Job Summary:
The Corporate Compliance Officer is responsible for the management and oversight of the corporate compliance program for GPTLHB, including the Oyate Health Center (OHC). The position ensures the governing body, management and employees are in compliance with the rules and regulations of regulatory agencies, that organization policies and procedures are being followed, and that behavior in the organization meets the company’s standards of conduct and meet ethical guidelines. This position is authorized to implement all necessary actions to ensure achievement of the objectives of an effective compliance program. This position partners with leaders from the governing body, management, clinical and support staff to ensure compliance and improve our relatives' care.
Essential Functions:
• Oversee day-to-day operations of the compliance program
• Chair/Co-Chair the Quality Assurance Compliance Committee.
• Plan, organize, implement, and monitor the organization's compliance program, including coordinating audit and assessment activities, communicating expectations and reporting results.
• Develop, initiate, maintain, and revise policies and procedures to prevent illegal, unethical, or improper conduct.
• Monitor and coordinate compliance activities of other departments, identifying potential areas of compliance vulnerability and risk and implementing corrective action plans.
• Collect, evaluate, and distribute data, providing regular reports to keep the governing body, CEO, and senior management informed of compliance efforts.
• Ensure proper reporting of violations to authorized enforcement agencies, collaborating with other departments to direct compliance issues for investigation and resolution.
• Consult with general counsel to address complex legal compliance issues and respond to alleged violations by initiating investigative procedures.
• Act as an independent review body to ensure compliance issues and concerns are appropriately evaluated, investigated, and resolved within the organization.
• Developing an effective compliance training program for employees in collaboration with HR and other departments
• Providing specialized training programs for clinical staff on compliance-related issues
• Keeping staff updated on changes in laws, regulations, and best practices
• Monitors, and as necessary, coordinates compliance activities of other departments to remain abreast of the status of all compliance activities and to identify trends.
• 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 avoid or deal with similar situations in the future.
• Provides reports on a regular basis and as directed or requested, keeps the Corporate Compliance Committee and senior management informed of the operation and progress of compliance efforts.
• Ensures proper reporting of violations or potential violations to duly authorized enforcement agencies as appropriate or required.
• Establishes and provides direction and management of the compliance hotline.
• Institutes and maintains an effective compliance communication program for the organization, including promoting a) use of the compliance hotline, b) heightened awareness of standards of conduct, and c) understanding of new and existing compliance issues and related policies and procedures.
• Works with the human resource department and others as appropriate to develop an effective compliance training program, including appropriate introductory training for new employees and ongoing training for all employees and managers.
• Monitors the performance of the compliance program and related activities on a continuing basis, taking appropriate steps to improve its effectiveness.
• Assists with and/or at times coordinates investigations to identify root cause analysis of incidents and near misses.
• Work with legal and procurement teams to draft contracts that outline the scope of work, deliverables, timelines, fees, and audit requirements, Include clauses that protect your organization, such as confidentiality agreements, indemnity clauses, and performance guarantees.
• Provide end-to-end support for Compliance, including consultation, diagnostics, planning, implementation, and evaluation.
Professional Behavior:
• Effectively plan, organize workload, and schedule time to meet the demands of the position.
• Work cooperatively and professionally with OHC and GPTLHB staff.
• Treat Great Plains tribes and collaborators with dignity and respect.
• Utilize practical verbal and written communication skills.
• Advance personal and educational development by attending training sessions and seminars as appropriate.
• Exemplify excellent customer service with tribal stakeholders, health board colleagues, program partners, service recipients, visitors, and guests.
• Foster a work environment of wellness, courtesy, friendliness, helpfulness, and respect.
• Relate well and work collaboratively with coworkers and all levels of staff in a professional manner.
• Consistently demonstrate respect for and acceptance of differing capabilities, cultures, genders, ages, sexual orientations, and personalities.
• Maintain and ensure organizational privacy and confidentiality.
• Handle crises and tolerate stress professionally.
• Be self-directed and take proactive initiative to assist others.
• Resolve issues with other departments and coworkers without direct supervision if needed.
• Exercise flexibility to alter plans/routines when situations require and continue to perform without projecting stress or frustration that would adversely affect the work environment.
• Promote an alcohol, tobacco, and drug-free lifestyle.
• Embrace modes of appearance and attire that reflect a professional presence.
• Adhere to GPTLHB policies and procedures.
• Other duties as assigned by the Supervisor
Requirements:
• Participates in Core Connections training and applies GPTLHB Core Connections concepts and practices in their work.
• Familiarity and/or experience working with American Indian populations and respect for and knowledge of traditional, cultural and spiritual practices of diverse American Indian communities, as well as an ability to work with other culturally and ethnically diverse populations.
• Possess the ability to resolve issues with other departments and coworkers without direct supervision.
• Able to exercise flexibility to alter plans/routines when situations require and continue to perform without projecting stress/frustration that would adversely affect the work environment.
• Ability to maintain a flexible work schedule, including evenings, weekends and overnight or extended travel as necessary.
