CHIEF COMPLIANCE OFFICER

Division:HEALTH AND HOSPITAL CORPORATION  

Sub-Division:   

FLS Status: [[JOB_REQUISITION_CUSTOM27]]

Req ID:  23093 

Marion County Public Health Department is an organization that celebrates diversity, and seeks to employ a diverse workforce. We actively encourage all individuals to apply for employment and to seek advancement opportunities. Marion County Public Health Department also provides reasonable accommodations to qualified individuals with disabilities as required by law. For additional questions please contact us at: hrmail@hhcorp.org.

Job Role Summary

The Chief Compliance Officer (“CCO”) provides executive leadership for The Health & Hospital Corporation (“HHC”) Compliance Program in support of each HHC division (e.g., Marion County Public Health Department, Eskenazi Health, Indianapolis Emergency Medical Services, Long Term Care).  The CCO develops, implements, and manages a comprehensive compliance program tailored to the organization’s diverse needs. The CCO will advise and direct employees with respect to regulatory compliance and work to ensure that internal controls prevent and detect significant instances or patterns of illegal, unethical, or improper conduct by all HHC division employees. This position collaborates regularly with the Eskenazi Health Chief Counsel, the HHC General Counsel, Senior Leadership of HHC and each HHC division, Eskenazi Health CEO, Marion County Public Health Department Director, HHC Treasurer, and HHC President & CEO on compliance matters.

Essential Duties

• Leads the Compliance Program to provide and coordinate appropriate compliance resources for each HHC division to ensure the ongoing effectiveness of the Compliance Program.  Monitors state and federal regulatory changes and advises and directs employees with respect to regulatory compliance.
• Establishes and updates compliance policies and procedures and the Code of Conduct.
• Works with organization leaders to create a culture of compliance that fosters doing the right thing, teamwork, and collaborative resolutions to problems and issues.
• Implements and operates retaliation-free reporting channels, including the anonymous HHC Integrity and Compliance Hotline. Oversees the investigation of and response to Hotline complaints.
• Assures that the organization has effective mechanisms to reasonably determine that employees have not violated federal or state laws and regulations or engaged in improper or unethical conduct in their designated areas of responsibility. Responsible for detecting non-compliance by contractors, medical staff, and other HHC agents.
• Develops and implements the organization’s compliance risk assessment and audit plan and conducts regular audits and monitoring to identify and mitigate compliance vulnerabilities.
• Develops and implements ongoing compliance training programs and ensures specialized staff training in billing, coding, and clinical documentation. Disseminates information and educates employees on a broad spectrum of compliance-related topics (e.g., fraud and abuse laws, Stark, Anti-Kickback, Medicare and Medicaid requirements).

Associated Job Duties

• Develops and maintains relationships with regulatory agencies including but not limited to CMS (Centers for Medicare and Medicaid), OIG (Office of Inspector General), HRSA (Health Resources and Services Administration), FSSA (Family and Social Services Administration), and the IDOH (Indiana Department of Health). Collaborates regularly with the Eskenazi Health Chief Counsel, HHC General Counsel, HHC Senior Leadership and HHC division Senior Leadership, Eskenazi Health CEO, Marion County Public Health Department Director, HHC Treasurer, and HHC President & CEO on compliance matters.  
• Makes periodic reports regarding compliance matters directly to the Board of Trustees and is authorized to report on such matters at the Board of Trustees’ request or when needed. 
• Establishes and serves as the Chair of the Executive Compliance Committees, which shall be composed of representatives of the key areas of the organization.  
• Responds to alleged violations of rules, regulations, policies, procedures, and the Code of Conduct by evaluating or recommending the initiation of investigative procedures. Develops and oversees a system for uniform handling of such allegations and ensures appropriate corrective actions. 
• Supervises Compliance staf