JOB SUMMARY: Reporting to the Senior Vice President and Chief Compliance Officer, the VP of Corporate Compliance Operations directs the Baylor Scott & White Health (BSWH) Compliance Program operations, including but not limited to compliance communications, corporate compliance operations, compliance governance, regional compliance, and general compliance. This position will work in conjunction of the VP, Corporate Compliance Risk, who will oversee the risk-based areas of our Corporate Compliance program.
ESSENTIAL FUNCTIONS: - Lead the compliance operations team responsible for the managing the following elements of the system-level corporate compliance program: committees; program documents; lines of communication; education and training. - Additional key functions reporting into the VP, include the system’s regional compliance program, conflict of interest program, and physician accommodation program. - Oversees the development of curriculum for annual compliance training for all BSWH employees. - Provides guidance to BSWH management and staff on operational compliance related matters. - Partners with Corporate Communications to market the compliance function by maintaining a website presence, constructing communication tools such as newsletters, posters, FAQs and emails, and developing various compliance town halls/roadshows. - Builds demand for BSWH Corporate Compliance services by helping create a highly motivated and committed team of compliance operations professionals. - Establish collaborative partnerships with key members of management to evaluate and address compliance operations issues on an ongoing basis. - Coordinates Compliance operations goals and work processes with other BSWH departments. - Prepare Corporate Compliance progress reports for the Chief Compliance Officer, Corporate Compliance Committee and Board of Trustees Audit & Compliance Committee. - Analyze and modify current Compliance operations processes to improve department response time, service quality, risk mitigation, and completion of corrective action plans, following up on the status of key Compliance operations initiatives. - Manages operations and resources to assure the Compliance Program meets objectives. - Provide leadership and guidance in selection, training, motivation, and professional development of subordinate Compliance professionals. - Collaborate with the Chief Compliance Officer and BSWH entity leaders and department heads in the compliance operations process, including operations risk assessment, compliance program development, education, and program operations monitoring. - Administer the annual conflict of interest disclosure and resolution process for all BSWH entities. - Oversees and recommends amendments to the Code of Conduct and Corporate Compliance and Ethics operating policies and procedures. - Implements and operates retaliation-free reporting channels, including an anonymous telephone reporting system available to all BSWH employees, volunteers, and affiliated providers. - Manage the day to day operations of the Corporate Compliance Office to achieve the annual compliance work plan for areas of responsibility and prioritize the response to unplanned issues or inquiries that may arise at any BSWH entity. - Oversee the Regional Compliance program . - Maintain professional competency through continuing professional education, staying abreast of regulatory changes, and providing education to internal and external customers. - May perform other duties as assigned or requested.
KNOWLEDGE, SKILLS, & ABILITIES: - Must have a working knowledge of management of an effective ethics and compliance program, including training, monitoring, conducting and documenting investigations, addressing violations and monitoring corrective actions. - Knowledge of healthcare compliance requirements strongly desired. - Knowledge of other disciplines outside of own area of expertise, including business planning, clinical disciplines, human resources, finance, clinical and financial auditing, and information technology is desired. - Must have demonstrated current knowledge of business ethics and legal and compliance risks and the knowledge to manage those risks in a dynamic health care environment. - Should have working knowledge of federal and state reimbursement program requirements (e.g., Medicare and Medicaid), federal and state anti-kickback and physician self-referral laws (e.g., Stark and Anti-kickback), and provider and practitioner licensure and scope of practice requirements, privacy and consent laws. - Must have a reputation for integrity and willingness to challenge higher levels of management on issues arising through the Corporate Compliance Program. - Must have the ability to translate/provide cogent advice to senior management regarding the impact of emerging industry trends in compliance enforcement, legislation and regulations. - Must understand and lead by communicating vision, exhibiting decisiveness, sponsoring change and supporting the larger organization success. - Must have the ability to translate vision into a tangible plan and develop clear ethics and compliance goals and objectives. - Must be able to effectively influence others outside of direct reporting relationships or lines of authority from senior management to those providing direct patient care and services. - Requires excellent verbal, written and presentation skills, including the ability to translate complex legal and regulatory requirements/ issues into terms readily understood by management, line and clinical personnel. - Must exhibit a credible leadership presence, with the ability to respond to questions with logic and clarity
MINIMUM REQUIREMENTS: - Bachelor’s required, Master’s preferred - Certification in Healthcare Compliance within 6 months of hire - 8+ years of experience - Strong knowledge of healthcare regulatory requirements. - Must have demonstrated significant business and/or healthcare compliance experience, including working with senior leaders. - Mastery of computer skills including word processing, spreadsheets, and databases along with proficient writing skills, preparation of workpapers and reports, and presentation of clear and concise findings (oral and written) are also required.
Baylor Scott & White Health (BSWH) is the largest not-for-profit health care system in Texas and one of the largest in the United States. With a commitment to and a track record of innovation, collaboration, integrity and compassion for the patient, BSWH stands to be one of the nation’s exemplary health care organizations. Our mission is to serve all people by providing personalized health and wellness through exemplary care, education and research as a Christian ministry of healing. Joining our team is not just accepting a job, it’s accepting a calling!