Job Summary:

The Deputy Chief Compliance Officer is responsible for assisting the Chief Compliance and Privacy Officer in managing an effective ethics and compliance program. This includes infrastructure development, policy management, training, monitoring/auditing, conducting and documenting investigations, addressing and resolving violations, errors, and deficiencies, tracking corrective actions, performing risk assessments, and designing strategies to prevent future compliance problems. The successful candidate will have comprehensive expertise in managing an effective ethics and compliance program, expert level knowledge of healthcare compliance standards, compliance program development and assessment, relevant healthcare operational issues, business ethics and compliance risks, and the knowledge to effectively manage those risks in a dynamic healthcare environment.
Essential Responsibilities:
Assist the Chief Compliance and Privacy Officer in the development, coordination, and administration of systematic care delivery, including pharmacy, and quality acute and post-acute compliance program.
Ensure compliance with healthcare regulations, including the Stark Law, Anti-Kickback Statute, False Claims Act, Office of Inspector General (OIG) Work Plan, Affordable Care Act, and Health Insurance Portability and Accountability Act (HIPAA) regulations, Emergency Medical Treatment and Labor Act (EMTALA), in addition to federal and state reimbursement program requirements (e.g., Medicare and Medicaid), Employee Retirement Insurance Security Act (ERISA), Americans with Disabilities Act, privacy and consent laws, and licensure requirements, and quality standards.
In coordination with national partners develop to establish the appropriate oversight that enables care delivery and quality practices, policies, and procedures to comply with County, State, and Federal law as well as standards and ethics.
Conduct and document investigations, address and resolve violations, errors, and deficiencies, and track corrective actions.
Co-Chair the Executive Compliance Committee.
Perform care delivery and quality compliance risk assessments and design strategies to prevent future compliance problems.
Maintain strict confidentiality of all compliance and risk management data and ensure the privacy of each patient’s protected health information (PHI).
Provide ongoing support, coaching, and advise compliance professionals and related stakeholders regarding compliance matters.
Participate in organizational strategic planning activities and serve on committees and task forces to address specific issues and/or represent the department as assigned.
Develop, mentor, coach, and manage Regional Compliance Leaders and Care Delivery and Quality Leader.
Partner closely with CCPO, Legal, Internal Audit Services, Human Resources, and E&C VP of Investigations/NSIU on significant regulatory, compliance, or government investigations.
Interface and coordinate directly with Physician Medical Groups.

Basic Qualifications:

Experience

Minimum ten (10) years of escalating managerial work-experience in a highly diversified organization.
Minimum eighteen (18) years of escalating responsibility and work-experience in compliance field (internal audit, law, etc); to include progressive management roles in large, complex organization with successive levels of accountability and results.

Education

Juris Doctor OR Physician License (from any state) OR Registered Nurse License (from any state) OR Physician Assistant License (from any state) OR Nurse Practitioner License (from any state).

License, Certification, Registration

N/A

Additional Requirements:

Expert level knowledge of healthcare compliance standards, compliance program development and assessment, relevant healthcare operational issues, data analytics, business ethics and compliance risks.
Well versed in current regulations that govern healthcare operations.
Excellent written/verbal interpersonal communication skills.
Proficient computer and related software application, including Microsoft Office suite (Word, Excel, PowerPoint).
This position consistently supports compliance and the Code of Ethical Conduct by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable federal, state, and local laws and regulations, accreditation, and licensure requirements (if applicable), and Kaiser Permanente’s policies and procedures. Significant compliance orientation, coupled with business process expertise and acumen.
Demonstrated knowledge of current thinking and best practices in developing and administering compliance programs.
Demonstrated ability to collaborate, communicate and work effectively with senior leadership and a broad cross section of management/leadership from a broad range of functional areas. Ability to read, understand, and apply relevant County, State, and Federal statutes, rules, ordinances, codes, regulations, administrative orders, and other governing regulations.
Ability to evaluate the quality and effectiveness of compliance programs and activities and make necessary improvements.
Ability to collect, interpret, and evaluate narrative and statistical data pertaining to administrative functions and prepare complex reports, memoranda, and other written materials.
Demonstrated expertise in organizational development, project management, systems thinking, and strategic planning.
Ability to establish and control an operating budget.
Ability to analyze and resolve problems and complaints.
Ability to assess and prioritize multiple tasks, projects, and demands.
Ability to establish and maintain cooperative and trusted working relationships with others including physicians, nurses, administrators, attorneys, and managers.
Ability to maintain excellent public relations and provide courteous and timely customer service.

Preferred Qualifications:

KP experience preferred
Certification in Healthcare Compliance or in Healthcare Privacy Compliance, preferred.