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SR DIR, COMPLIANCE
Job Title: SR DIR, COMPLIANCE
Job Code: 5626
FLSA: E
Job Level: J1
Revised Date: 01/01/2024
Supervisory Responsibility: Yes
General Description of the Job Class
Direct and provide strategic vision, people leadership and general oversight of multiple segments of DUHS Compliance Program, Direct and monitors the system-wide compliance activities and staff on a daily basis for all DUHS facilities. Contributes to planning, designing, implementing, and managing compliance program, including develop and implement policies and procedures, educational programs, and internal review to determine the effectiveness of the Compliance Program to meet regulatory compliance with applicable laws and regulations. Reports to DUHS Chief Compliance Officer. Assumes management responsibilities of a team of Compliance professionals typically including Director(s) of specialties within compliance.
Duties and Responsibilities of this Level
Provide direction and 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.
Lead system initiatives for all segments within responsibility.
Provide direction and oversight of all areas of compliance services including audit reports.
Provide strategic fixes to root causes within segment areas and contribute to fixes within overall DUHS Compliance.
Review and/or identify need for written policies, procedures and guidelines designed to address operational processes and compliance with laws and regulations and related compliance functions.
Oversee all training programs related to segment compliance 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.
Communicate regulatory changes to operational areas.
Lead annual risk assessments to identify regulatory vulnerabilities and risks and prioritize risks to develop and oversee compliance plan.
Provide oversight for the creation and status of the annual work plan.
Lead drafts of quarterly Compliance/Audit Committee reports and perform quality review of departmental report.
Lead and resolve all external audit requests and refunds. Manage the planning and managing of scheduling and scope of audits through resolution, nd oversee implementation of corrective actions.
Review and evaluate segment audits, including confirm scope and quality review.
Negotiate BAAs with vendors.
Createkey metrics to monitor and assess effectiveness of key compliance activities and implement departmental process improvements.
Manage external agencies queries and investigations, including drafting and overseeing responses to agencies and implementing corrective action or appeals.
Facilitate agendas of facility compliance committees and function as liaison with the DUHS Chief Compliance Officer and facility leadership.
Manage the development of reports for Senior Leadership, and Compliance/Audit Committee, DUHS Board of Directors in coordination with the DUHS Chief Compliance Officer.
Perform other related duties incidental to the work described herein.
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 seven years of 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
Strong leadership presence and skills.
Proven capabilities in building and leading teams.
Ability to work with others in a cooperative, collaborative manner.
Strong written and oral communication skills.
Distinguishing Characteristics of this Level
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.
