Optimus Health Care is a Federally Qualified Health Care Center with sites operating in Bridgeport, Stamford and Stratford, CT. We are the largest provider of primary health care services in Fairfield County, proudly serving all patients regardless of their income, race, or insurance status.
We are presently recruiting for a Chief compliance Officer who will oversee and monitor with sufficient authority Optimus Healthcare, Inc. and its affiliated entities’ compliance activities that are designed to guide the conduct of employees, as well as to maintain and foster the improvement of the quality of operational functions, clinical services, and products. Specifically, the CCO is responsible for:
- The coordination, establishment, implementation and monitoring of a health-center wide compliance and risk management program concerning the adherence of all internal policies and procedures, including programs for performance improvement, quality assurance, employment training, education and evaluation; policies regarding conflicts of interest, procedures for record retention;
- Managing policies and programs for the internal reporting of non-compliant activities; review system to audit and monitor efficacy of the programs; the standards and guidelines for disciplinary, corrective actions and reporting process.
- Monitoring the adherence to the Compliance Program and facilitates the establishment of procedures to reduce identified problem areas at the corporate and subsidiary levels; and
- Promoting employee education regarding the commitment to compliance with all laws, regulations and guidelines applicable to the business of the Company.
- Promoting commitment to compliance with corporate and subsidiary standards, policies, and procedures;
- Ensuring the Board of Directors, management and employees are in compliance with the rules and regulations of regulatory agencies, that company policies and procedures are being followed, and that behavior in the organization meets the company’s Standards of Conduct. The CCO has the authority to review all documents and other information that are relevant to compliance activities including, but not limited to, medical records, billing records and records concerning the marketing efforts, as well as arrangements with other parties, including employees, professionals on staff, independent contractors, suppliers, agents, and other healthcare professionals. This review authority enables the CCO to examine contracts and obligations (seeking the advice of legal counsel, where appropriate) that may contain referral and payment provisions that could violate anti-kickback statutes or regulatory requirements.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
- Manage a process-oriented, company-wide Compliance Program that is guided by standards, policies and procedures, Code of Conduct, and HIPAA to ensure conformity with applicable laws and regulations.
- Work in conjunction with the Human Resources and Finance Department representatives in establishing and maintaining all aspects of the subsidiary and key corporate compliance programs.
- Supervise the activities and functions of the compliance personnel.
- Appoint, coordinate, and direct the work of the staff members in the Compliance Department. Budget and fiscally manage the department.
- Direct the development and implementation of audit and review procedures, data collection tools, and reporting processes that ensures the validity and reliability of the corporate compliance program.
- Oversee all audits and monitoring activities throughout the organization.
- Oversee the confidential disclosure programs that effectively encourage managers, employees, and others to report suspected improprieties without fear of retaliation. Maintain confidentiality regarding complaints to the maximum extent possible.
- Implement and maintain systems that ensure appropriate responses to compliance complaints, disclosures, and reported problems in a timely fashion.
- Oversee internal investigations and actions on matters related to compliance, including the flexibility to design and coordinate internal investigations in response to compliance reports, audit results, reports of problems, or suspected violations and any resulting corrective actions. Ensure audits/investigations are promptly completed, corrective action is promptly taken, and disciplinary action is taken as appropriate.
- Consult with outside counsel in conjunction with the CEO, at appropriate times to conduct specialized investigations to confirm or refute reported potential problems. Protect the attorney-client privilege as appropriate.
- Oversee and guide the health center’s appropriate reporting of self-discovered violations.
- Oversee audits as mandated by government sources established to investigate and monitor compliance with standards and procedures implemented by the Compliance Program.
- Promptly responds to and cooperatively assists with external investigations following consultation with the CEO. Coordinate such activity with relevant management and compliance personnel as appropriate.
- Assist and/or coordinate corporate-wide prevention and remedial plans and serves as a resource in the development and implementation of departmental plans which facilitate compliance with quality standards following audits or investigations and ensure a reduction in identified problem areas and improved quality.
- Maintain the company information security program in coordination with the company Director of Information Technology and Chief Operating Officer.
- Facilitate the education of management, staff, and contractors on compliance requirements, the Compliance Program, and all compliance-related activities. Facilitate specialized training to ensure familiarity with relevant laws, regulation, standards, policies, procedures, and code of conduct. Establish and maintain systems for effectively documenting such educational activity.
- Maintain a central, confidential repository of subsidiary and corporate department compliance plans and reports for the purpose of study, analysis, and integration regarding issues, trends, and prevention/remediation plans; for developing education and training programs, and for senior management and board reports.
- Plan, design, implement, and update the Compliance Program based upon the changing needs of OHC and its affiliated entities and changes in applicable laws and regulations.
- Coordinate various activities with the Human Resources Department to ensure appropriate use of government-sanctioned databases and appropriate implementation of staff member disciplinary and other corrective actions related to compliance issues.
- Keep abreast of current changed that may affect health care systems through personal initiative, Internet access, seminars, training programs, and peer contact.
- Ensure all projects including clinical research, fundraising, new program development, grants applications and marketing endeavors are in compliance with applicable laws and policies and procedures.
- Maintain a reporting system that provides timely and relevant information on all aspects of the Compliance Program.
- Periodically file formal reports to the CEO, Compliance Governance Committee, and required outside sources on Compliance Program activities and findings and whether appropriate actions have been taken to address and correct any noncompliant situations.
- Establish and maintain record keeping, tracking, and documentation retention systems related to the Compliance Process that allow for appropriate analysis and reports.
ADDITIONAL GENERAL REQUIREMENTS:
- Strong knowledge base of healthcare regulatory environment and respective corporate compliance and risk management programs and processes. Proven clinical proficiency and knowledge of quality improvement, compliance and risk management processes.
- Excellent communication and teaching skills required; teaching and training experience necessary. Ability to communicate and interpret policies, procedures, regulations, reports, etc. to personnel and government agencies/personnel.
- Ability to lead, plan, organize, develop, implement, and interpret the compliance and risk management programs, goals, objectives, policies and procedures, etc. that are necessary for supporting the delivery of quality care and maintaining sound business practices.
- Microsoft office suite with specific experience with data base management is recommended.
JOB QUALIFICATIONS/REQUIREMENTS EDUCATION: A Bachelor’s degree required; JD Preferred
EXPERIENCE: Minimum of ten years of legal, clinical, and/or risk management experience; related work experience may be considered. Familiarity with operational,
financial, quality assurance, and human resource procedures and regulations, Research experience is recommended
Optimus and its caring, multi-cultural staff proudly serve our community in a patient-centered environment.
Optimus is an Equal Opportunity Employer