Manager – Ethics & Compliance

🕒 6 days ago

🏈 Ohio – Remote

🏈 Ohio – Remote

⏰ Full Time

🟠 Senior

🔴 Lead

🚔 Compliance

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 20%

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OhioHealth

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1891

🏥 Healthcare

⚕️ Healthcare Insurance

🧘 Wellness

Healthcare • Healthcare Insurance • Wellness

OhioHealth is a not-for-profit healthcare system headquartered in Columbus, Ohio, dedicated to providing exceptional patient care and a wide range of medical services. With facilities spread across multiple locations, OhioHealth offers comprehensive healthcare services including cancer care, maternity, midlife clinics for women, virtual health appointments, and specialized care for transgender and LGBTQ patients. They also focus on patient education with health and wellness classes, support groups, and health quizzes. OhioHealth is committed to improving community health through various community relations and health initiatives. They provide resources such as price transparency, financial assistance, and patient rights information to enhance the healthcare experience for all patients.

📋 Description

• Manage and directly supervise assigned Ethics and Compliance Department staff • Assist the Ethics and Compliance Program with its seven essential elements, including compliance policies and procedures, Code of Conduct, communication channels, training and education, responding to detected offenses, monitoring and auditing, and disciplinary standards • Assist the Senior Director Compliance and Chief Privacy Officer and/or compliance committee as needed • Use data, analytics, technology, and artificial intelligence tools responsibly to identify emerging risks, strengthen controls, evaluate program effectiveness, and guide health care compliance research functions and research institute stakeholders • Execute multiple concurrent, time-sensitive, complex projects, including compliance program operations, investigations, and audits • Assist the Director with developing and revising department policies and procedures • Prepare reports for senior management and the Ethics and Compliance Senior Leadership Committee Board • Consult with the Director of Ethics and Compliance on hiring, training, development, and performance reviews of direct reports • Collaborate with OhioHealth management teams across the health system to align compliance efforts with federal, state, and system requirements • Perform special projects and other duties as assigned

🎯 Requirements

• Bachelor's Degree (Required) • 7+ years of direct and/or related experience, or an equivalent combination of education, certification, and experience • Certification may be required depending on specialty: CHC, CHPC, CHRC, or CHC-F; candidates without the required credential must be willing to earn it within twelve months of hire • Experience working in compliance in a hospital, health system, academic medical center, payor, or integrated delivery network desired • Experience advising for health care research desired • Strong working knowledge of health care compliance program expectations and applicable regulatory guidance • Excellent written and verbal communication skills • Knowledge of fraud, waste, and abuse laws; Stark Law; Anti-Kickback Statute; False Claims Act; HIPAA; billing and coding compliance; conflicts of interest; exclusion screening; vendor oversight; and other health care regulatory requirements • Ability to evaluate compliance concerns, identify root causes, recommend corrective actions, and monitor remediation • Ability to manage sensitive and confidential information with professionalism, discretion, and sound judgment • Strong analytical, organizational, facilitation, presentation, and project management skills • Ability to build effective working relationships with leaders, physicians, clinicians, operational teams, legal counsel, auditors, and external stakeholders • Ability to manage multiple concurrent priorities, deadlines, investigations, and projects in a complex health care environment • Proficiency with Microsoft Office applications and experience using compliance case management, audit tracking, learning management, reporting, or data analytics tools preferred • Ability to translate compliance data into meaningful insights, including trend analysis, risk prioritization, performance measurement, executive reporting, and recommendations for corrective or preventive action • Knowledge of responsible AI governance principles • Knowledge of health care research compliance considerations, including human subjects research, IRB processes, informed consent, Common Rule concepts, research privacy, data use, conflicts of interest, research billing, grants, sponsor requirements, and research misconduct concerns

🏖️ Benefits

• Full-time schedule • Day shift • 40 scheduled weekly hours