Associate Director of Compliance

Overview

Associate Director of Compliance - Stony Brook CPMP Compliance

Location: St. James, NY

Schedule: Full time

Days/Hours: Monday - Friday; 8 AM - 5 PM

Salary Range: $110,655.90 - $147,535 (pay will be determined based on experience, preferred qualifications, and education)

Our compensation philosophy aims to provide marketable compensation programs and to compensate employees based on relevant experience and education. Individual compensation discussions begin during the hiring process and may occur during job review and promotional opportunities. Salaries vary depending on experience, education and current market for the position. Human Resources determines the external and internal equitable salary for each employee. The above salary range (or hiring range) represents Stony Brook CPMP’s good faith and reasonable estimate of the range of possible compensation at the time of posting 

Responsibilities

SUMMARY: The Associate Director of Compliance for the Clinical Practice Management Plan (CPMP) will collaborate with the Compliance Officer for CPMP and Stony Brook Accountable Care Organization (SB ACO) in carrying out the Compliance Program for the Clinical Practice Management Plan and its University Faculty Practice Corporations (UFPC) as well as the ACO. The Associate Director is accountable for the compliance program operations as well as to provide guidance and education to physicians and non-physician practitioners, clinical department leaders, and others regarding compliance with federal and state rules, regulations, and laws on physician billing and business practices, and organizational policies and procedures as prescribed in the Compliance Code of Conduct. The Associate Director will manage and mentor the CPMPs compliance team members and will partner with management to provide continual risk assessment and in the development of comprehensive policies and procedures, compliance training, and investigations.

 

Job Duties & Essential Functions:

• Assist the Compliance Officer with the design, implementation, and report on programs, policies, and practices to ensure compliance with federal, state and local regulatory requirements. Respond to all allegations of noncompliance as it relates to violations of rules, regulations, policies, procedures, and Standards of Conduct. Ensure the implementation of new compliance regulations.
• Lead, manage, and conduct compliance investigations and audits throughout the CPMP and its UFPC, including compiling reports with recommendations to physician leaders, clinical administrators, the compliance officers, and management. Prepare reports for the CPMP Compliance Committee and department leadership related to auditing and monitoring and activities of the CPMP Compliance Office.
• Develop compliance training materials and provide training for all new staff and providers as well as provide ongoing compliance education and training throughout the CPMP and its UFPC and as requested for other areas. Maintain and distribute compliance educational material and regulatory compliance updated to the applicable individuals and areas.
• Guide management and leadership of the clinical departments on compliance issues and inquiries; collaborate with Management for reasonable solutions with process improvements.
• Assist the Compliance Officer to strengthen and enhance the CPMP’s Compliance Program. Develop and implement an annual Compliance Work Plan and develop and review compliance-related policies and procedures. Monitor the performance of the CPMP Compliance Program and related activities, continuously taking appropriate steps to improve its effectiveness.
• Other duties as assigned, including management and supervision of the CPMP compliance staff.
• Other projects as assigned.

Qualifications

Required Qualifications:

• Bachelor’s degree.
• 5 years’ experience in a healthcare setting.
• Physician practice plan compliance or physician office compliance experience.
• Coding certification preferred through American Health Information Management Association (AHIMA) or the American Academy Professional Coders (AAPC).
• Minimum of three years of leadership and/or supervisory experience required.
• Ability to work collaboratively with physicians, non-physicians and practitioners, and staff and leaders of clinical, financial, and other departments.
• Ability to manage multiple initiatives at the same time.
• In-depth knowledge and understanding, fulfilling the elements of an effective compliance program.
• Strong analytical, communication and presentation skills are required.

Preferred Qu