Job Information
Stanford Health Care Stanford Health Care & Stanford Medicine Children’s Health Chief Compliance Officer in United States
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Day - 08 Hour (United States of America)
This is a Stanford Health Care job.
About Stanford Health Care and Stanford Medicine Children's Health .
Stanford Health Care, along with Stanford Health Care Tri-Valley and Stanford Medicine Partners, is part of Stanford Medicine's adult health care delivery system. Combining clinical care, research, and education to advance the understanding and practice of medicine, SHC provides compassionate, coordinated care personalized for the unique needs of every patient. The Stanford Medicine Children’s Health network is the only health care network in the Bay Area that is exclusively dedicated to pediatric and obstetric care. This network provides care in more than 150 medical specialties, many of which are part of the centers of excellence including: brain and behavior, cancer, heart, pregnancy and newborn, pulmonary, and transplant. Stanford Medicine is an ecosystem comprising the School of Medicine and the pediatric and adult health care delivery systems. Collectively, this ecosystem supports research, education, and clinical care for patients of all ages. Stanford Health Care and Stanford Medicine Children’s Health strongly support its continuous goal of pioneering cutting-edge therapies that will change how healthcare is delivered in the future.
A Brief Overview
Reporting directly to the President and CEO of both SHC and SMCH, the SHC/SMCH Chief Compliance Officer oversees a comprehensive hospital and clinical compliance program that includes but is not limited to ensuring compliance with Medicare and Medicaid billing regulations, fraud and abuse laws, applicable state laws and laws for protecting privacy, and the confidentiality of protected health information (HIPAA). The SHC/SMCH CCO identifies and develops initiatives and subcommittees to address and resolve strategic and/or institutional compliance areas of concern. The SHC/SMCH CCO also maintains reporting lines to the Audit, Compliance, and Enterprise Risk Committees of the SHC, SMCH, and other related Boards of Directors, and reports administratively to the Stanford Chief Risk Officer for risk oversight and administrative coordination
Locations
Stanford Health Care
What you will do
Overseeing the compliance and privacy program, reviewing it periodically to ensure its overall effectiveness.
Leading and managing the organizational compliance program.
Developing and implementing written policies, procedures, and standards of conduct related to compliance.
Stewarding compliance committees comprised of senior SHC/SMCH leaders.
Developing effective lines of communication regarding compliance; receiving complaints and providing information regarding compliance matters.
Enforcing standards through disciplinary guidelines.
Developing policies addressing dealings with sanctioned individuals.
Overseeing compliance, auditing, and training matters relating to appropriate professional and facility fees billing.
Consulting closely with administration representatives, various departments, and billing personnel to foster and enhance compliance with all applicable compliance requirements.
Supporting and overseeing the leadership of the program for compliance with patient privacy regulations, including HIPAA.
Presenting reports to the ACERs of the Boards of Directors and making recommendations regarding changes to improve the compliance program.
Designing and conducting internal monitoring and independent assessments to detect violations of compliance and privacy laws and regulations; leading and participating in risk assessment processes; responding to detected violations; determining the order and frequency of assessments; and developing corrective action plans.
Developing and maintaining the Code of Conduct and compliance standards and policies.
Overseeing investigative work regarding information reported on matters of alleged non-compliance (i.e., hotline management).
Providing guidance to CEOs, hospitals, and clinics regarding compliance matters, including methods to improve compliance effectiveness and reduce vulnerability to violations of law and/or regulations.
Overseeing compliance training and education.
Serving as liaison to the University regarding compliance matters.
Collaborating with the Stanford Chief Risk Officer related to risk oversight and administrative coordination.
Responding to government investigations and queries regarding compliance matters.
Education Qualifications
- Bachelor’s degree in a work-related discipline/field from an accredited college or university; JD preferred (but will not be practicing law at Stanford);
Experience Qualifications
Ten years of directly related work experience in health care compliance, privacy, billing integrity, and administrative experience, preferably in an academic medical center of similar size and complexity.
Substantial experience addressing matters concerning professional fee billing, facility fee billing, and clinical trial billing.
Required Knowledge, Skills and Abilities
Strong working knowledge of HIPAA and other applicable privacy laws and regulations and experience in establishing and ensuring compliance with privacy policies.
Strong interpersonal skills; credibility and effectiveness in interacting with leadership, clinical faculty, regulatory officials, boards, and compliance professionals .
Effective partnership building that facilitates positive working relationships to achieve desired outcomes.
Excellent communication skills and an adaptable, cooperative, and persuasive approach.
Strong project management and facilitation skills.
Excellent managerial skills and demonstrated experience leading a compliance team; ability to delegate effectively.
Licenses and Certifications
- CHC-Certification in Healthcare Compliance preferred .
These principles apply to ALL employees:
SHC Commitment to Providing an Exceptional Patient & Family Experience
Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford’s patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery.
You will do this by executing against our three experience pillars, from the patient and family’s perspective:
Know Me: Anticipate my needs and status to deliver effective care
Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health
Coordinate for Me: Own the complexity of my care through coordination
Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.
Base Pay Scale: Generally starting at $147.00 - $194.92 per hour
The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.
At Stanford Health Care, we seek to provide patients with the very best in diagnosis and treatment, with outstanding quality, compassion and coordination. With an unmatched track record of scientific discovery, technological innovation and translational medicine, Stanford Medicine physicians are pioneering leading edge therapies today that will change the way health care is delivered tomorrow.
As part of our spirit of discovery, we also leverage our deep relationships with luminary Silicon Valley companies to develop new ways to deliver preeminent patient care.
Learn about our awards (https://stanfordhealthcare.org/about-us/awards.html) and significant events (https://stanfordhealthcare.org/about-us/our-history.html) .