Manager - Compliance Program Management

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Day - 08 Hour (United States of America)

This is a Stanford Health Care job.

A Brief Overview
Manages daily Compliance Program Management operational activities, key compliance initiatives, compliance projects and compliance program integrity standard work. Assists in the development and maintenance of a robust compliance program for Stanford Health Care, Stanford Children's Health, University Health Care Alliance and Packard Children's Health Alliance.

Responsibilities include overseeing and conducting compliance investigations and providing compliance-related guidance across the enterprise; organizing, facilitating, and managing the Corporate Compliance Committees; organizing, facilitating and managing the annual Compliance Risk Assessment and Workplan processes and ongoing mitigation plans; identifying, researching and communicating regulatory requirements to key organizational stakeholders, including physicians and senior management; overseeing the Compliance Policy Manual, including policy development; creating compliance training content and materials; presenting compliance training to various audiences; creating dashboards and reports consistent with Stanford Operating System procedures, such as tracking and trending compliance program activities and developing metric-based standard work measurements and tools; and participating in other compliance program elements for the ongoing demonstration of scrutiny-readiness.

Locations
Stanford Health Care

What you will do

• Proactively assist with the design, development, enhancement, and implementation of the Compliance Program that includes training, policies, investigations, auditing, and reporting.

• Manage the development and deployment of a deliberate compliance training, policy, and communications strategy and program that builds awareness of the program, processes, and policies pertinent to health care compliance.

• Contributes to the achievement of the Office of Compliance and Privacy’s goals and objectives; adheres to departmental policies, procedures and standards; complies with organizational policies and procedures, governmental laws/regulations and accreditation standards.

• Identify and implement solutions to enhance and update the compliance policy governance framework, including the Code of Conduct revision, and compliance related training and communications.

• Effectively maintains collaborative working relationships to achieve increased satisfaction with and participation in the Office of Compliance and Privacy.

• Conducts thorough, timely, and fair compliance investigations and assesses the viability and severity of underlying concerns. Assists the Office of Compliance and Privacy’s leadership and other appropriate individuals regarding corrective action recommendations concerning non-compliant behaviors; creates complete, accurate, and timely closure documentation of complaints from patients, staff, faculty, and others.

• Oversee the management of Compliance Program Management guidance processes, including the provision of guidance in the areas of Code of Conduct, policies and procedures, record retention and destruction, conflicts of interest, gifts, and physician arrangements.

• Manages intake of and response to calls that come into the institutional hotline, including anonymous calls, and apply institutional non-retaliation policies to protect callers.

• Manages preparation for and facilitation of the Corporate Compliance Committees and Compliance meetings and record keeping; organizing, facilitating, and managing the annual Compliance Risk Assessment and Workplan processes and ongoing mitigation plans.

• Proactively collaborates with Stanford Medicine leadership and stakeholders to serve as a subject matter consultant to clinical and operational teams in collaboration with the Office of General Counsel with working knowledge of key laws and regulations that apply to hospital and provider compliance, including, but not limited to, Anti-Kickback Statute, EMTALA, the Stark Law, Conflicts of Interest, Gifts and Entertainment, and Medicare and Medicaid program requirements.

• Develop written policies, procedures, and programs that promote compliance and oversees activities to promote adherence to these policies, procedures, and programs.

• Lead the internal transition to a new incident management and document management system and policy governance process.

• Prepares annual and ad hoc reports for the Audit and Compliance Committee o