Compliance Officer - EMHS

Job Number 55978
Posted 7/3/2018
Account EMHS
Department Compliance & Internal Audit
Location EMHS - Wilson St., Brewer, ME 04412
Schedule Regular Full-time
Shift Day
Hours 8:00am-4:30pm
Job Details This position is open to EMHS system employees only

Job Summary
Under the direction of the EMHS Manager of Compliance, the EMHS Compliance Officer develops, implements, and maintains the EMHS Compliance Program to assure EMHS Member compliance with internal policies and procedures and all applicable federal and state health care laws and regulations, including HIPAA. The EMHS Compliance Officer partners with EMHS Home Office departments to provide service, assistance and guidance to Members on all manner of compliance-related matters; develops and reviews compliance and privacy-related policies and procedures; creates and implements compliance education; identifies potential areas of vulnerability and risk; and develops, implements and monitors corrective action plans to resolve instances of conduct that do not conform to EMHS policies or to federal or state laws or regulations.

Education and Experience

•Bachelor's Degree required. A graduate degree in Law, Business, Health Administration or suitable related discipline preferred.
•CHC/CHP/CCEP preferred.
•At least five (5) years of healthcare leadership experience required.
•At least five (5) years' experience with healthcare related regulatory and compliance issues preferred.
•Familiarity with healthcare laws, regulations, and standards, including HIPAA required.
•Acute care hospital compliance officer experience preferred.

Required Minimum Knowledge, Skills and Abilities

•Excellent communication skills, both verbal and written.
•Strong analytical skills.
•Attention to every detail.
•Highest degree of credibility, integrity and discretion.
•Comfortable working independently and able to effectively manage large, complex projects through their entire life cycle with minimal supervision.
•Thrives on wide variety of intellectually challenging work.
•Comfortable assessing complex facts that may not lead to a black or white answer.
Essential Functions

•Serves as a role model for compliant behavior consistent with the EMHS Mission, Vision and Values.
•Demonstrates excellent written and verbal communication skills.
•Builds and maintains credibility and collaborative working relationships with compliance clients, including at the Home Office and Members.
•Handles deadlines and multiple projects.
•Identifies potential areas of compliance vulnerability and risk; develops and implements corrective action plans for resolution of problematic issues; and provides general guidance on how to ensure compliance on a consistent basis.
•Directs and manages the compliance hotline. Maintains an effective compliance communication program for the organization, including promoting: (a) use of the compliance hotline; (b) heightened awareness of Code of Conduct and EMHS Values, and (c) awareness and understanding of new and existing compliance issues and related policies and procedures.
•Implements an effective general compliance training program for new employees and annual refresher training for existing employees.
•Makes presentations to EMHS management and their respective Boards as requested.
•Member of EMHS Compliance Task Force.
•Provides technical assistance to EMHS Home Office and EMHS Members as needed.

•Responsible for ensuring compliance with HIPAA privacy regulations and Maine privacy laws.
•Provides leadership and oversight for all privacy-related activities across EMHS.
•Works closely with the Information Security Officer on HIPAA security issues.
•Performs ongoing risk assessments and audits to ensure HIPAA compliance.
•Conducts periodic compliance risk assessments testing compliance with established laws, regulations and EMHS policies.
•Assists with the development, implementation, and maintenance of a comprehensive system-wide audit & compliance plan that ensures compliance with all Federal & State regulatory requirements.
•Monitors the performance of the compliance program and related activities on a continuing basis, taking appropriate steps to improve compliance effectiveness.
•Assists with the development, implementation, maintenance, and revision of compliance policies and procedures.
•Identifies potential regulatory compliance obligations.
•Documents all work performed.
•Other duties as assigned.

•Completes necessary continuing education to maintain professional licenses/certifications.
•Keeps current with emerging compliance risk areas and recommends new and/or changes to appropriate policies and procedures.
•Serves as an internal authority on relevant compliance laws and regulations, including developments that may affect EMHS.

Organizational Values
Passion: We demonstrate a passion for caring for others and the pursuit of service excellence in all that we do.
Integrity: We commit to the highest standards of behavior and doing the correct thing for the right reasons.
Partnership: Working together in collaboration and teamwork is more powerful than working alone.
Accountability: We take a responsible and disciplined approach to achieving our priorities and responding to an ever changing environment.
Innovation: We are capable of extraordinary creativity and are willing to explore new ideas to achieve our healthcare mission.
Respect: We respect the dignity, worth and rights of others.

Safety Requirements
•Assist in maintaining a work environment free from recognized hazards that create a risk or injury to employees, patients, or visitors
•All accidents and incidents are reported by employees within 24 hours and supervisor to submit properly investigated report timely
•Ergonomic evaluations are completed as needed
•When appropriate, assist and support with the return of all workers with work related injuries and illness to gainful employment

Physical Demands
•Sedentary: Exerting up to 10 lbs. occasionally, sitting most of the time, and only brief periods of standing and walking.
•Requires the ability to travel to member organizations as needed

Note: the duties listed above reflect the majority of the essential duties of this job and does not, nor is it intended to, reflect all essential duties that may be required for an incumbent in this job to perform.

Equal Opportunity Employment
We are an equal opportunity, affirmative action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, disability status, gender, sexual orientation, ancestry, protected veteran status, national origin, genetic information or any other legally protected status.