The Corporate Compliance Officer oversees the Corporate Compliance Program, functioning as an independent and objective person who, directly or through staff or independent third party persons or organizations, reviews and evaluates compliance issues/concerns within the organization. The position is responsible for establishing standards and procedures that seek to prevent illegal, unethical, and improper conduct, for ensuring these standards are communicated and institutionalized throughout the company, and for monitoring the company’s compliance with these standards and procedures.
Responsibilities:
Chair the company’s Corporate Compliance Committee.
With the input and approval of the Board Audit & Compliance Committee, review and revise the company’s existing compliance policies and procedures as necessary to implement the compliance program and to identify and address potential areas of vulnerability regarding compliance with Federal health care programs requirements.
Identify changes in applicable laws, rules, regulations, standards, and related trends that are relevant to the compliance program and make necessary modifications to policies and procedures.
Respond to alleged violation of rules, regulations, policies, procedures and standards of conduct. Develop and oversee a system for uniform handling of such allegations and actual violations.
Ensure proper reporting of violations or potential violations to duly authorized internal staff and to enforcement agencies as appropriate and/or required by law.
Provide reports on a regular basis to keep the CEO and the Compliance Committee informed of the operation and process of compliance efforts and of any significant compliance issues.
Provide reports at least quarterly to the Board Audit & Compliance Committee, to keep Board Members informed of the operation and process of compliance efforts and of any significant compliance issues.
Design and execute education and training programs for employees where functions or responsibilities involve compliance with laws or standards of conduct including introductory training for new employees and ongoing training for all employees. Partner with HR, legal and other departments as needed.
Monitor the performance of the Compliance Program and related activities on a continuing basis and with periodic audits, taking appropriate steps to improve effectiveness of the program.
Oversee the co-sourced Internal Audit Function including risk assessment and identified audits.
Work with legal to review Conflict of Interest disclosures by Board Members and key workforce members.
Qualifications:
Bachelor’s degree from a four-year college or university required.
Master’s degree in finance, healthcare administration, or law preferred.
5 to 10 years of compliance experience in a regulated healthcare related field. Experience and understanding of applicable healthcare laws, including fraud and abuse statutes and regulations.
Discretion with confidential and financial information. Trusted, respected, and recognized as having high integrity.
Self-confident, with demonstrated moral courage. Ability to communicate bad news, even when conflicting with the company’s accepted practices.
Perseverance in investigating alleged noncompliance.
Auditing experience a plus. Ability to read, analyze, and interpret applicable laws and regulations, policies and procedures, general business periodicals, and professional journals.
Ability to write reports, business correspondence, and procedure manuals.
Ability to effectively present information and respond to questions from groups of managers incl
The Corporate Compliance Officer oversees the Corporate Compliance Program, functioning as an independent and objective person who, directly or through staff or independent third party persons or organizations, reviews and evaluates compliance issues/concerns within the organization. The position is responsible for establishing standards and procedures that seek to prevent illegal, unethical, and improper conduct, for ensuring these standards are communicated and institutionalized throughout the company, and for monitoring the company’s compliance with these standards and procedures.
Responsibilities:
Chair the company’s Corporate Compliance Committee.
With the input and approval of the Board Audit & Compliance Committee, review and revise the company’s existing compliance policies and procedures as necessary to implement the compliance program and to identify and address potential areas of vulnerability regarding compliance with Federal health care programs requirements.
Identify changes in applicable laws, rules, regulations, standards, and related trends that are relevant to the compliance program and make necessary modifications to policies and procedures.
Respond to alleged violation of rules, regulations, policies, procedures and standards of conduct. Develop and oversee a system for uniform handling of such allegations and actual violations.
Ensure proper reporting of violations or potential violations to duly authorized internal staff and to enforcement agencies as appropriate and/or required by law.
Provide reports on a regular basis to keep the CEO and the Compliance Committee informed of the operation and process of compliance efforts and of any significant compliance issues.
Provide reports at least quarterly to the Board Audit & Compliance Committee, to keep Board Members informed of the operation and process of compliance efforts and of any significant compliance issues.
Design and execute education and training programs for employees where functions or responsibilities involve compliance with laws or standards of conduct including introductory training for new employees and ongoing training for all employees. Partner with HR, legal and other departments as needed.
Monitor the performance of the Compliance Program and related activities on a continuing basis and with periodic audits, taking appropriate steps to improve effectiveness of the program.
Oversee the co-sourced Internal Audit Function including risk assessment and identified audits.
Work with legal to review Conflict of Interest disclosures by Board Members and key workforce members.
Qualifications:
Bachelor’s degree from a four-year college or university required.
Master’s degree in finance, healthcare administration, or law preferred.
5 to 10 years of compliance experience in a regulated healthcare related field. Experience and understanding of applicable healthcare laws, including fraud and abuse statutes and regulations.
Discretion with confidential and financial information. Trusted, respected, and recognized as having high integrity.
Self-confident, with demonstrated moral courage. Ability to communicate bad news, even when conflicting with the company’s accepted practices.
Perseverance in investigating alleged noncompliance.
Auditing experience a plus. Ability to read, analyze, and interpret applicable laws and regulations, policies and procedures, general business periodicals, and professional journals.
Ability to write reports, business correspondence, and procedure manuals.
Ability to effectively present information and respond to questions from groups of managers including the Board, employees, clients, customers, regulators, attorneys, and the general public.
Reasoning Ability: Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Computer: Knowledge of and be capable of performing PC applications including MS Word, Excel, PowerPoint and Access.
uding the Board, employees, clients, customers, regulators, attorneys, and the general public.
Reasoning Ability: Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Computer: Knowledge of and be capable of performing PC applications including MS Word, Excel, PowerPoint and Access.
Internal Number: 18693
About Wellforce
Wellforce is a different kind of health system. We bring together outstanding, value-driven providers who are setting a new standard for health care in Massachusetts. We believe patients should get the care they want when and where they want it.
Our members exchange ideas and craft solutions to help people fight the most serious illnesses, manage chronic diseases and live healthier lives. Our caregivers share a passion for delivering the highest quality of care at a lower cost. Elected officials and health care experts often cite us as leaders in delivering on the promise of highest quality, lower cost health care.
Wellforce - with four community hospital campuses, an academic medical center, a children’s hospital, home care and more than 2,000 physicians – reaches from Cape Cod to the New Hampshire border, allowing us to bring care to your community. We don’t believe everyone should have to come to Boston for the best care; we bring Boston-level expertise to you.
