- Knowledge of business and management principles involved in strategic planning, resource allocation, human resources modeling, leadership technique, production methods, and coordination of people and resources.
- Skill in monitoring/assessing the performance to make improvements or take corrective action.
- Skill in using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems.
- Ability to plan, implement, and evaluate programs. Ability to establish goals and objectives.
- Ability to recognize, analyze, and solve a variety of problems.
- Conducts reviews of designated PHT activities to ensure compliance with established industry practices and ensures that the JHS Compliance Program foster the highest ethical standards to meet or exceed established governmental standards.
- Responds and investigates all incidents of noncompliance and/or misconduct reported to the Compliance Department for assigned area.
- Conduct audit and monitoring activities for JHS and prepares reports summarizing audit findings, recommendations for improvement, and corrective actions.
- Develops and conducts Compliance education and training activities.
- Conducts research on specific issues relating to the JHS Corporate Compliance and all applicable state and federal laws and regulations.
- Provides guidance for leaders to support the formulation of sound business practices that also meet regulatory requirements.
- Assists with revisions and development of compliance policies and procedures.
- Reviews medical director time logs for appropriateness of time recorded for which physicians are credited/compensated.
- Chairs assigned entities' compliance committees.
- Supports Medical Staff Coordinator/Business Development/Leadership to ensure new physician arrangements are compliant with laws and regulations, including, but not limited to the Stark Law and the Anti-Kickback Statute.
- Demonstrates behaviors of service excellence and CARE values (Compassion, Accountability, Respect and Expertise). Performs all other related job duties as assigned.
- Generally requires 1 to 3 years of related experience.
- Bachelor's degree in related field is required. Master's Degree in related field is strongly preferred. JD highly preferred.
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Senior Compliance Manager, Compliance, Full Time, Days - Miami, United States - Jackson Health
Description
Senior Compliance Manager, Compliance, Full Time, Days
Jackson Health System
Department: Jackson Memorial Health System Compliance
Address: 1611 NW 12th Ave, Miami, Florida, 33136
Shift details: Full-Time, Days
Why Jackson:
Jackson Health System is a nationally and internationally recognized academic medical system offering world-class care to any person who walks through our doors. For more than 100 years, Jackson has evolved into one of the world's top medical providers for all levels of care, no matter if it's for a routine patient visit or for a lifesaving procedure. With more than 2,000 licensed beds, we are also proud of our role as the primary teaching hospital for the University of Miami Miller School of Medicine.
Here, the best people come together to deliver Jackson's mission for our diverse communities. Our employees are committed to providing the best CARE by demonstrating compassion, accountability, respect, and expertise in everything we do.
Position Summary:
The Senior Manager, Compliance is responsible for coordination, implementation, continual monitoring and overseeing of the JHS Compliance Program to ensure compliance with all Federal and State regulatory requirements, as well as contractual obligations, policies, and procedures. The incumbent may assist and act in a confidential capacity to help manage, formulate, determine and effectuate management process and polices. The incumbent may attend management meetings and may be involved directly or indirectly in the decision making process around confidential management decisions. Position requires exercise of independent judgment.
Job Responsibilities:
Required Qualifications:
Experience:
Education
Jackson Health System is an equal opportunity employer and makes employment decisions without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, disability status, age, or any other status protected by law.
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