Manager – Ethics & Compliance

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🔥 0 minutes ago

🏈 Ohio – Remote

🏈 Ohio – Remote

⏰ Full Time

🟠 Senior

🔴 Lead

🚔 Compliance

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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 in satisfying the seven essential elements of an effective compliance program • Assist the Senior Director Compliance and Chief Privacy Officer and/or compliance committee as needed • Develop, review, and revise compliance policies and procedures, including the Code of Conduct • Assist with developing and maintaining open lines of communication • Develop, deliver, and/or manage specialized and general compliance training and education • Respond to detected offenses • Manage internal monitoring and auditing activities • Assist with enforcement of disciplinary standards • 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 • Manage and directly supervise assigned E&C staff, including multiple concurrent, time-sensitive, complex projects involving compliance program operations, investigations, and audits • Assist the Director with department policy and procedure development and revision • Prepare reports for senior management and the Ethics and Compliance Senior Leadership Committee Board • Consult with the Director of Ethics and Compliance regarding hiring, training, development, and performance reviews of direct reports • Collaborate with OhioHealth management teams throughout 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 • Willingness to learn and earn a required specialty credential within twelve months from the date of hire, if applicable: CHC, CHPC, CHRC, or CHC-F • Strong working knowledge of health care compliance program expectations, including guidance from the Office of Inspector General, U.S. Sentencing Commission, Centers for Medicare & Medicaid Services, and other regulatory authorities • Excellent written and verbal communication skills, including preparation of executive-level reports, policies, investigation summaries, committee materials, and training content • 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 practical 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, including human oversight, data privacy, bias awareness, transparency, accuracy validation, appropriate use, documentation, and escalation of AI-related compliance concerns • 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 position • Remote work from Ohio • Day shift • 40 scheduled weekly hours