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Description

ScionHealth is recruiting for a Senior Director, Compliance, to join our Compliance team. Remote candidates will be considered for this role.

Job Summary

The Senior Director, Compliance supports ScionHealth as a senior member of the Compliance function with generalist responsibilities across the Ethics and Compliance program. The Senior Director, Compliance will oversee Compliance training and communications activities, risk assessment, data analytics, provide advisory and deal with complex escalations and special projects.

Essential Functions

An individual must perform each essential function satisfactorily with or without a reasonable accommodation.

• Leads moderate to high complexity projects of identified concerns and strategic programmatic implementations such as leading data analytics activity to enhance the Compliance program.
• Partners with the Chief Compliance Officer and other members of the Compliance Department to successfully complete deliverables, fostering a culture of integrity and best practice adherence to relevant government guidance and expectations (e.g., OIG and DOJ guidance, enforcement actions and advisory opinions).
• Contributes to gap analysis, control testing, corrective action plan and other remediation measures to improve the effectiveness of the Compliance program with ongoing monitoring and review.
• Leverages strong critical thinking and reasoning skills to partner with operations, legal, risk, HR, and other relevant Support Center stakeholders to identify, assess, and remediate existing and emerging compliance risks.
• Oversee the training, communication, and awareness activities for the Compliance Department with a strong focus on Speak Up and non-retaliation initiatives.
• Collaborates with the Chief Compliance Officer on partnering with leaders in the organization to demonstrably exhibit ongoing and continuous tone from the top.
• Coordinates the risk assessment process.
• Exhibits an expert understanding of healthcare regulation and compliance (e.g., Stark Law, Anti-Kickback Statute, EMTALA, HIPAA, Medicare, and Medicaid billing requirements, etc.).

Knowledge/Skills/Abilities

• A clear and dynamic communicator who knows his or her audience and acts with diplomacy: Consistently communicates complex information both verbally and in writing with clear simplicity. Interact with individuals at all levels of the organization and can adapt communication for the intended audience. Communicates in a manner that encourages collaboration, open dialogue, and psychological safety.
• A strong, solution-oriented critical thinker: Demonstrates ability to thoroughly analyze situations to develop risk based and proportionate action plans. Is innovative with available resources and approaches.
• A well-organized, highly motivated project manager: Sets personal goals and determines how to achieve results with limited direction; prioritizes and leads multiple complex projects and other workstreams simultaneously.
• A savvy and well-informed risk mitigator: Can identify and collaboratively solve complex problems with functional impact by recognizing risks using data insights and other observed trends, developing, and evaluating potential options to mitigate risks, and leveraging organizational synergies to achieve solutions.
• A positive, high-energy hospital Compliance guru with a focus on customer service: Consistently operates as a team player who demonstrates empathetic reasoning in interactions with the business and other corporate functions. Is comfortable with ambiguity that may accompany a transformational business.
• Approximate percent of time required to travel: Limited – up to 10%

Qualifications

Education

Bachelor's degree or equivalent years of relevant experience required; Master’s Degree in Healthcare or Business Administration, healthcare services, or another related field or a Juris Doctorate is strongly preferred.

Licenses/Certifications

Certified Compliance and Ethics Professional (CCEP), Certified in Healthcare Compliance (CHC), Certified in Healthcare Privacy Compliance (CHPC), Certified Fraud Examiner (CFE), or other compliance related certification preferred.

Experience

15+ years of experience in corporate compliance in a provider setting; detailed understanding of regulatory and health care compliance risk areas; understanding of business operations, objectives, and challenges.

Depending on a candidate’s qualifications, this position may be filled at a different level.