Vice President | Compliance & Privacy

Scheduled Weekly Hours:

• Reports to: Co-Chief Legal Officer

• Location: On-site in either Green Bay or La Crosse, WI

About the Opportunity:

Reporting to the Co-Chief Legal Officer, this role leads and assumes management responsibility for the structure, development, implementation and operation of Emplify Health's enterprise Compliance and Privacy Programs to ensure compliance with state and federal laws, regulations, and policies to help prevent fraud and abuse. The VP, Compliance & Privacy serves as a trusted advisor to management and board, offering guidance and practical solutions to complex regulatory compliance challenges. Provides periodic reporting to the enterprise Board. The VP, Compliance & Privacy will also coordinate with other key stakeholders involved in enterprise risk management. The VP formulates and enforces policy, consistent with Emplify Health standards.

Major Responsibilities:

• Creation and implementation of comprehensive compliance and privacy strategies, risk assessments and detailed audit plans for the Enterprise.

• Oversee development and implementation of compliance and privacy policies, procedures, processes, training, and best practices to promote compliance with applicable laws and regulations.

• Oversee compliance investigations to ensure they are conducted timely and effectively and that corrective action if applicable is initiated and sustained.

• Provide influential, collaborative leadership and guidance to Emplify executive leadership and operations on compliance, privacy, ethics and regulatory issues to reduce risk and enable strategic business objectives.

• Develop and maintain strong stakeholder relationships across the business to support compliance and privacy initiatives.

• Partner with Emplify leadership to further enhance culture of compliance throughout the Enterprise.

• Collaborate with various departments, subject matter experts, and external partners to ensure compliant solutions for business needs.

• Manage a team of compliance and privacy professionals dedicated to ethical and compliant business practices.

• Oversee development and delivery of effective compliance and privacy programs designed to detect, prevent, and address issues across the Enterprise.

• Ensures the Enterprise operates a Compliance Program that includes the 7 elements of a Compliance Program as outlined by the Office of Inspector General.

• Ensures detailed records are maintained to document compliance and privacy research, issues, audits, investigations, efforts, corrective actions and informed decision-making.

• Continuously monitor legal and regulatory environments affecting the Enterprise.

• Oversees monthly background screening against OFAC, SAM, EPLS, OIG and applicable state Medicaid databases

• Oversee and support communications, issue resolution, and overall compliance engagement with regulators in partnership with operations, legal and business teams as such matters relate to Compliance Program and Privacy Program activities.

• Oversee collaboration with operations, and other functional areas to review, analyze and develop/oversee initial implementation project plans and/or corrective action plans to ensure compliance with new or existing laws and regulations.

• Oversees the Conflict of Interest Management program for the Enterprise.

• Reviews grant applications for compliance with grant requirements.

• Responsible for Compliance and Privacy budget development.

Core Competencies for All Leaders:

• Organizational Strategy and Implementation:Recognizes market trends, judges the impact on their area of responsibility, contributes to responsive strategic plans, develops operational plans, and ensures alignment and commitment of all staff.

• Fiscal Management:Effectively uses established processes to ensure accountability for effective operations and resource management.

• Human Resource Management:Selects, aligns, develops, motivates, manages, and retains a team of highly skilled employees.

• Excellence in Service and Quality:Achieves seamless delivery of quality patient care, safety, excellence in patient experience, and customer service. Utilizes Continuous Quality Improvement principles and platform planning in decisions, improvements, and system design.

• Organizational Leadership:Provides leadership and accomplishes objectives by ensuring the integration of processes and initiatives while modeling collaboration. Participates and supports in brand/service delivery teams as requested.

• Compliance:Maintains accountability for implementation of requirements of regulatory agencies. Serves as liaison to the community.

Qualifications:

Education:

• REQUIRED: Master's or advanced degree in Healthcare/Hospital Administration, Law, or a related field.

Certification/Registration/Licensure:

• REQUIRED: Healthcare Compliance Certified (CHC) and Healthcare Privacy Compliance Certified (CHPC) by the Health Care Compliance Association.

