Manager – Ethics & Compliance

🕒 vor 5 Tagen

🏈 Ohio – Remote

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⏰ Vollzeit

🟠 Senior

🔴 Experte

🚔 Compliance

🦅 H1B-Visum-Sponsor

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👻 Geisterscore 20%

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🗣️🇺🇸🇬🇧 Englisch erforderlich

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Logo of OhioHealth

OhioHealth

10.000+ Mitarbeiter

Gegründet 1891

🏥 Gesundheitswesen

⚕️ Krankenversicherung

🧘 Wellness

Healthcare • Healthcare Insurance • Wellness

OhioHealth ist ein gemeinnütziges Gesundheitssystem mit Hauptsitz in Columbus, Ohio, das sich der Bereitstellung außergewöhnlicher Patientenversorgung und einer breiten Palette medizinischer Dienstleistungen widmet. Mit Einrichtungen an verschiedenen Standorten bietet OhioHealth umfassende Gesundheitsdienstleistungen an, darunter Krebsbehandlung, Geburtshilfe, Wechseljahreskliniken für Frauen, virtuelle Gesundheitsberatung und spezialisierte Versorgung für Transgender- und LGBTQ-Patienten. Sie legen auch einen Schwerpunkt auf Patientenbildung durch Gesundheits- und Wellnesskurse, Selbsthilfegruppen und Gesundheitsquiz. OhioHealth engagiert sich für die Verbesserung der Gesundheit der Gemeinschaft durch verschiedene Gemeinschaftsbeziehungen und Gesundheitsinitiativen. Sie bieten Ressourcen wie Preistransparenz, finanzielle Unterstützung und Informationen zu Patientenrechten, um das Gesundheitsversorgungserlebnis für alle Patienten zu verbessern.

Beschreibung

• 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

🎯 Anforderungen

• 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

🏖️ Vorteile

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

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