Duke University Health System (DUHS) Job Descriptions
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COMPLIANCE DIRECTOR
Job Title: COMPLIANCE DIRECTOR
Job Code: 5331
FLSA: E
Job Level: I1
Revised Date: 04/01/2021
Supervisory Responsibility: Yes
General Description of the Job Class
Direct and provide oversight of DUHS Compliance Program Specialty area. Directs and monitors the system-wide compliance activities and staff on a daily basis for all DUHS facilities for specialty area. Contributes to planning, designing, implementing, and managing compliance program specialty, including develop and implement policies and procedures, educational programs, and internal review to determine the effectiveness of the Compliance Program Specialty to meet regulatory compliance with applicable laws and regulations. Reports to Senior Director or DUHS Chief Compliance Officer. Assumes management responsibilities of a team of Compliance professionals.
Duties and Responsibilities of this Level
Provide direction and day to day oversight of certain areas of operations including auditing and monitoring, Medicare conditions of participation, licensure, compliance hotline and investigations, Anti kickback and Stark Law, and conflicts of interests.
Review, revise, develop and/or direct written policies, procedures and guidelines designed to address operational processes and compliance with laws and regulations and related compliance functions.
Create training programs related to regulatory risk areas to educate employees in policies, procedures and regulatory requirements relevant to their work, and coordinate training programs to achieve effectiveness.
Monitor new regulations and impact on business and provide technical guidance to affected departments.
Lead annual risk assessments to identify regulatory vulnerabilities and risks and prioritize risks to develop and oversee compliance plan.
Lead regulatory audits, including manage planning, identify gaps and effectiveness of current controls, analyze findings and develop remediation plans for addressing deficiencies as needed and oversee implementation of corrective actions.
Create and monitor key metrics to monitor and assess effectiveness of key compliance activities and implement departmental process improvements.
Analyze compliance quality assurance reports from operational departments to evaluate areas of opportunities of non-compliance and direct revisions of internal controls that should be strengthened.
Manage external agencies queries and investigations, including drafting and overseeing responses to agencies and implementing corrective action or appeals.
Chair and facilitate facility compliance committees and summarize and report compliance activity to the Senior Director or DUHS Chief Compliance Officer and facility leadership.
Develop reports for Senior Leadership, and Compliance/Audit Committee, DUHS Board of Directors in coordination with the Senior Director or DUHS Chief Compliance Officer.
Manage the hiring, performance, development and activities for team of compliance professionals.
Required Qualifications at this Level
Education
Work requires organizational, analytical and communication skills acquired through the completion of a bachelor degree program in Business Administration or Health Administration. A Juris Doctor degree, CPA, Masters degree in Hospital Administration, Business Administration or a related field is preferred.
Experience
Work requires a minimum of five years experience in compliance within the healthcare industry, to include leadership experience. Demonstrated ability to proactively identify and manage risks and develop appropriate internal controls. Proficient knowledge of laws, regulations, and standards related to health care compliance. Requires outstanding analytical, written, and verbal communication skills.
OR AN EQUIVALENT COMBINATION OF RELEVANT EDUCATION AND/OR EXPERIENCE
Degrees, Licensure, and/or Certification
N/A
Knowledge, Skills, and Abilities
N/A
Distinguishing Characteristics of this Level
N/A
The intent of this job description is to provide a representative and level of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a declaration of the total of the specific duties and responsibilities of any particular position. Employees may be directed to perform job-related tasks other than those specifically presented in this description.
Duke University is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.
Essential Physical Job Functions
Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.
