As the Chief Compliance Officer for Swope Health, you will lead a dedicated compliance team, with the goal of driving organizational excellence throughout Swope Health.
Reporting to the President/CEO, the incumbent is responsible for directly influencing organizational performance through management of regulatory and legal compliance, process improvement, and risk management efforts.
The incumbent also provides executive leadership and is responsible for Board of Directors' monitoring capabilities in carrying out oversight and governance responsibilities.
In addition, the incumbent assists executive leadership in ensuring compliance with all laws, regulations, accrediting bodies and best practices in the delivery of quality health care services.
PRIMARY FUNCTIONS: Collaborates with all levels of management to ensure Swope Health remains current and compliant with all laws, regulations and related practices associated with the delivery of primary care and behavioral health services.
This includes identifying gaps through reviews and reports to management and the Board of Directors' Quality of Care Subcommittee.Manage all outstanding Federal Tort Claims Act (FCTA) claims, including reporting to and collaborating with insurers and Health and Human Services Office of the General Counsel.Assists management in the development of performance improvement and quality initiatives including the establishment of specific performance measures.Monitors adherence to ensure Swope Health meets all requirements for successful accreditation by The Joint Commission, HRSA, FTCA, state and local departments of health, and related professional accrediting organizations.Manages the organization's risks management and risk reduction.Provides oversight regarding quality of care reviews and reporting to the Board of Directors' Quality of Care Subcommittee.Effective management of compliance staff to accomplish organizational goals.KEY COMPETENCIES: Ability to provide leadership in the establishment and implementation of quality improvement strategies and tactics, standards, and goals.Demonstrate a high level of skills at building business relationships and strategic partnerships internal and external to the organization.Analyze, synthesize and communicate complex data, clinical information, business needs and related issues in an accurate, objective and straightforward manner.Demonstrate strong interpersonal and influence skills in all dealings with government and regulatory entities.Ability to build consensus and focus within the organization and with outside partners such as vendors and strategic business partners.EDUCATION REQUIREMENTS: Bachelor's degree in healthcare administration, law, business, or a related field required.Master's degree preferred.
Juris Doctor (JD) highly preferred.Certification in Healthcare Compliance or completion of certification within the first year of hire.EXPERIENCE & QUALIFICATIONS: 5 + years of Healthcare Compliance experience required.5 + years of Healthcare leadership experience required.Demonstrated expertise related to laws, trends and issues in the areas of primary health care, public health and behavioral health and HIPAA.Demonstrated success in management of accreditation standards and requirements and the development of quality improvement measures in a similar size organization.About Swope Health Services: Each year, Swope Health serves over 45,000 patients, encompassing more than 200,000 visits in four counties on both sides of the state line.
Our team members are proud of the work we do and the promise we've made – delivering coordinated care that values the needs of the whole person and championing better health in our community.
Swope Health is a special place that cares for the people who need it most, wherever they are in the community.
As part of our promise to battle health inequities and provide high-quality, comprehensive care, we make care visible.
That means we proudly deliver our promise through every action, every day.
Swope Health Services supports its team members with: Medical benefits (including a Health Savings Account option), dental and vision.401(k) retirement plan with company match.Company-paid benefits such as life insurance, Accidental Death & Dismemberment, and Short- and Long-Term Disability.Flexible Spending Account.Paid Days Off beginning at 30 days annually, effective the first day of employment.Eight annual company-paid holidays; One annual paid personal day.Swope Health is an affirmative-action, equal-opportunity employer.
We consider all qualified applicants without regard to race, color, creed, religion, gender, national origin, age, marital status, veteran status, or disability.
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