Career: Corporate Compliance Officer

Summary

Appointed by the Executive Director and Board of Directors, the Corporate Compliance Officer (CCO) has primary responsibility for the development, implementation, monitoring, and evaluation of the Compliance Program for effectiveness.

He/she has direct lines of communication to the Executive Director, Board of Directors, Compliance Committee, and the organization’s legal counsel.

Duties And Responsibilities

Specific responsibilities of the Corporate Compliance Officer are, but may not be limited to:

• Overseeing and monitoring the adoption, implementation, and maintenance of the Compliance Plan; as well as, day-to-day operations of the Compliance Program throughout the agency.
• Developing, implementing and periodically revising, the Standards of Conduct, the Compliance Program, and policies and procedures as changes occur within the organization, and/or in the law, regulations, or governmental and third-party payers.
• Evaluating the effectiveness of the Compliance Program, policies and procedures, and Standards of Conduct.
• Developing, implementing, and monitoring the annual Compliance Work Plan.
• Reporting, no less frequently than quarterly, to the Board of Directors, Chief Executive, and Compliance Committee on the progress of implementation of the Compliance Program.
• Assisting the Chief Executive, Senior Leadership, Management, and the Compliance Committee in establishing methods to improve the agency’s quality of service and to reduce vulnerability to fraud, abuse, and waste.
• Monitoring New York State Office of the Medicaid Inspector General (OMIG) website and conducting agency staff training regarding any OMIG policy changes/updates.
• Developing, coordinating, and participating in a multifaceted educational and training program that focuses on the elements of the Compliance Program and seeks to ensure that all affected individuals consistent with roles and any associated risk areas are knowledgeable of, and comply with, pertinent Federal and State standards and SEBNC’s Standards of Conduct;
• Ensuring that excluded individuals and entities are not employed or retained by the Organization.
• Directing and/or conducting internal audits established to monitor effectiveness of compliance standards and the Compliance Program.
• Independently investigating and acting on matters related to compliance, including the flexibility to design and coordinate internal investigations (e.g., responding to reports of problems or suspected violations) and any resulting corrective action with all departments, providers, and sub-providers, agents, and, if appropriate, independent contractors.
• Developing policies and programs that encourage managers and employees to report suspected fraud and other improprieties without fear of retaliation.
• Providing guidance to Management, medical/clinical program personnel, and individual departments regarding policies and procedures and governmental laws, rules, and regulations.
• Maintaining a reporting system, including an anonymous means to report, and responding to concerns, complaints, and questions related to the Compliance Program.
• Overseeing efforts to communicate awareness of the existence and contents of the Compliance Program.
• Ensuring that independent contractors and contractors (recipient service providers, vendors, billing services, etc.) are aware of the requirements of the organization’s Compliance Policies & Procedures.
• Acting as a resourceful leader regarding regulatory compliance issues.  Actively seeking up-to-date material and releases regarding regulatory compliance.
• Continuing the momentum of the Compliance Program and the accomplishment of its objectives.
• Perform related duties as needed.

Qualifications and Skills

• Master degree in business, legal studies, management or finance with 3-4 years of experience in risk management or compliance roles required.

OR

• Bachelor degree in business, legal studies, management or finance with 5-7 years of experience in risk management or compliance roles required.
• Compliance Certificate preferred.
• Knowledge of NYS Office of the Medicaid Inspector General (OMIG) policies and procedures.
• Superior attention to detail with regard to identifying and correcting risky practices.
• Excellent analytical, written and verbal communication skills required; including speaking, training and presentation skills. Excellent listening skills with the ability to give and receive feedback.
• Bilingual (English/Spanish) a plus.

Physical Abilities

Ability to see at normal distance, hear normal conversations and sounds. Physical ability to bend, squat, sit on floor, climb stairs, skip and run.  

Use hands and fingers to fill out required forms on regular paper and use computer keyboard and other office machines/equipment.  

Ability to safely and occasionally lift or assist children weighing up to 40lbs., when needed.

• NOTE: This job description reflects management’s assignment of essential and secondary functions. It does not prescribe or restrict the tasks that may be assigned.  Tasks are subject to change at any time due to reasonable accommodation or other reasons.