About the position
The Chief Compliance Officer (“CCO”) provides executive leadership for The Health & Hospital Corporation (“HHC”) Compliance Program in support of each HHC division (e.g., Marion County Public Health Department, Eskenazi Health, Indianapolis Emergency Medical Services, Long Term Care). The CCO develops, implements, and manages a comprehensive compliance program tailored to the organization’s diverse needs. The CCO will advise and direct employees with respect to regulatory compliance and work to ensure that internal controls prevent and detect significant instances or patterns of illegal, unethical, or improper conduct by all HHC division employees. This position collaborates regularly with the Eskenazi Health Chief Counsel, the HHC General Counsel, Senior Leadership of HHC and each HHC division, Eskenazi Health CEO, Marion County Public Health Department Director, HHC Treasurer, and HHC President & CEO on compliance matters.
Responsibilities
- Leads the Compliance Program to provide and coordinate appropriate compliance resources for each HHC division to ensure the ongoing effectiveness of the Compliance Program.
- Monitors state and federal regulatory changes and advises and directs employees with respect to regulatory compliance.
- Establishes and updates compliance policies and procedures and the Code of Conduct.
- Works with organization leaders to create a culture of compliance that fosters doing the right thing, teamwork, and collaborative resolutions to problems and issues.
- Implements and operates retaliation-free reporting channels, including the anonymous HHC Integrity and Compliance Hotline.
- Oversees the investigation of and response to Hotline complaints.
- Assures that the organization has effective mechanisms to reasonably determine that employees have not violated federal or state laws and regulations or engaged in improper or unethical conduct in their designated areas of responsibility.
- Responsible for detecting non-compliance by contractors, medical staff, and other HHC agents.
- Develops and implements the organization’s compliance risk assessment and audit plan and conducts regular audits and monitoring to identify and mitigate compliance vulnerabilities.
- Develops and implements ongoing compliance training programs and ensures specialized staff training in billing, coding, and clinical documentation.
- Disseminates information and educates employees on a broad spectrum of compliance-related topics (e.g., fraud and abuse laws, Stark, Anti-Kickback, Medicare and Medicaid requirements).
- Develops and maintains relationships with regulatory agencies including but not limited to CMS, OIG, HRSA, FSSA, and IDOH.
- Makes periodic reports regarding compliance matters directly to the Board of Trustees.
- Establishes and serves as the Chair of the Executive Compliance Committees.
- Responds to alleged violations of rules, regulations, policies, procedures, and the Code of Conduct.
- Supervises Compliance staff.
- Participates in public health emergency preparedness exercises and in the response to public health emergencies, as directed.
- Participates in a minimum of two H.O.P.E. events totaling eight (8) hours annually.
- Performs other job-related duties as assigned.
Requirements
- Bachelor’s degree required.
- Master’s in healthcare administration, public health or related field or JD strongly preferred.
- A minimum of five years of relevant experience in healthcare compliance for a health system, hospital, and/or long-term care facility, including supervisory experience.
- Proven leadership of a compliance program or compliance function in a complex organization.
- Experience working with government-funded healthcare programs, grants, and reimbursement regulations.
- Demonstrated knowledge of Medicare and Medicaid issues, fraud and abuse laws, and behavioral health compliance issues.
- A demonstrated ability to work with all levels within an organization, including front-line staff, physicians, and senior management.
Nice-to-haves
- Professional certification in healthcare compliance is strongly preferred (CCEP, CHC, or CPO).
- Valid Indiana driver's license.
Benefits
- Diversity and inclusion initiatives.
- Reasonable accommodations for individuals with disabilities.
