Post-Acute Care Compliance Officer
Job ID:
R135413
Shift:
1st
Full/Part Time:
Full_time
Location:
AAO Milwaukee – 750 W Virginia St
Milwaukee, WI 53204
Benefits Eligible:
Yes
Hours Per Week:
40
Schedule Details/Additional Information:
This position has compliance oversight responsibilities for post-acute care areas and locations, including Home Health, Hospice, Durable Medical Equipment, Rehab (Inpatient, Outpatient and Home Health) and Skilled Nursing.
Major Responsibilities:
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Directs and monitors the compliance program across Advocate Health within applicable areas of responsibility, ensuring the program aligns with industry standards and promotes compliance with federal and state laws, regulations, rules, and applicable guidelines.
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Directs and conducts compliance investigations and resolution of identified compliance concerns, regulatory violations, and policy violations within applicable areas of responsibility. Analyzes root causes and trends and facilitates process improvement to prevent recurrence.
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Reduces organizational risk by directing and conducting risk assessments within applicable areas of responsibility as part of the enterprise-wide compliance risk assessment process and by defining and overseeing audits and other compliance work plan activities to mitigate identified risks.
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Directs, creates and delivers education and awareness activities, including compliance education, guidance documents and other reference tools, designed to prevent and correct issues related to regulatory compliance and ethical conduct.
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Serves as internal expert and advisor in compliance matters related to regulations within applicable areas of responsibility. Communicates new developments that affect specific departments and/or the entire organization.
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Partners with operational leaders and other key partners to develop, maintain and direct implementation of policies and procedures related to compliance and ethical conduct within areas of responsibility.
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Responsible for understanding and adhering to the organization's Code of Ethical Conduct and for ensuring that personal actions, and the actions of employees supervised, comply with the policies, regulations and laws applicable to the organization's business.
License/Registration/Certification Required:
- Health Care Compliance (CHC), Health Care Privacy Compliance (CHPC), Health Care Privacy and Security (CHPS), Health Care Research Compliance (CHRC) or comparable certification
Education Requirements:
- Bachelor's degree in health care administration, medical coding, health information management, clinical practice, clinical research, or related field
Experience Requirements:
- Typically requires 7 years of experience in a health care compliance/regulatory role within a complex environment.
Knowledge, Skills & Abilities Required:
- Demonstrated ability to lead diverse work teams in a complex matrix management structure.
- Advanced knowledge of federal and multiple state health care regulations related to applicable areas of responsibility and the ability to analyze regulations to determine appropriate action in applying them to operational procedures and practices.
- Demonstrated ability to manage sensitive and/or complex interactions with physicians, leaders, internal and outside legal counsel and regulatory agencies.
- Knowledge of risk analysis and risk management principles.
- Excellent organizational and prioritization skills, including expertise in leading multiple large projects simultaneously.
- Skills in developing sound proposals and in implementing a comprehensive program.
- Excellent written and verbal communication skills, including the ability to effectively communicate with all levels of team members and leadership and to address difficult and controversial issues.
- Strong planning, problem-solving and change management skills.
- Demonstrated ability to function as a mentor, role model and teacher.
- Demonstrated ability to take initiative and work collaboratively with others.
- Proficiency in Microsoft Office Suite software. Demonstrated ability to prepare spreadsheets and presentation materials.
Physical Requirements and Working Conditions:
- This position requires travel, therefore, will be exposed to weather and road conditions.
- Operates all equipment necessary to perform the job.
- Exposed to a normal office environment.
This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.
Aurora Health Care is the largest health system in Wisconsin and a national leader in clinical innovation, health outcomes, consumer experience and value-based care. The state’s largest private employer, the system serves patients across 17 hospitals, more than 70 pharmacies and more than 150 sites of care. Aurora Health Care, in addition to Advocate Health Care in Illinois and Atrium Health in the Carolinas, Georgia and Alabama, is now part of Advocate Health, the third-largest nonprofit, integrated health system in the United States. Committed to providing equitable care for all, Advocate Health provides nearly $5 billion in annual community benefits.
