Associate Compliance Officer

Legal & Compliance Worcester, Massachusetts


Description

Position at UMass Memorial Health

Everyone Is a Caregiver.

At UMass Memorial Health Care, Everyone is a Caregiver regardless of title. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health care system of Central and Western Massachusetts, and a place where we can help you build the career you deserve. We are more than 14,000 employees, working together as one health care system. And everyone, in their own unique way, plays an important part, everyday.

Requisition # 215194
Title: Associate Compliance Officer
Department: Corporate Compliance  
Location: UMass Memorial Health, 55 Lake Ave North, Worcester, MA.
 
Position Summary:
 
The Associate Compliance Officer (ACO) manages and performs day to day compliance operations for the assigned entity compliance program under the supervision of the Associate Vice President for Compliance, UMass Memorial Health (AVPC). The ACO will have access to all data and personnel necessary to fulfill the responsibilities outlined below.
 
Major Responsibilities:

  • Develops positive relationships with senior leadership, management and caregivers, and encourages these internal clients to contact the ACO for proactive guidance to assure compliance with applicable regulations and UMass Memorial policies and procedures. Researches solutions and provides timely guidance to internal clients.
  • May serve as the Privacy Officer for the assigned entity under the direction of the UMMH Chief Privacy Officer.
  • Conducts investigations as required, with the involvement of the AVPC, the Office of the General Counsel, the Privacy Office and Human Resources as appropriate.
  • Collaborates with Revenue Cycle Compliance teams leadership in the development and review of billing audits.
  • Develops and tracks corrective action plans for audits and investigations.
  • Provides operational support for the Management Compliance Committee of the assigned entity. Plans agenda with the AVPC, develops applicable deliverables, ensures required work is clearly communicated to Committee personnel with deliverable dates.  Ensures timely follow up on deliverables.
  • Conducts reviews of entity and UMass Memorial corporate contracts as a compliance subject matter expert.
  • Assists in the development, management and maintenance of Compliance policies and procedures, the Code of Ethics and Business Conduct, and related documentation.
  • Assists in the development and delivery of compliance training.
  • Assists in the development of the assigned entity’s annual Compliance Work Plan and the UMMH annual Compliance Work Plan.
  • May assist in the implementation and/or maintenance of the assigned entity’s conflict of interest program in collaboration with the entity Compliance Office.
  • Prepares periodic dashboards and reports for entity and UMass Memorial Health leadership, and identifies trends and opportunities for improvement.
Position Qualifications:

License/Certification/Education Required:
  • Bachelor’s degree
  • Certification in Healthcare Compliance (CHC). If not already obtained, CHC certification will be required within twelve months of employment as a condition of employment.
Preferred:
  • Master’s or similar advanced degree in related field (law, healthcare administration, nursing, business administration or accounting/finance)
  • Certified in Healthcare Privacy Compliance (CHPC)
Experience/Skill Required:
  • Minimum five (5) years of healthcare compliance experience.
  • Knowledge of key healthcare fraud and abuse and privacy laws and regulations.
  • Knowledge of various payment methods for inpatient and outpatient services.
  • Strong interpersonal skills and leadership ability.
  • Strong analytical, written and oral communication skills.
  • Experience in public speaking and business presentations.
  • Strong PC literacy (Microsoft Word, Excel, SharePoint, PowerPoint).
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.

Standards of Respect: