Compliance Officer

Location
Salem, Oregon
Salary
Based on Experience
Posted
Mar 03, 2021
Closes
Aug 07, 2021
Position
Chief, Director
Contract Type
Permanent
Job Type
Full Time

The Compliance Officer will ensure healthcare compliance and ethical practices by creating and directing compliance initiatives and managing the implementation and adoption of program elements across the organization.   The Compliance Office will leverage our organizational values and desired behaviors to guide team members towards self-governance and ethical best practices. 

This position supports contracts with the State and Coordinated Care Organizations throughout the state of Oregon.

Responsibilities

  • Proactively detect and deter misconduct and identify areas of legal risk or exposure
  • Serve as on-site champion for and organizational expert on ethical and compliant practices and behaviors consistent with our values and Code of Conduct
  • Support the implementation of appropriate policies and procedures and compliance training
  • Conduct investigations in partnership with compliance subject matter experts
  • Maintain a system of compliance reporting and metrics, including corrective action implementation and validation
  • Responsible for following up on reported incidents of non-compliance, coordinating internal investigations, and preparing reports on incidents and investigation findings
  • Provide oversight and support related to compliance with laws, best practices, and regulations
  • Collaborate with management to implement solutions to eliminate potential risks
  • Highlight information about compliance risks and to develop mitigation strategies to ensure that compliance risks are addressed
  • Provide effective means for individuals to report allegations of non-compliance; and a process for the implementation of corrective action plans in response to any identified compliance issue
  • Research techniques, practices, and utilize expertise in all areas of compliance
  • Draft and implement healthcare and compliance-related policies and procedures
  • Perform legal and regulatory research and analysis designed to support team members and provide strategic guidance on healthcare compliance-related implications
  • Perform assigned investigations and compliance program projects
  • Assist with the evaluation of areas of potential billing fraud and abuse, and compliance risk assessment
  • Act as a resource within the organization on all areas of regulatory compliance
  • Proactively identify potential issues, support risk assessments and audits, and develop work plans to monitor and address identified risks
     

Qualifications

  • A Bachelors in public health or health services administration is required
  • At least two (2) years of healthcare compliance experience
  • Government program compliance experience is preferred
  • Certification in Healthcare Compliance, and/or Healthcare Privacy Compliance, and/or Compliance & Ethics Professional Certification is preferred
  • Familiar with OHP Medicaid

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