• Ability to effectively present information in one-on-one and small group situations to community members, consumers and other employees of the organization.
• Proficiency with computer programs (Word, Excel, PowerPoint) and other Internet technologies.
•Valid driver’s license must be kept current, and certificates, credentials or licenses must be kept current and consistent with regulations required by applicable federal, state and/or grant regulations.
Supervisory Control:
The supervisor provides administrative direction with assignments in terms of broadly defined goals or functions.
The employee usually has responsibility for independently planning, designing, and carrying out programs, projects, studies, or other work.
Results of the work are considered technically authoritative and are normally accepted without significant change. If the work should be reviewed, the review concerns such matters as fulfillment of program objectives, effect of advice and influence on the overall program, or the contribution to the advancement of technology. Recommendations for new projects and alteration of objectives usually are evaluated for such considerations as availability of funds and other resources, broad program goals, or established priorities.
Guidelines:
Guidelines are broadly stated and nonspecific, e.g., broad policy statements and basic legislation that require extensive interpretation.
The employee must use judgment and ingenuity in interpreting the intent of the guides that do exist and in developing applications to specific areas of work. Frequently, the employee is recognized as a technical authority in the development and interpretation of guidelines, policies and organizational requirements.
Complexity:
The work includes varied duties requiring many different and unrelated processes and methods that are applied to a broad range of activities or substantial depth of analysis, typically for an administrative or professional field. Decisions regarding what needs to be done include major areas of uncertainty in approach, methodology, or interpretation and evaluation processes that result from such elements as continuing changes in program, technological developments, unknown phenomena, or conflicting requirements.
The work requires originating new techniques, establishing criteria, or developing new information.
Scope and Effect:
The work involves planning, developing, and carrying out vital administrative or scientific programs.
The programs are essential to the missions of the organization or affect large numbers of people on a long-term or continuing basis.
Personal Contacts:
The personal contacts are with individuals or groups from outside the organization in a moderately unstructured setting. For example, the contacts are not established on a routine basis and the purpose and extent of each contact is different.
Purpose of Contacts:
The purpose is to influence, motivate, interrogate, or control persons or groups. The persons contacted may be fearful, skeptical, uncooperative, or dangerous. Therefore, the employee must be skillful in approaching the individual or group in order to obtain the desired effect, such as gaining compliance with established policies and regulations by persuasion or negotiation or gaining information by establishing rapport with a suspicious informant.
Physical Demands:
The work is sedentary. Typically, the employee sits comfortably to do the work. However, there may be some walking; standing; bending; carrying of light items, such as papers, books, or small parts; or driving an automobile. The employee must be able to read, write, speak and hear.
Work Environment:
The environment involves everyday risks or discomforts that require normal safety precautions typical of such places as offices, meeting and training rooms, requiring use of safe work practices with office equipment, avoidance of trips and falls, observance of fire regulations and traffic signals. The work area is adequately lighted, heated, and ventilated.
Supervisory and Management Responsibility:
This position is a first level supervisor and is usually responsible for the work performance of a small group of employees or a larger group with a homogeneous objective (i.e., employees all perform same basic type of work). The employee is responsible for planning, organizing and monitoring day‑to‑day work on a short‑term cycle. This position assigns work to subordinates, adjusts workflow to maintain balance among positions and meet priorities or deadlines, and makes minor changes in structure, methods, or procedures as necessary to accommodate changes in work pattern, emphasis, or capability. The employee may recommend major changes for higher level action. The employee usually counsels with employees and hears and resolves minor complaints and grievances and participates in performance evaluation and personnel management recommendations.
MINIMUM QUALIFICATIONS:
Master’s degree and three (3) years of relevant experience, or bachelor’s degree and five (5) years of progressively responsible relevant experience. The experience required for supervisory/management positions will be inclusive of at least three (3) years of supervisory/management experience.
This is a senior professional and/or management position that requires post-secondary education and/or considerable experience or a clinical degree requiring a clinical rotation/internship. Individuals must have applicable education and/or experience applying principles, concepts, and methodology of a professional or administrative occupation to permit the independent performance of recurring assignments or carrying out difficult/complex assignments, operations, and procedures; or applicable education and/or experience applying a wide range of technical methods, principles, and practices similar to a narrow area of a professional field such as the design and planning of difficult, but well-precedented projects.
Preferred Education and Experience Requirements:
A master's degree in health administration (MHA), Business Administration (MBA), Public Health (MPH), or Juris Doctor (JD)
Experience in managing compliance programs and conducting audits in a healthcare setting. Strong understanding of healthcare laws and regulations, including HIPAA, Stark Law, Anti-Kickback Statute, and other federal and state regulations.
The GPTCHB is a tribal organization which follows tribal preference laws. It is our policy to give preference to qualified Indian/Tribal candidates overqualified non-native candidates in hiring decisions if all other qualifications are equal.
Employment is contingent upon passing a pre-employment drug test and the outcome of all required criminal background checks.