• DESIRED: Healthcare Research Compliance Certified (CHRC) by the Health Care Compliance Association.

Experience:

• REQUIRED: Minimum 10 years of compliance experience in health insurance or healthcare administration. Minimum of 5 years of progressive leadership experience in a healthcare system. Specific knowledge and experience of health care corporate compliance program and privacy program standards and requirements, including oversight and experience of a conflict of interest management program; Stark; Anti-kickback Statute; Civil Monetary Penalties Law; EMTALA; HIPAA; Fraud Waste and Abuse; No Surprises Act and similar state laws.

• DESIRED: Expertise and experience in clinical research, data security, revenue cycle. Specific knowledge and experience of regulations associated with specific provider types such as: Acute Care Hospitals, Critical Access Hospitals, Rural Health Clinics, emergency transport, behavioral health, skilled nursing facilities, renal dialysis, home health and DMEPOS.

The Organization:

Emplify Health is comprised of two of the Midwest's most respected healthcare systems, Bellin Health and Gundersen Health System. Once neighbors, we are now partners, united in our mission to provide exceptional care to our communities. As a not-for-profit, patient-centered healthcare network, we have headquarters in Green Bay and La Crosse, Wisconsin. Our extensive network includes 11 hospitals and more than 100 clinics, serving 67 cities and rural communities across Wisconsin, Iowa, Minnesota and Michigan's Upper Peninsula. With over 4,500 dedicated nurses and providers, we are committed to delivering primary, specialty and emergency care, along with innovative medical education programs.

• Mission: Together, we inspire your best life by relentlessly caring, learning and innovating.

• Vision: Leading with love, we courageously commit to a future of healthy people and thriving communities.

• Values:Belonging, Respect, Excellence, Accountability, Teamwork, Humility

The Communities:

• About Us:Bellin and Gundersen Health Systems, headquartered in Green Bay, WI, and La Crosse, WI, respectively, are now united as Emplify Health. We serve communities across Wisconsin, Minnesota, Iowa, and Michigan's Upper Peninsula, providing primary, specialty, and emergency care.

• About La Crosse, WI:La Crosse is a vibrant city nestled along the Mississippi River, known for its stunning natural beauty and rich cultural heritage. It offers a high quality of life with excellent schools, diverse recreational activities, and a strong sense of community. Our La Crosse Campus is home to Gundersen Lutheran Medical Center, providing specialized care and a wide range of outpatient services.For more information on La Crosse, please visit: https://www.explorelacrosse.com/

• About Green Bay, WI:Green Bay, famous for its passionate sports culture and the Green Bay Packers, is a thriving city with a welcoming community. It boasts a robust economy, top-notch educational institutions, and numerous parks and recreational facilities. Bellin Health's flagship campus in Green Bay is renowned for its emphasis on preventive healthcare and specialties like cardiac, orthopedics, and mental health.For more information, please visit: https://www.greenbay.com/

Why Consider Emplify Health?

• Tailored Benefits Package: We offer a comprehensive benefits package that varies based on your location. To learn more about the specific benefits available in your area, please inquire with the recruiter during the application process.

• Comprehensive Care:Be part of a team that delivers compassionate, patient-centered care across multiple specialties.

• Community Impact:Work in communities where your contributions make a tangible difference in people's lives.

• Professional Growth:Access continuous learning opportunities and career development programs.

• Collaborative Environment:Join a supportive network of healthcare professionals committed to excellence.

Application Process:

Interested and qualified candidates are directed to submit their application materials at the apply link, or can reach out directly to Kasey Kirschbaum, kmkirsch@emplifyhealth.org. Please note that all inquiries and applications will be handled with strict confidentiality. References may be requested once the interview process commences.

If you need assistance with any portion of the application or have questions about the position, please contact HR-Recruitment@gundersenhealth.org or call 608-775-0267.

We inspire your best life by relentlessly caring, learning and innovating. This is our purpose. Together with our values - belonging, respect, excellence, accountability, teamwork and humility - our pillars set our foundation and our future.

Equal Opportunity Employer