Job Description

Job Purpose: This position is responsible for performing regulatory activities, providing analysis and support of the company’s and programs compliance activities, and day-to-day administration of compliance issues. Works closely with Senior Management to ensure the organization operates consistent with corporate policies and procedures in relation to regulatory compliance and risk management practices. Duties: · Demonstrated current knowledge of business ethics and legal and compliance risks with knowledge to manage those risks in a dynamic outpatient health care environment. · Responsible for planning, organizing, implementation, monitoring and evaluating continued compliance with regulatory standards outlined by federal, state and local statutes. · Collects, analyzes and trends regulatory compliance data to assist in the development and implementation of improvement initiatives as appropriate. · Provide guidance to operational areas with day-to-day regulatory compliance issues and assist with handling more complex regulatory compliance issues. · Review current and proposed programs, activities, partnerships, services and relationships to identify and mitigate compliance risks including, but not limited to OSHA and HIPAA regulations and NCQA accreditation. · Collaborate with Senior Leadership Team, physicians and clinical staff to modify processes to address identified risk in Clinical Operations, Practice Management, Billing and other applicable departments. · Serves as liason with organization’s legal counsel with respect to regulatory matters. · Participates as regular member of the Company’s Compliance Committee – designing agenda, bringing forth appropriate discussion items, identifying areas of risk, and taking the lead on resolving hot topics. · Builds and maintains strong partnership with Development and Finance Team – to include high involvement with the due diligence process for Mergers and Acquistions. · Develop training and education programs for regulatory changes and topics identified as potential risk areas; responsible for successful communication rollout and training as required. · Monitor, track and report all new and ongoing compliance activities including recommendations for improvement based on audit and investigative findings. · Maintain an awareness of current laws, statutes, regulations, etc. that impact healthcare operations and physician relationships. · Serve as liaison with Senior Management and clinical staff at all locations to ensure that compliance issues and concerns are appropriately evaluated, investigated and resolved timely. · Review contracts for compliance and privacy related issues and concerns. · Must demonstrate ability to work with confidential information and ability to lead diverse teams and facilitate through conflict resolution to create successful team results. · Excellent written and oral communication skills are necessary to communicate effectively with all levels in the organization; individually & in a group environment. · Perform any other functions as required by management. Qualifications and Education Requirements Bachelor’s Degree with a concentration Healthcare Management or Healthcare Administration; advanced degree preferred. 7-10 years experience in outpatient regulatory compliance & risk management for multiple locations within oncology or healthcare setting. Strong knowledge of healthcare outpatient clinical operations, healthcare revenue cycle systems, medical billing and coding and healthcare compliance issues/requirements. Certified in Healthcare Compliance (CHC). Preferred Skills MBA in Healthcare Management or Healthcare Administration. Required Competencies Strong Business and Organizational Competence. Excellent Communication Skills (both verbal and written). Exceptional Customer Service Skills. Decision Making through Collaboration. Team Building. Excellent Analytical Skills. Strong functional Competence. Strong ability to handle Problem Resolution. Effective Relationship Building. Initiative. Adaptability. Accountability. Integrity and Trust. Time Management Skills with an emphasis on multi-tasking. Physical Demands and work environment The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Physical demands: Physical demands: Required job duties are essentially sedentary in nature, consisting of occasional walking, standing, lifting and/or carrying ten pounds maximum, seeing, speaking and hearing. Work environment: Required job duties are normally performed in a climate-controlled office environment. e CancerCare

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