Job Description

Plans, organizes, oversees and assists assigned facilities with maintaining compliance with applicable laws, regulations and policies.

Job Responsibility

• Chairs meetings and coordinates monthly Facility Compliance Committee for their respective sites.
• Provides advice and acts as a resource to Facility management for compliance issues.
• Advises the Facility’s employees, contractors and vendors as appropriate, agents and any applicable governing Board members on issues of regulatory compliance.
• Maintains the Facility’s compliance program structure to reasonably ensure adherence to applicable federal and state rules and regulations.
• Assists in the coordination of the investigation of suspected violations received through the Alert Line and other channels.
• Oversees, follows-up and implements correction actions to investigations and other issues generated by the compliance program.
• Assists in the coordination of any internal and external compliance audits at the Facility.
• Provides liaison between facility specific compliance efforts and System-wide compliance efforts.
• Supports activities of the Corporate Compliance Office and Northwell's Corporate Compliance Program including:
  • Monitoring of exclusions screening process within the facility;
  • Distributing, implementing, and communicating new and revised compliance policies;
  • Implementing and monitoring annual compliance training and education;
  • Disseminating compliance related information;
  • Assisting in organizing and attending Facility compliance awareness events;
  • Using the reporting system and monitoring at the facility; and
  • Monitoring and tracking other performance parameters, as requested.
• Participates in the periodic compliance self-assessments, as needed.
• Ensures all facility staff receives the Code of Conduct and signs any appropriate attestations.
• Provides periodic reports to the Corporate Compliance Office and Facility Executive Directors on the status of facility compliance efforts.
• Participates in developing and implementing internal controls capable of preventing and detecting significant instances or patterns of illegal, unethical, or improper conduct.
• Participates on various Facility committees to ensure compliance objectives are being met.
• Participates in Corporate Compliance projects.
• Performs related duties, as required.

Job Qualification

• Bachelor's Degree required, or equivalent combination of education and related experience. Masters Degree, Juris Doctorate, or healthcare related certification(s), preferred.
• 8-12 years of relevant compliance experience and 7+ years of leadership / management experience, required.
• Minimum of seven (7) years related healthcare experience, strongly preferred
• Maintains current knowledge of compliance trends, issues and regulations

*Additional Salary Detail
The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).