Under the direction of the Northern Light Health Director of Compliance, the Northern Light Health Compliance Officer develops, implements, and maintains the Northern Light Health Compliance Program to assure Northern Light Health Member compliance with internal policies and procedures and all applicable federal and state health care laws and regulations, including HIPAA. The Northern Light Health Compliance Officer partners with Northern Light Health Home Office departments to provide service, assistance and guidance to Members on all manner of compliance-related matters; develops and reviews compliance and privacy-related policies and procedures; creates and implements compliance education; identifies potential areas of vulnerability and risk; and develops, implements and monitors corrective action plans to resolve instances of conduct that do not conform to Northern Light Health policies or to federal or state laws or regulations.
Education and Experience:
•Bachelor's Degree required. A graduate degree in Law, Business, Health Administration or suitable related discipline preferred.
•Minimum of 5 years of health care leadership preferred.
•Minimum 5 years of experience with health care-related regulatory and compliance issues preferred.
•Familiarity with health care laws, regulations, and standards, including HIPAA.
•Acute care hospital compliance officer experience preferred.
Required Minimum Knowledge, Skills and Abilities:
•Excellent communication skills, both verbal and written.
•Strong analytical skills.
•Attention to every detail.
•Highest degree of credibility, integrity and discretion.
•Comfortable working independently and able to effectively manage large, complex projects through their entire life cycle with minimal supervision.
•Thrives on wide variety of intellectually challenging work.
•Comfortable assessing complex facts that may not lead to a black or white answer.
•Serves as a role model for compliant behavior consistent with the Northern Light Health Mission, Vision and Values.
•Demonstrates excellent written and verbal communication skills.
•Builds and maintains credibility and collaborative working relationships with compliance clients, including at the Home Office and Members.
•Handles deadlines and multiple projects.
•Identifies 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 ensure compliance on a consistent basis.
•Directs and manages the compliance hotline. Maintains an effective compliance communication program for the organization, including promoting: (a) use of the compliance hotline; (b) heightened awareness of Code of Conduct and Northern Light Health Values, and (c) awareness and understanding of new and existing compliance issues and related policies and procedures.
•Implements an effective general compliance training program for new employees and annual refresher training for existing employees.
•Makes presentations to Northern Light Health management and their respective Boards as requested.
•Member of Northern Light Health Compliance Task Force.
•Provides technical assistance to Northern Light Health Home Office and Northern Light Health Members as needed.
•Responsible for ensuring compliance with HIPAA privacy regulations and Maine privacy laws.
•Provides leadership and oversight for all privacy-related activities across Northern Light Health.
•Works closely with the Information Security Officer on HIPAA security issues.
•Performs ongoing risk assessments and audits to ensure HIPAA compliance.
•Conducts periodic compliance risk assessments testing compliance with established laws, regulations and Northern Light Health policies.
•Assists with the development, implementation, and maintenance of a comprehensive system-wide audit & compliance plan that ensures compliance with all Federal & State regulatory requirements.
•Monitors the performance of the compliance program and related activities on a continuing basis, taking appropriate steps to improve compliance effectiveness.
•Assists with the development, implementation, maintenance, and revision of compliance policies and procedures.
•Identifies potential regulatory compliance obligations.
•Documents all work performed.
•Other duties as assigned.
•Submits accurate and timely travel reimbursement requests.
•Completes necessary continuing education to maintain professional licenses/certifications.
•Keeps current with emerging compliance risk areas and recommends new and/or changes to appropriate policies and procedures.
•Serves as an internal authority on relevant compliance laws and regulations, including developments that may affect Northern Light Health.
•Assist in maintaining a work environment free from recognized hazards that create a risk or injury to employees, patients, or visitors
•All accidents and incidents are reported by employees within 24 hours and supervisor to submit properly investigated report timely
•Ergonomic evaluations are completed as needed
•Sedentary: Exerting up to 10 lbs. occasionally, sitting most of the time, and only brief periods of standing and walking.
•Requires the ability to travel to member organizations as needed
Note: the duties listed above reflect the majority of the essential duties of this job and does not, nor is it intended to, reflect all essential duties that may be required for an incumbent in this job to perform.
Equal Opportunity Employment
We are an equal opportunity, affirmative action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, disability status, gender, sexual orientation, ancestry, protected veteran status, national origin, genetic information or any other legally protected status.