Chief Compliance Officer

Exemption Status:

Schedule Details:

Scheduled Hours:

Shift:

Hours:

Cost Center:

This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process.

At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day.

I. Major Responsibilities:

1. Collaborates with UMMH and Member Entity Senior leadership, the Board Audit and Compliance Committee and respective Boards of Trustees, and Compliance staff to oversee the development of an effective compliance program that provides the basis for compliance with laws and regulatory requirements, promote the organization's commitment to compliance and a culture of integrity, and incorporates the seven elements of an effective compliance program, including:
a. A written code of conduct, policies, and procedures,
b. Compliance program leadership and oversight,
c. Training and education,
d. Effective lines of communication with the compliance office, including a confidential reporting system,
e. Enforcing standards, including consequences and incentives,
f. Risk assessment, auditing, and monitoring, and
g. Responding to detected offenses and developing corrective action initiatives.

2. Primary risks to be addressed include, but are not limited to, integrity of billing, privacy, assessment of contractual relationships, monitoring and oversight of conflicts of interest, prevention of fraud and abuse, and other illegal acts.
3. Oversees an ongoing risk assessment process to identify, prioritize and develop work plans to address compliance risks.
4. Ensures that the internal controls are capable of preventing and detecting significant instances or patterns of illegal, unethical, or improper conduct of employees, agents, affiliated partners, or others working with UMMH.

5. Oversees follow-up and, as applicable, resolution to investigations and other issues generated by the Compliance Program, including development of corrective action plans, as needed
6. Provides effective leadership, advice and counsel to senior leadership, the Board Audit and Compliance Committee, and Member Entity Boards of Trustees on matters of corporate compliance and ethical business practice in support of UMMH's mission and strategic objectives.
7. Serves as Compliance staff to the Board Audit and Compliance Committee. Presents annual work plans, reports on material compliance matters, and supports the Committee in its oversight of the UMMH Compliance program.
8. Maintains open communication with UMMH leadership regarding material Compliance matters.
9. Obtains advice, counsel, and information, and fosters cooperative efforts with management and staff as appropriate, including, but not limited to, the Office of the General Counsel, Internal Audit, Risk Management, Revenue Cycle, Information Security and Human Resources.
10. Maintains an awareness of applicable laws and regulations, including their reporting requirements, on UMMH operations and business activities.
11. Maintains a relationship with outside Compliance counsel, seeking input regarding the annual compliance plan, key risks, significant investigations, and oversight of significant interactions with governmental agencies, including refunds or other self-disclosures.

Standard Executive Level Responsibilities:

1. Directs and supervises assigned personnel including performance evaluations, scheduling, orientation, and training. Makes recommendations on employee hires, transfers, promotions, demotions, discipline, terminations, and similar actions.
2. Develops and recommends the budgets for the areas managed. Ensures adequate equipment and supplies for department. Manages activities to assure financial goals are met.
3. Encourages and supports diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, respect, tolerance, civility and acceptance toward all employees, patients and visitors.
4. Integrates diversity into departmental objectives, such as hiring, promotions, training, vendor selections, etc.
5. Fosters the effective integration of efforts with system-wide initiatives. Participates in performance improvement initiatives and demonstrates the use of quality improvement in daily operations.
6. Ensures compliance with regulatory agencies such as Joint Commission, DPH, etc. Develops and maintains procedures necessary to meet regulatory requirements.
7. Ensures that department complies with hospital established policies, quality assurance programs, safety, and infection control policies and procedures.
8. Develops and maintains established departmental policies, procedures, and objectives.
9. Ensures compliance to all health and safety regulations and requirements.

All responsibilities are essential job functions.

II. Position Qualifications:
License/Certification/Education:
Required:
1. Master's degree in Business, Health Care Administration, Law, Ethics, or other relevant disciplines.

Experience/Skills:
Required:
1. 10 years of relevant experience in a large health care system or a similar environment.
2. Knowledge of laws and regulatory requirements and audit processes applicable to a large health care system. Specifically knowledge of OIG Federal Sentencing Guidelines and ORIG's General Compliance Program Guidance.
3. Knowledge of health care operations and administrative processes.
4. Expertise in business ethics.
5. The ability to provide effective leadership to management, the Board Audit and Compliance Committee, and Member Entity Boards of Trustees on matters of legal compliance and business ethics.
6. The ability to develop and manage an effective corporate compliance program in a large, dynamic, and complex organization.
7. The ability to interface effectively with external advisors and government officials.
8. Outstanding communications and program management skills.

Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements.

Department-specific competencies, including age-specific competencies and their measurements will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents.

III. Physical Demand and Environmental Conditions:

Work is considered sedentary. Position requires work indoors in a normal office environment.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

We're striving to make respect a part of everything we do at UMass Memorial Health - for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day.

As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law.

If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at talentacquisition@umassmemorial.org. We will make every effort to respond to your request for disability assistance as soon as possible.