Director of Compliance
Director of Compliance
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Salary Not Disclosed
1 Vacancy
Job Description
What youll do
The Director of Compliance is responsible for leading the Companys compliance and Patient Services teams. The Director Compliance is responsible for ensuring that the Companys and its Affiliated Practices Compliance Program is effective in preventing detecting and correcting instances of noncompliance with applicable laws regulations and other governmental and industry guidance. As the Privacy Officer the Director Compliance will develop manage and implement processes to ensure that the Company and its Affiliated Practices comply with applicable federal and state regulations and guidelines regarding access to and use of protected health information (PHI). The Director Compliance Privacy Officer reports to the Chief Clinical Officer and also keeps the Companys Compliance Committee and Board of Directors abreast of important regulatory and compliance issues.
This position is located at the GEDC Practice Support Center in Southfield MI and would require an on-site presence five days per week.
What youll bring to the team
- Develop and Implement Compliance Programs
- Create policies and procedures to ensure regulatory compliance.
- Monitor and update these programs as regulations evolve.
- Conduct Regular Audits
- Review patient records billing practices infection control and privacy protocols.
- Identify areas of risk and recommend corrective actions.
- Staff Training and Education
- Train dental staff on compliance topics like HIPAA OSHA and state-specific laws.
- Ensure ongoing education to keep up with regulatory changes.
- Monitor Legal and Regulatory Changes
- Stay informed about updates in healthcare and dental regulations.
- Adjust internal policies accordingly.
- Liaison with Regulatory Bodies
- Serve as the point of contact during external audits inspections or investigations.
- Prepare reports and documentation for compliance reviews.
Key Results
- Upholding the Companys Compliance Program by driving a culture of compliance rooted in ethical practices policies and programs which encourage Team Members to report suspected improprieties without fear of retaliation or retribution;
- As the Director of Compliance responsible for the daily operation of the Companys and Affiliated Practices privacy practices program including maintaining policies related to protected health information monitoring program compliance investigating tracking and responding to privacy incidents and breaches;
- Collaborating with the Compliance Committee and legal counsel to evaluate the organizations existing policies and procedures for HIPAA compliance by performing HIPAA risk assessments to identify and address privacy policies and procedures that require improvement;
- Assisting with annual compliance risk assessment of the Company and Affiliated Practices to identify each organizations particular risks related to general compliance issues and pertinent federal and state laws regulations and standards including without limitation: fraud waste and abuse; the Anti-Kickback Statute (AKS); and the False Claims Act as well as inappropriate gifts and relationships with referral sources that could put the company at risk for noncompliance;
- Assisting with the coordination of the Companys compliance audit and monitoring activities including billing and coding audits as well as independently investigate all compliance-related reports inquiries recommendations for corrective action plan and all other compliance-related matters reported through internal hotlines;
- Ensuring that appropriate issue-specific remedial training is conducted for Team Members - either individually or in groups in response to internal audits reviews or mandatory corrective action plans that uncover unethical or improper business practices;
- Recommending periodic updates to the Companys Compliance Program as necessary to reflect changes in the law the Companys needs or contractual obligations with payers;
- Assisting with setting the agendas for and conducting the quarterly meetings of the Companys Compliance Committee;
- Perform other related duties as assigned.
What we require you have
- Subject Matter Expertise in dentistry dental compliance and dental clinical compliance including clinical protocols billing and insurance compliance in dental practices.
- Experience in a DSO environment is particularly valuable due to the complexity of managing compliance across multiple sites and varying local/state regulations.
- Ability to use independent judgment and to manage and impart confidential information;
- In depth knowledge of public policies legislation guidelines and standards pertaining to fraud waste and abuse HIPAA and other compliance matters pertaining to the health care industry;
- Demonstrated ability to develop institutional policies and procedures;
- Supervisory employee development team building and leadership skills;
- Strong critical thinking skills and the ability to analyze summarize and effectively present data;
- Strong interpersonal and communication skills and the ability to work effectively with a wide range of constituencies in a diverse community.
- Demonstrated understanding of compliance systems and controls; and
- Knowledge and understanding of investigation negotiation mediation and complaint resolution process of high level/sensitive claims on behalf of the Company.
Education & Experience
- Bachelors degree required. Bachelors degree in healthcare administration public health law or a related field is preferred.
- 5years of healthcare administration experience in a large-scale operating environment preferably in a dental or clinical setting.
- Knowledge of healthcare compliance in a healthcare system including deep experience with HIPAA.
- Advanced degrees or certifications (e.g. CHC Certified in Healthcare Compliance) are a plus.
- Strong analytical and problem-solving skills.
- Excellent communication and interpersonal abilities.
- Attention to detail project management and organizational skills.
Physical Requirements
- Prolonged periods of sitting at a desk and working on a computer.
- Must be able to lift up to 15 pounds at times.
About GEDC
Since 1982 Great Expressions has been at the forefront of dental innovation setting the standard for exceptional care and unforgettable patient experiences. Now were entering a new era of transformation and we want you to be a part of it. Our recently appointed leadership team brings over a century of collective dental expertise and is backed by dynamic investment support to pave the way for groundbreaking changes. Were channeling our resources and energy into revolutionizing our technology platform expanding service offerings and creating a personalized patient experience that goes beyond the expected. At Great Expressions were not just transforming dentistry; were investing in the growth and development of our team. Join us and be a part of a career that blends innovation and professionalism where your contribution shapes the future of dental excellence.
GEDC is committed to diversity and inclusion and is proud to be an equal opportunity employer. All qualified applicants are welcomed and encouraged to apply.
Other details
- Job FamilyCompliance
- Job FunctionLegal & Compliance
- Pay TypeSalary
Required Experience:
Director
Employment Type
Full-Time
