- Proactively detect and deter misconduct and identify areas of legal risk or exposure
- Serve as on-site champion for and organizational expert on ethical and compliant practices and behaviors consistent with our values and Code of Conduct
- Support the implementation of appropriate policies and procedures and compliance training
- Conduct investigations in partnership with compliance subject matter experts
- Maintain a system of compliance reporting and metrics, including corrective action implementation and validation
- Responsible for following up on reported incidents of non-compliance, coordinating internal investigations, and preparing reports on incidents and investigation findings
- Provide oversight and support related to compliance with laws, best practices, and regulations
- Collaborate with management to implement solutions to eliminate potential risks
- Highlight information about compliance risks and to develop mitigation strategies to ensure that compliance risks are addressed
- Provide effective means for individuals to report allegations of non-compliance; and a process for the implementation of corrective action plans in response to any identified compliance issue
- Research techniques, practices, and utilize expertise in all areas of compliance
- Draft and implement healthcare and compliance-related policies and procedures
- Perform legal and regulatory research and analysis designed to support team members and provide strategic guidance on healthcare compliance-related implications
- Perform assigned investigations and compliance program projects
- Assist with the evaluation of areas of potential billing fraud and abuse, and compliance risk assessment
- Act as a resource within the organization on all areas of regulatory compliance
- Proactively identify potential issues, support risk assessments and audits, and develop work plans to monitor and address identified risks
- A Bachelors in public health or health services administration is required
- At least two (2) years of healthcare compliance experience
- Government program compliance experience is preferred
- Certification in Healthcare Compliance, and/or Healthcare Privacy Compliance, and/or Compliance & Ethics Professional Certification is preferred
- Familiar with OHP Medicaid
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Compliance Officer - Salem - Interdent Sa
Description
Capitol Dental, part of the InterDent Service Corp organization, is a community-focused dental care provider committed to expanding access to affordable, high-quality oral health services across Oregon.
Known for its patient-first approach and welcoming environment, Capitol Dental offers a full spectrum of general and specialty care designed to meet the needs of families and individuals of all ages.
Rooted in preventive care and supported by advanced technology, the brand emphasizes long-term relationships, education, and continuity of carereflecting its dedication to healthier smiles and stronger communities.
Position Summary
The Compliance Officer will ensure healthcare compliance and ethical practices by creating and directing compliance initiatives and managing the implementation and adoption of program elements across the organization. The Compliance Office will leverage our organizational values and desired behaviors to guide team members towards self-governance and ethical best practices. This position supports contracts with the State and Coordinated Care Organizations throughout the state of Oregon.
Responsibilities
Qualifications
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
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