Executive Director, Corporate Compliance

Executive Director, Corporate Compliance

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How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.

Day (United States of America)

The Executive Director of Corporate Compliance will assist the VP, Compliance and Chief Privacy Officer with the day‑to‑day operations of the Corporate Compliance Department. This position is responsible for managing compliance and privacy activities regarding corporate compliance and privacy audits & investigations, compliance and privacy education & research, and clinical integration. It includes monitoring statutes, regulations, and Conditions of Participation along with industry trends to identify and mitigate compliance risks in clinical settings relating to clinical integration and post‑acute care.

The Executive Director will develop and implement compliance/privacy policies, procedures, education materials, risk assessments, and audits from the clinical integration and post‑acute care perspective and will be responsible for the Compliance Office Communications based on these activities.

• Management of Corporate Compliance Functions
• Regulatory Research:
  Maintains current knowledge of applicable federal and state clinical‑based laws and accreditation standards.
• Strategizes with the Director of Corporate Compliance and Audit and key departments to meet Well Star’s business needs and provide world‑class patient care within the parameters of state and federal requirements.
• Collaborates with HIM, Service Line Leaders, Application Analysts, etc., to develop and maintain appropriate EMR build and access in compliance with state and federal law requirements and Conditions of Participation, as directed.
• Policies and Procedures:
  Develops and revises compliance policies and procedures to reflect current laws, regulations, and standards; collaborates with key departments, committees, legal counsel, and management to ensure that changes are implemented across the System.
• Oversees the management of corporate compliance incidents reported via the compliance hotline.
• Compliance/Privacy Education Program Development and Maintenance:
  Develops compliance and privacy education materials based on regulatory requirements, industry trends, and in response to incident trends.
• Live presentation materials.
• Coordinates presentation of orientation materials for New Employee Orientation, New Leader Orientation, New Provider Orientation, etc.
• Annual Risk Assessment Development:
  Participates in the development and completion of risk assessments based on clinical regulatory changes, industry trends and investigation results for WCP, WHN, and Post‑Acute Care Services.
• Coordinates focused reviews, requests data on the population for sampling, analyzes data and selects sample data for audit and assessment, requests records and sets up meetings for on‑site reviews, utilizes Microsoft Excel/Access to collect/analyze/report findings/trends, creates executive summary with findings and recommendations, references governmental regulations where needed, and conducts exit conference with staff, physician, and executive leadership team when appropriate.
• Performs other duties as assigned.
• Complies with all Well Star Health System policies, standards of work, and code of conduct.

Master’s Degree or JD

• CHPC – Cert Healthcare Privacy Compliance (Preferred) or CHPS – Cert Healthcare Privacy & Security (Preferred)

Minimum 5 years in a healthcare setting; minimum 3 years in healthcare compliance or equivalent; HIPAA privacy experience required;…