Director Corporate Compliance
Job Summary
The Director, Corporate Compliance Officer provides strategic guidance and day-to-day compliance support for the Northeast Division. This role leads internal investigations, oversees compliance training, and monitors regulatory adherence within clinical laboratory operations. The position requires cross-functional collaboration to ensure ethical standards and business objectives are met.
Responsibilities
- Provide strategic compliance guidance to divisional leadership
- Conduct internal investigations into potential policy violations
- Implement training programs for regulatory adherence
- Execute audit and monitoring programs for risk areas
Required Skills
- Healthcare compliance expertise (7+ years)
- Knowledge of Stark Law, Anti-Kickback, and HIPAA
- Regulatory due diligence and integration
- Clinical laboratory or diagnostics industry experience
Job Details
Responsibilities:
Strategic Guidance and Day-to-Day Support
- Build collaborative relationships and serve as a trusted advisor to divisional leadership, laboratory operations, phlebotomy, and sales/commercial personnel.
- Provide proactive compliance guidance and support on a broad range of clinical laboratory arrangements with hospitals/health systems, physicians, medical clinics, and other clients.
- Lead compliance-related due diligence and integration activities for health system and regional laboratory acquisitions.
- Engage with departments such as Human Resources, Marketing, Finance, IT, Revenue Cycle Management, and Law to advance cross-functional initiatives.
- Engage with senior Corporate Compliance leaders to ensure alignment on divisional compliance activities.
Internal Investigations
- Conduct thorough investigations into potential compliance program violations and misconduct, including those arising from audits or internal reporting lines.
- Collaborate with Legal and HR stakeholders to remediate compliance issues and implement corrective action plans.
- Prepare summaries and maintain investigation records for senior compliance leadership.
Compliance Training and Communication
- Implement compliance training programs for new and existing employees regarding relevant laws, regulations, and company policies.
- Monitor state and federal healthcare laws applicable to divisional operations.
Auditing and Monitoring Support
- Support compliance audit activities to identify gaps and areas for improvement.
- Implement monitoring programs focused on key risk areas, including provider financial relationships and billing arrangements.
- Work with divisional leaders to strengthen processes based on audit outcomes.
Minimum Qualifications
- Bachelor's degree.
- 7 years of experience in healthcare compliance.
Preferred Qualifications
- Certified in Healthcare Compliance (CHC) and/or Certified in Healthcare Privacy Compliance (CHPC).
- 3+ years of experience in a clinical laboratory or the diagnostics industry.
- 3+ years of experience in monitoring provider financial relationships and billing arrangements.
Additional Standards
- Knowledge of the Office of Inspector General's 'seven elements' of an effective corporate compliance program.
- Expertise in state and federal healthcare laws, including Stark Law, Anti-Kickback Statute, HIPAA, and CLIA/CAP requirements.
- Strong business acumen and presentation skills with the ability to work independently.