Director-Corporate Compliance and Integrity

Job Description

Job Description

Company Description

At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better healthcare, no matter where you work within the Northwestern Medicine system. At Northwestern Medicine, we pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, we take care of our employees. Ready to join our quest for better?

The Director, Corporate Compliance and integrity reflects the mission, vision, and values of Northwestern Memorial HealthCare (“NMHC”), adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.

The Director, Corporate Compliance and integrity reports to the Vice President, Integrity, and provides day-to-day direction and oversight of compliance program activities and staff, ensuring consistent standards and processes across the health system. They must have the ability to identify, assess, and prioritize risk. The Director must have demonstrated excellent communication skills and appropriate sense of urgency. They must also be apprised of the requirements and maneuverings of the OIG, CMS, HHS and other regulatory agencies, be able to effectively assess and articulate the resulting implications for the health system, and inform compliance program priorities.

Responsibilities:

• In collaboration with other Directors, be accountable to the VP, Integrity for the achievement of all CCI annual goals, objectives, and annual work plan,
• Assist in assuring the effectiveness of the NMHC Compliance Program
• Oversee and manage teams conducting compliance program activities, which may include auditing/monitoring, investigations, policy development, and training and education initiatives
• Establish and maintain collaborative working relationships across the health system and among academic medical center partners
• Assure timely delivery of consistently high -uality compliance services in a customer focused manner
• Keep the VP, Integrity fully and appropriately informed of CCI pending issues, investigations, and other developments
• Utilize data analytic tools and strategies to establish risk-based compliance program priorities
• Utilize process improvement skills and methodologies to establish and implement sustainable change aimed at improving overall compliance
• Keep apprised of leading compliance practices in healthcare and other industries and identify ways to implement practices within NMHC
• Provide leadership at all levels of the organization to promote a culture of integrity and strengthen the health system compliance program
• Serve as a liaison to regions, entities, committees, institutional initiatives, and/or working groups across the health system, as assigned by the VP, Integrity
• Maintain a working knowledge of applicable laws and regulations governing healthcare compliance matters, including but not limited to: Conflict of Interest, Professional, Business and Research Integrity, EMTALA, HIPAA, Tax Exemption, Medicare and Medicaid Billing, Fraud and Abuse, Stark and Anti-Kickback laws. Serve as a subject matter expert on one or more of these areas, as directed by the VP, Integrity
• Navigate and lead change within the CCI team and across the health system
• Lead and develop a technically competent, proactive, customer service oriented, and high-performance team.
• Prepare communications and presentations to NM senior leaders and the board regarding compliance issues, program initiatives, and results
• As needed, serve as a point of contact for regulatory or governmental audits, site visits, or investigations (e.g., OIG, OCR).
• Be able to clearly communicate actions required by management to mitigate risk.
• Develop and implement processes to keep NM departments apprised of emerging risk areas, issues, and discuss strategies for mitigation
• Demonstrated ability to “get things done”, effectively directing applicable staff and ensuring effective execution of compliance program priorities

Required:

• Bachelor’s degree
• Minimum of five years of healthcare compliance, regulatory, or legal experience
• Experience in the analysis of complex and sophisticated compliance issues

Preferred:

• JD, LLM in healthcare law, MBA, MHA, or other healthcare-related master’s degree
• 10 years concentrated healthcare compliance, legal or audit experience
• 5 years’ experience in managing compliance staff in an academic health system environment
• Certification in Healthcare Compliance (“CHC”)
• Process improvement skills
• Project management skills
• Data analytics skills

Northwestern Medicine is an affirmative action/equal opportunity employer and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.

Benefits

We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more.