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Sr. Advisor, Compliance & Privacy Manager

Company: Cancer Treatment Centers of America
Location: Zion
Posted on: June 20, 2022

Job Description:

Job Description

Sr. Advisor, Compliance & Privacy Manager

Cancer care is all we do

Hope in healing

Cancer Treatment Centers of America - (CTCA), part of City of Hope, takes a unique and integrative approach to cancer care. Our patient-centered care model is founded on a commitment to personalized medicine, tailoring a combination of treatments to the needs of each individual patient. At the same time, we support patients' quality of life by offering therapies designed to help them manage the side effects of treatment, addressing their physical, spiritual and emotional needs, so they are better able to stay on their treatment regimens and get back to life. At the core of our whole-person approach is what we call the Mother Standard - of care, so named because it requires that we treat our patients, and one another, like we would want our loved ones to be treated. This innovative approach has earned our hospitals a Best Place to Work distinction and numerous accreditations. Each of us has a stake in the successful outcomes of every patient we treat.

Job Description:

The Compliance Advisor is responsible for managing the implementation of CTCA's Privacy Program, Ethics and Compliance program. This role implements and monitors CTCA's policies and procedures to ensure compliance with all applicable federal, state, and local laws, regulations and accreditation requirements including Medicare and Medicaid reimbursement, Stark and AKS, Joint Commission and HIPAA, as well as non-healthcare specific requirements such as ADA, OSHA and EEO as well as all CMS, HHS and OIG regulations and advisements. The Advisor is responsible for providing on-site/virtual compliance education in-line with enterprise objectives at our Phoenix locations in accordance with local needs and enterprise-wide priorities, including educating Stakeholders on CTCA's Standards of Conduct, compliance, ethics plan and HIPAA. The Advisor tracks laws and regulations that might affect the organization's policies and procedures and works with other members of the compliance team to design policies and training as appropriate. The Advisor investigates reports of alleged violations of CTCA's privacy and compliance policies along with state and local laws pertaining to such. The Advisor gathers information and prepares compliance reports for which the Chief Compliance Officer will present to the executive leadership teams. The Advisor advises and issues guidance on privacy and compliance matters.

This role is also responsible for monitoring and managing compliance related complaints via the hotline or via other method, investigating and enforcement.

The Advisor will report to CTCA's Compliance Officer with dotted line responsibility to the hospitals' CEOs.

Job Responsibilities

50% - The Compliance Advisor is responsible for managing the implementation of CTCA's Privacy Program, Ethics and Compliance program. This role implements and monitors CTCA's policies and procedures to ensure compliance with all applicable federal, state, and local laws, regulations and accreditation requirements including Medicare and Medicaid reimbursement, Stark and AKS, Joint Commission and HIPAA, as well as non-healthcare specific requirements such as ADA, OSHA and EEO as well as all CMS, HHS and OIG regulations and advisements. The Advisor is responsible for providing on-site/virtual compliance education in-line with enterprise objectives at our Phoenix locations in accordance with local needs and enterprise-wide priorities, including educating Stakeholders on CTCA's Standards of Conduct, compliance, ethics plan and HIPAA. The Advisor will work closely with the hospitals' CNOs, CEOs and Directors of Risk, Quality and Safety and will participate in the daily safety check-in to evaluate and ensure the effectiveness of the compliance program. The Advisor will participate in hospital and management leadership committees as a key member of the hospital leadership teams. The Advisor will also be an active Participant in all enterprise compliance team calls and enterprise work groups to facilitate enterprise compliance initiatives.

20% - The Advisor initiates, facilitates, and promotes activities to foster a compliance environment as well as information privacy awareness with the hospitals and related entities. Ensures compliance with privacy practices and consistent application and recommendations of sanctions for failure to comply with privacy policies, working with Talent and legal counsel as appropriate. Ensures compliance with all privacy related policies and investigates and tracks any alleged policy violations and ensures reporting as required to the appropriate government agencies. The Director, Compliance and Privacy Officer oversees the CTCA Health Plan privacy program.

5% - The Advisor helps to prepare compliance reports that are to be presented to executive leadership by the Chief Compliance Officer.

15% - The Advisor tracks laws and regulations that might affect the organization's policies and procedures and works with other members of the compliance team to draft and update risk assessment plans, audit and monitoring protocols and policies and training as appropriate. Monitors for known risk areas and the OIG's work plan and oversees defense audits and payer-initiated audits, in accordance with CTCA audit policies.

10% - The Advisor investigates reports of alleged violations of CTCA's compliance policies and Standards of Conduct, whether raised through the Compliance Hotline or otherwise, and recommends corrective action plans and ensures that appropriate enforcement action is taken.

Skills, Education and Additional Information

  • Bachelor's degree required OR 7+ years of relevant experience
  • Certified in Healthcare Compliance (CHC) or equivalent strongly advised
  • 5+ years of progressive compliance experience required with some, if not all of that time, spent within the healthcare arena.
  • Healthcare experience in a hospital, physician or other medical setting required
    #LI-CTCA

    We win together

    Each CTCA employee is a Stakeholder, driven to make a true difference and help win the fight against cancer. Each day is a challenge, but this unique experience comes with rewards that you may never have thought possible. To ensure each team member brings his or her best self, we offer exceptional support and immersive training to encourage your personal and professional growth. If you're ready to be part of something bigger and work with a passionate, dynamic group of care professionals, we invite you to join us.

    Visit: Jobs.cancercenter.com to begin your journey.

Keywords: Cancer Treatment Centers of America, Kenosha , Sr. Advisor, Compliance & Privacy Manager, Executive , Zion, Wisconsin

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