Vice President: Compliance

Schedule: Hybrid, will be required to work onsite in Akron and travel per business needs.

Summary:

The Vice President of Compliance (VPC) serves as the leader of the pediatric health system's compliance program, overseeing all regulatory, legal, and ethical matters to ensure adherence to applicable laws, standards, and policies. The VPC conducts and oversee regulatory compliance audits and investigates potential violations. The VPC works closely with executive leadership, board members, and staff to foster a culture of compliance and ethical integrity across the organization and reports to the Chief Legal Officer.

Responsibilities:

Regulatory Compliance and Strategy

1. Create, update, and enforce comprehensive compliance policies and procedures across the healthcare system, including but not limited to patient privacy (HIPAA and Ohio state laws), payor/billing practices, physician relationships, and anti-kickback statutes.
2. Identifies potential compliance risks within the health system through regular assessments, monitoring activities, and data analysis to proactively address issues.
3. Develops and delivers comprehensive compliance training programs for all employees, including Providers, to educate them on relevant regulations and company policies.
4. Conducts thorough investigations into suspected compliance violations, including gathering evidence, interviewing witnesses, and recommending appropriate corrective actions.
5. Regularly reports compliance activities and potential issues to the healthcare system's leadership, including the CEO and Enterprise Risk Committee of the hospital Board of Directors, providing updates on compliance risks and mitigation strategies.
6. Oversees external compliance audits and reviews to assess adherence to policies and regulations, identifying areas for improvement, and implementing corrective actions.
7. Staying informed about evolving healthcare regulations at the federal and state levels, ensuring the health system is adapting practices to remain compliant.

Other information:

Technical Expertise:

1. 10 years of health compliance experience with hospital or health system of similar size as Akron Children's Hospital (preferably a children's hospital) is required.
2. 2 years must be in a senior leadership role.
3. Experience must include at minimum the following:
4. 1. Medicaid and Medicare billing guidelines
   2. Developing, implementing, and maintaining compliance policies and procedures
   3. Proven ability to design and deliver compliance training programs to health system staff and providers at all levels
   4. Conducting risk assessments, identify enterprise risks, and develop strategies to mitigate compliance risks
   5. Proven ability to conduct internal and oversee external audits and develop corrective action plans.

4. Works closely with various departments within the healthcare system, including legal, human resources, finance, and operations, to promote a culture of compliance.

Education and Experience:

1. Bachelor's degree in healthcare administration or business major required. Master's Degree in Healthcare Administration or Juris Doctor preferred;
2. Certified Healthcare Compliance (CHC) and/or Certified Information Privacy Professional/United States preferred;
3. Strong analytical and problem-solving skills to identify and address compliance issues from the onset of concern through resolution;
4. Excellent communication and interpersonal skills to educate staff and collaborate with various stakeholders; and
5. Demonstrated leadership experience to manage a compliance team and build a culture of compliance within the healthcare system.

Full Time

FTE: 1.000000