to detect unethical, illegal, or other conduct not complying with Health System policies or compliance standards/procedures, including implementing a reporting system free from the risk of retribution against employees who report unethical, illegal, or other conduct not complying with Health System policies or compliance standards/procedures.

Adopt procedures to prevent the delegation of discretionary authority to individuals with a propensity to engage in unethical, illegal, or other conduct not complying with Health System policies or compliance standards/procedures.

Advise senior management regarding appropriate disciplinary measures against individuals responsible for unethical, illegal, or other conduct not complying with Health System policies or compliance standards/procedures, or individuals failing to detect or report unethical, illegal, or other conduct not complying with Health System policies or compliance standards/procedures.

See that immediate corrective action is taken when unethical, illegal, or other conduct not complying with Health System policies or compliance standards/procedures is detected.

Take all appropriate action (with advice of counsel) consistent with Health System policies to promptly report illegal conduct by the Health System or its employees and representatives to the state and federal government.

Take all appropriate action consistent with Health System policies to cooperate fully with the state and federal government during any investigation of alleged illegal conduct by the Health System and its employees and representatives.

Chair the Hospital Compliance Oversight Committee and participate on the BMC HealthNet Plan and Boston University Medical Group Compliance Committees and other committees as appropriate.

See that remedial actions and systems are designed and implemented to ensure that no unethical, illegal, or other conduct not complying with Health System policies or compliance standards/procedures occurs in the future.

Periodically report on compliance matters and prepare reports for the Health System Audit and Compliance Committee, the Health System Boards of Trustees, and the Chief Legal Counsel and other designated corporate officials as requested.

Keep abreast of federal and state regulatory and legislative issues relating to health care compliance matters.

Take all appropriate action to address compliance related issues with all third party payers, including both government (Medicare, Medicaid, HSN, etc.) and commercial payers.

Adhere to and model BMC’s behavioral attributes – responsibility, empathy, services excellence, problem solving and continuous improvement, efficiency, cultural competency, and teamwork.


EDUCATION:


Advanced degree in business, law, or health professions required.


EXPERIENCE:


At least ten years of relevant experience preferred. Relevant experience will be more heavily weighed than educational degrees.


KNOWLEDGE AND SKILLS:


Knowledge of third party payer regulations desirable.

Knowledge of data gathering and analysis techniques.

Ability to understand laws and regulations.

Demonstrated leadership, management, and communication skills.

Public speaking and presentation skills.

Ability to effectively interview individuals and groups.

Diplomacy and the ability to influence and persuade others.

Ability to manage multiple projects simultaneously and adhere to work deadlines.

Ability to write and communicate clearly and effectively.

Ability to motivate, manage, and direct staff to enhance performance and meet compliance goals.

Interpersonal skills necessary to deal effectively with senior management, physicians, and staff.

Ability to develop and implement compliance standards and procedures to ensure an effective compliance and privacy program.


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