National Director of Clinical Compliance

Company: AllerVie Health Professional
Location: Plano
Posted on: May 14, 2022

Job Description:

At AllerVie Health, our team members are unified around our mission to help patients achieve and maintain optimal health and quality of life - free from the symptoms and suffering of allergies, asthma, and related immunological conditions. From our physician and clinical roles to our administrative and operational support roles and everything in between - we change lives for the better - giving people their lives, health, and vitality back in real, tangible ways. We live every day on mission and wake up excited to tackle new challenges and provide people with health solutions.General Job Description:The National Director of Clinical Compliance is responsible for ensuring AllerVie, its employees, providers, and partners are educated on, attest to awareness of, and maintain compliance with government regulations and avoid missteps that could result in hefty fines, legal ramifications, and reputation damage. The compliance director is responsible for communicating and enforcing compliance culture, values, policies, and procedures making sure AllerVie employees, partners, and providers are following internal State and Federal compliance standards. The director will be expected to assess compliance risks, creating action plans to handle potential issues, provide regular reports on the effectiveness of compliance measures, and track applicable laws and regulations that affect compliance, reporting, anticipating emerging compliance trends, and updating policies as needed to meet the changing demands. The National Director of Clinical Compliance will also advise Chief Compliance Officer on clinical compliance, actions or changes that should be implemented, and risks identified. The National Director of Clinical Compliance is expected to collaborate as a partner, demonstrate compliance as a business priority, and help drive a culture of compliance throughout the organization.Overview of typical duties for the Director of Compliance:

• Establishes compliance operational strategies by evaluating trends, establishing critical measurements, accumulating resources, resolving problems, and implementing change
• Enhances compliance and organization reputation by bringing compliance recognition to the company and providing leadership in the industry
• Must have strong knowledge of federal and state regulatory guidelines and standards, knowledge of compliance standards and policies, audit/assessment/investigation techniques, regulatory issues, and operations and procedures.
• Developing, implementing, and managing AllerVie s compliance program. Develops, maintains, and updates policies and procedures for the operation of the national Compliance Program and its related activities to prevent illegal, unethical, or improper conduct
• Coordinating with federal and state regulators, as needed
• Planning, implementing, and overseeing risk-related programs, assessments, and investigations
• Improves and oversees a system to ensure that compliance issues and concerns are being appropriately evaluated, investigated, resolved, and documented.
• Conducts investigation of all incident reports as identified by internal audits, hotline reports, and other sources to determine appropriate response. Reviews and analyzes all occurrence reports for risk management, quality of care, regulatory and insurance concerns. Prepares incident summary reports; provides all required documentation for investigations, activities and resolutions related to the reported incident(s).
• In conjunction with appropriate staff, assists in identifying potential clinical risk through risk assessment, analysis of harmful and no-harm incidents, and near miss incidents, periodic safety inspections, and/or audits. Makes recommendations to reduce, prevent or eliminate risks identified.
• Accurately and succinctly presents cases to legal, compliance, executive leadership, or physician leadership in a timely manner.
• Maintains a risk assessment database and liaises with managers and department heads on concerning incidents or issue trends. Collaborates with Operations, Facilities, Clinical Training, and Employee Safety on the development and implementation of the Clinical Risk Management Action Plan.
• Developing company compliance communications, standardized monthly and annual assessments, training, and attestations. Coordinating, scheduling, and monitoring required compliance training, goals, and attestations for employees
• Monitors and proposes policy and program changes related to new government regulations, pronouncements, and industry standards.
• Develops compliance organizational strategies by contributing information, analysis, and recommendations to strategic thinking and direction, establishing functional objectives in line with AllerVie s objectives
• Updates job knowledge by participating in educational opportunities, reading professional publications, and participating in professional organizationsRequirementsSkills needed to succeed:AllerVie is seeking a professional with excellent analytical, project management, and organizational skills. Must demonstrate an in-depth knowledge of healthcare industry laws, regulations, and guidelines (e.g., FDA laws and regulations, CMS laws and regulations, Foreign Corrupt Practices Act, Federal Anti-kickback, OSHA, and HIPAA). Proven ability to develop, implement, and document policies, projects, processes, and controls across an organization. Experience conducting and documenting internal investigations. A minimum of 10 years experience in compliance, risk, regulatory and/or legal. A bachelor s degree in nursing, healthcare, or a related field is a must. Preferred master s degree in healthcare, business administration, or related field preferred. Managerial experience a plus. International Compliance Association (ICA) certification, Certified Securities Compliance Professional (CSCP), Health Care Compliance Association (HCCA) Compliance Certification Board (CCB) certifications, Certified Healthcare Compliance (CHC), Health Ethics Trust (HET) professional certification, Certified Compliance Professional (CCP) a plus.While both financial and business acumen are necessities for compliance officers, the National Director of Clinical Compliance must also have a solid mix of soft skills, including leadership abilities. Expert communication and public speaking skills are needed to facilitate a better organizational understanding of complex regulatory standards. Integrity and a history of ethical decision-making are also essential.
  • Healthcare industry compliance experience is a must
  • Understanding of regulatory frameworks
  • Management and leadership
  • Ability to embrace complexity
  • Operations research
  • Ability to develop standards for maintaining legal compliance
  • Data analytics skills
  • Organization, project management, and strategic planning skills
  • Familiarity with process improvement methodology
  • Budget development and maintenance
  • Quality management
  • Financial planning and strategy
  • Critical thinking and problem-solving skills
  • Excellent verbal communication and documentation skills
  • Attention to detailWork Expectations, Hours, & Benefits:
    • At least 50% travel required.
    • The satisfaction of driving real change in the industry and people s lives
    • A diverse global community of people who are driven by a shared purpose to better the lives of patients across the nation
    • A business that acts with integrity in all interactions with co-workers, leaders, and customers; values others and build success by appreciating differences in thought, opinion, background, skills and perspectives
    • An environment of continuous learning and development with meaningful opportunities for professional development and mentoring
    • Collaborative organizational structures which elevate employees level of responsibility
    • Competitive compensation package, including salary, PTO, 401K, medical/dental/vision, and other benefits as well as potential for bonusAllerVie Health is an equal opportunity, affirmative action employer providing equal employment opportunities to applicants and employees without regard to race, color, religion, age, sex, sexual orientation, gender identity/expression, national origin, protected veteran status, disability status, or any other legally protected basis, in accordance with applicable law.

Keywords: AllerVie Health Professional, Plano , National Director of Clinical Compliance, Healthcare , Plano, Texas