Chief Compliance Officer

Northeast Georgia Health System; Gainesville (GA); On-site; USD 120,000 - 190,000; Full time

Job summary

Northeast Georgia Health System is seeking a Chief Compliance Officer to report to the CEO and oversee Ethics, Privacy, and Internal Audit Compliance programs across NGHS hospitals. The role requires driving policy execution, training, and risk assessment while collaborating with senior leadership on enterprise-wide compliance initiatives.

The candidate will lead the Compliance Oversight Committee and Board reporting, oversee investigations and corrective actions, and ensure adherence to HIPAA,

Qualifications

• 8–10 years of compliance, legal, financial and/or audit leadership experience in a healthcare setting.
• Knowledge of state and federal healthcare law, including HIPAA, Stark and Anti-Kickback statutes.
• Excellent counseling, communication and public speaking skills; strong organizational and planning expertise.

Responsibilities

• Implement and promote the Code of Conduct and policies across the enterprise, including Board policies.
• Oversee Corporate Integrity Agreement administration with the CEO.
• Assess educational needs and develop instructional programs for employees and committees.
• Develop and monitor corrective actions for compliance issues and report to leadership.
• Oversee Compliance Hotline, investigations, and audits; coordinate with legal and departments as needed.
• Prepare annual operating and capital budget and design a comprehensive risk assessment program.
• Collaborate with HR, Legal, Medical Staff, and other departments to implement privacy policies and training.
• Advise on privacy and security law; coordinate with General Counsel on self-regulatory initiatives.

Skills

Leadership

Counseling

Communication

Public Speaking

Planning

Team Building

Interdepartmental Collaboration

Education

Master's Degree in Healthcare Administration or related field

Law degree

Certified in Healthcare Compliance (CHC) or CHPC

Job description

Job Category:Executive LeadershipWork Shift/Schedule:VariesNortheast Georgia Health System is rooted in a foundation of improving the health of our communities.About the Role:Job SummaryThe Chief Compliance Officer reports directly to NGHS CEO and is responsible for overseeing the operations of NGHS Ethics, Privacy, and Internal Audit Compliance program in NGHS hospitals. The Vice President of Compliance provides leadership on ethics and compliance matters. The Chief Compliance Officer works with senior leadership to implement policies, procedures, and practices designed to ensure compliance with all applicable healthcare laws, rules and regulations. The Chief Compliance Officer is a member of NGHS senior leadership team and provides leadership to the system-wide initiatives and ensures that compliance program initiatives are implemented and championed across the organization.Minimum Job QualificationsLicensure or other certifications:Educational Requirements: Master's Degree in Healthcare Administration or related field required. or Law degree; experience with electronic health information systems; experience with health information confidentiality managementMinimum Experience: At least 8-10 years of compliance, legal, financial and/or audit leadership experience in a healthcare setting, as well as demonstrated understanding of effective Corporate Compliance & Privacy programs Healthcare management experience. Knowledge of state and federal healthcare law, rules, regulations, including HIPAA, Stark and Anti-Kickback statutes.Other:Preferred Job QualificationsPreferred Licensure or other certifications: Certified in Healthcare Compliance (CHC), Certified in Healthcare Privacy Compliance (CHPC), or RHIAPreferred Educational Requirements:Preferred Experience: Experience working in Corporate Integrity Agreement, Electronic Health Information Systems, and Health Information Confidentiality Management.Other:Job Specific and Unique Knowledge, Skills and AbilitiesExcellent counseling, communication and public speaking skillsStrong organization skills and a strong expertise in planning and supervising.Exceptional leadership skills necessary to build a strategy of complianceAbility to inspire, motivate, and recognize people.Ability to be flexible while remaining focused on outcomes.Ability to participate in a team atmosphere.Ability to interact with senior medical staffAbility to balance between the growth needs of the organization and the compliance requirements associated with the clinical services delivered by the organizationEssential Tasks and ResponsibilitiesImplement, supervise, and promote compliance with the Code of Conduct and associated policies throughout the enterprise, including the enterprise Board of Directors Conflict of Interest polices.Oversee the implementation and administration of the Corporate Integrity Agreement with the CEO.Assess educational needs of enterprise employees and direct the development of instructional programs for the organization, including the Compliance Oversight Committee, the Executive Team and the Board of Directors.Develop goals and objectives for compliance activities and develops quarterly reports to the Compliance Oversight Committee and the Board of TrusteesAssist in the develop and monitoring of corrective measures of compliance issues.Oversee the Compliance Hotline and other compliance reporting mechanisms and direct the investigation of reported issues, assigning review by legal counsel and other departments as necessaryConduct and/or supervise coding/billing and other audits on an appropriate basisPrepare annual budget for operating and capital expensesDevelop and implement a risk assessment programDesign and implement a comprehensive compliance program that addresses federal and state requirements inclusive of: HIPPA, Stark, and Anit-KickbackAssess compliance educational needs of enterprise and design and deliver the trainingDevelop audit and monitoring program to measure effectiveness of complianceWorks closely and collaboratively with leaders from Human Resources, Legal, Medical Staff and other departments to facilitate the development, implementation, communication and enforcement of privacy policies throughout the system.Works with Legal Services to establish a process for the management of business associates, ensuring that all business associate contracts contain language which provide for compliance with regulatory requirements.Advises the organization about current privacy and security legislation. Assists General Counsel in dealing with various self-regulatory initiatives, such as Hi-Ethics and the Internet Healthcare Coalition's eHealth Code of Ethics. Originates white papers regarding health information privacy and securityMonitors, and as necessary, coordinates compliance activities of other departments to remain abreast of the status of all compliance activities and to identify trendsIdentifies potential areas of compliance vulnerability and risk, develops and implements corrective action plans for resolution of problematic issues, and provides general guidance on how to avoid or deal with similar situations in the futureMonitors the day-to-day compliance activities.Physical DemandsWeight Lifted: Up to 20lbs, Occasionally 0-30% of timeWeight Carried: Up to 20lbs, Occasionally 0-30% of timeVision: Moderate, Frequently 31-65% of timeKneeling/Stooping/Bending: Occasionally 0-30% of timeStanding/Walking: Occasionally 0-30% of timePushing/Pulling: Occasionally 0-30% of timeIntensity of Work: Frequently 31-65% of timeJob Requires: Reading, Writing, Reasoning, Talking, Keyboarding, DrivingWorking at NGHS means being part of something special: a team invested in you as a person, an employee, and in helping you reach your goals.NGHS: Opportunities start here.Northeast Georgia Health System is an Equal Opportunity Employer and will not tolerate discrimination in employment on the basis of race, color, age, sex, sexual orientation, gender identity or expression, religion, disability, ethnicity, national origin, marital status, protected veteran status, genetic information, or any other legally protected classification or status.