Director, Licensing and Compliance

St. Tammany Parish Hospital; Covington (VA); On-site; USD 90,000 - 120,000; Full time

Job summary

St. Tammany Health System seeks a Compliance Program support professional to assist the Chief Compliance Officer in maintaining and advancing the System's Corporate Compliance Program.

Responsibilities include risk assessment, policy distribution, training development, and program monitoring. The role requires a bachelor’s degree in a health-related field, strong communication skills, and the ability to manage complex processes with discretion and integrity.

Qualifications

• Bachelor’s degree in nursing, Healthcare Administration, or related field required.
• Strong interpersonal and communication skills to support written reports and policies.
• Must be analytical, detail oriented, and able to maintain privacy and confidentiality.

Responsibilities

• Support the Corporate Compliance Program under the Chief Compliance Officer.
• Identify and assess areas of compliance risk for the hospital.
• Develop and implement compliance policies, training programs, and educational initiatives.
• Monitor internal compliance reporting processes and the compliance hotline.
• Collaborate with Executive Team and Board to integrate the program within operations.

Skills

Regulatory compliance

Interpersonal communication

Analytical thinking

Microsoft Office

Education

Bachelor's degree in Nursing or Healthcare Administration

Tools

Microsoft Office

Job description

At St. Tammany Health System, delivering world-class healthcare close to home is our goal. That means we are committed to attracting and retaining the very best professionals for every position in our health system.

We believe the pristine beauty of St. Tammany Parish adds to our attractive compensation package. The health system is nestled in the heart of Covington on the north shore of Lake Pontchartrain. It is a peaceful, scenic, community-oriented area with an abundance of amenities to suit every taste.

JOB DESCRIPTION AND POSITION REQUIREMENTS

Scheduled Weekly Hours: 40

JOB SUMMARY:

Supports functions of the Corporate Compliance Department of St. Tammany Health System (STHS or System) and the Executive Team. Serves as a regulatory resource for the System and provides advice on compliance with regulations. Provides compliance review in support of System operations for the Executive Team and Board of Commissioners. In conjunction with Chief Compliance Officer, provides direction and oversight of the System’s Corporate Compliance Program (the “Program”), including:

• Identifying and assessing areas of compliance risk for the hospital;
• Communicating the importance of the Program to all colleagues;
• Preparing and distributing all Compliance policies and procedures;
• Developing and implementing educational compliance programs;
• Monitoring the internal compliance reporting processes, including the Compliance hotline;
• Serving as a member of the System’s Corporate Compliance Committee and monitoring the
• Collaborating with the Executive Team and Board of Commissioners to effectively incorporate the Program within system operations

Primary support to VP/Chief Compliance Officer in the ongoing management and oversight of the Program in order to facilitate the prevention of healthcare fraud and abuse and to promote the mission and vision of the System. Communicate critical information to leadership and governance when needed and in accordance with System policies and procedures. Responsible for oversight of and support to the System’s Regulatory and Compliance Auditor.

Manages System licensure, including preparing for, obtaining, and maintaining licensure with the Louisiana Department of Health (LDH) and other licensing agencies for STHS facilities and locations as needed. Prepares applications and functional programs and gathers supporting documentation for System licenses, as well as filing relevant paperwork with local, state, federal or other entity in the ordinary course of business and in response to special events or emergencies. Maintains records and submits the necessary documents to keep System licenses, permits and insurance coverage active.

Maintain visibility and rounding in departments and units across the System; offer support to leaders, the medical staff and colleagues on compliance initiatives, policies, and processes; encourage collaboration and sharing of feedback on compliance at the department/unit level by attending department meetings.

MINIMUM QUALIFICATIONS:

Bachelor’s degree in nursing, Healthcare Administration, or related field required. Minimum of three (3) years of experience working in a hospital or healthcare system with experience in corporate compliance, credentialing, or licensing. Must possess a working knowledge of the operations of healthcare systems and pertinent healthcare practices and policies. Strong interpersonal and communication skills needed to support the preparation of written reports, documents, policies, and various other forms of communication among the healthcare team.

Affinity for health systems policies and processes. Must be analytical and detail oriented. Ability to work independently, set priorities, manage complex processes and analysis of data, and maintain privacy, security, and confidentiality of STHS and patient protected health information and matters involving System activities. Strong communication skills, including verbal and written. Ability to build strong, mutually beneficial relationships with colleagues, State licensing staff and other subject matter experts. Ability to interpret complex information. Self-motivation; needs limited direction and supervision to carry out job functions; proficiency in Microsoft Office (required). Maintains professional knowledge, e.g., attends continuing education to maintain professional and STHS requirements.

Preferred Qualifications: Certification in Healthcare Compliance (CHC) preferred.

PHYSICAL DEMANDS:

Must possess good physical health. Some requirements include but are not limited to standing, sitting or walking for long periods of time. Lifting at least 10 pounds is required. Must be able to work with a moderate level of noise.
Physical Effort required:
Constant (67%-100%) – talking, hearing, and seeing
Frequently (34%-66%) - handling/feeling
Occasionally (1%-33%) - lifting, carrying, pushing/pulling, climbing (stairs, ladders, etc.), balancing, stooping, crouching, and reaching

EQUAL OPPORTUNITY EMPLOYER

St. Tammany Health System is an Equal Opportunity Employer. St. Tammany Health System is committed to equal employment opportunity for all employees and applicants without regard to race, color, religion, sex, age, national origin or ancestry, citizenship, sexual orientation, gender identity, veteran status, disability status, genetic information or any other protected characteristic under applicable law.