The Compliance Officer reflects the mission and vision of Cook County Health & Hospitals System (CCHHS) adheres to the organization’s Code of Conduct and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.
The Compliance Officer is responsible for the ongoing development, implementation, maintenance, and evolution of the CCHHS compliance program and all related compliance activities. This includes, but is not limited to, the development and subsequent assessment of comprehensive policies and procedures, protocols, compliance training, and internal investigations.
This position is exempt from Career Service under the CCHHS Personnel Rules. The Compliance Officer reports to the Chief Corporate Compliance & Privacy Officer.
Please include the job title Compliance Officer in the subject line of your email. An application or resume/CV must be filed for each position which interests you. To receive Veteran Preference, appropriate discharge papers must be included with your emailed resume/CV.
FUNDAMENTAL JOB DUTIES
Serves in a leadership capacity to develop the system-wide compliance program in conjunction with the Chief Compliance Officer
Collaborates with operational leadership to facilitate operational ownership of compliance
Synchronizes system-wide compliance program materials and messaging to present a uniform approach
Oversees, directs, delivers, or ensures delivery of compliance training, both global and specialty, for employees, physicians, volunteers, students, vendors, and consultants
Assesses, evaluates, implements, maintains, and updates CCHHS compliance policies and procedures
Establishes a structured process for regulatory review, monitoring, and dissemination of information. Modifies policies, procedures, and projects to reflect changes in laws and regulations
Develops and coordinates compliance projects with CCHHS system entities as delineated in the Compliance Program Annual Work Plan and perform prospective reviews in conjunction other personnel as deemed necessary, and as determined by the Chief Corporate Compliance & Privacy Officer
Performs system-wide interviews with all key personnel to validate compliance with established policies and procedures and applicable regulations in conjunction with other personnel, as deemed necessary
Prepares and analyzes a narrative description of the process or function under review in order to evaluate potential strengths and weaknesses and to determine the adequacy of the overall system to ensure compliance, as deemed necessary
Develop reports upon completion of each compliance review, which details recommendations designed to correct any potential weaknesses or areas of non-compliance discovered during the review
Perform Follow-Up reviews as generated by the Compliance Program Work Plan to ensure action plans have been adequately implemented
Assure that Compliance Program reports are produced for the Chief Executive Officer, Board of Directors, and/ or the Audit and Compliance Committee of the Board of Directors, as directed by the Chief Corporate Compliance Officer
Establishes and administers a process for receiving, documenting, tracking, investigating, and taking action on all compliance concerns
Perform compliance interviews and investigate reports of alleged non-compliance to determine the validity, nature and scope of the report in conjunction with the designated team members, as identified by the Chief Corporate Compliance & Privacy Officer
Collaborates with operational areas to remediate concerns through action plans to correct potential weaknesses and assure ongoing compliance
Develop Compliance Reports during the course of the investigation and subsequent to the completion of the investigation under the auspices of the Chief Corporate Compliance & Privacy Officer, and Legal Counsel if deemed necessary
Maintains highest levels of confidentiality regarding all departmental operations – in communication both verbal and written and with the use of technology
Master’s Degree in Healthcare, Business, Education, or related field
Three (3) years of conducting complex healthcare analysis and investigations
Leadership competencies to include planning and organizing, problem solving, informing, consulting, supporting, and networking
Knowledge of coding/utilization, billing, medical records, review/analysis, and documentation
Juris Doctor (J.D.)
Professional Registration/Certification as a RN or other clinical healthcare credentials, current & active, including but not limited to RHIA, CPA, CFE, or CHC. (Must obtain CHC credentials within 6-months of hire)
Five+ (5+) years recent managerial/supervisory experience in a hospital or a large multi-specialty clinic setting with experience in the areas of compliance, audit, risk, quality and/or legal
The Cook County Health & Hospitals System’s mission is to deliver integrated health services with dignity and respect regardless of a patient’s ability to pay; foster partnerships with other health providers and communities to enhance the health of the public; and advocate for policies that promote the physical, mental and social wellbeing of the people of Cook County.
CCHHS is comprised of two hospitals, John H. Stroger, Jr. Hospital and Provident Hospital, a robust network of more than a dozen community health centers, the Ruth M. Rothstein CORE Center, the Community Triage Center, the Cook County Department of Public Health, Cermak Health Services, which provides health care to individuals at the Cook County Jail and the Juvenile Temporary Detention Center, and CountyCare, a Medicaid managed care health plan.
The system cares for more than 300,000 patients each year and its physicians are experts in their fields, committed to providing their patients with comprehensive, compassionate and cutting-edge care. Today, CCHHS is transforming the provision of health care in Cook County by promoting community-based primary and preventive care, growing an innovative, collaborative health plan and enhancing the patient experience.