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System Director, Compliance & Internal Audit

Company: Hartford HealthCare
Location: Hartford
Posted on: August 2, 2020

Job Description:

Job Description:

Description Job Schedule: Full Time Standard Hours: 40 Job Shift: Shift 1 Shift Details: Work where every moment matters. Every day, almost 30,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network. Hartford HealthCare is a fully integrated health system that includes a tertiary-care teaching hospital, an acute-care community teaching hospital, an acute-care hospital and trauma center, three community hospitals, the state's most extensive behavioral health network, a large multispecialty physician group, a regional home care system, an array of senior care services, a large physical therapy and rehabilitation network and an accountable care organization. Through its institute model, Hartford HealthCare offers the highest standards of care for cancer, heart and vascular services, neuroscience, orthopedics and urology. Position Summary: The System Director will provide strategic leadership in regards to system-wide compliance and internal audit plans, investigations, risk assessments and policies and procedures serving as a true content expert in health care regulations. The System Director will be the Subject Matter Expert (SME) in internal audit theory and practice with the ability to evaluate the design and operating effectiveness of internal controls and make recommendations, as needed, for control enhancements and improvements. Additionally, the System Director will serve as the key compliance liaison to Hartford Hospital. Key Accountabilities: * Oversee compliance inquiries and investigations with subject matter expertise in matters relating to the Anti-Kickback Statute, Stark Law, Exclusion Statute, Human Subject Research, EMTALA, Beneficiary Inducement, Antitrust and other State and Federal non-privacy and healthcare reimbursement related laws and regulations * Manage the Internal Audit Function and the work of the outsourced internal audit partner. Responsible for all aspects of vendor management in the delivery of high quality internal audit reports with an emphasis on adding value to the organization. Effectively cascade audit recommendations and internal control improvements throughout all applicable campuses and facilities. Acts as the key liaison between the audit partner and all levels of HHC Management and Executive Leadership * Serve as the key corporate compliance liaison to Hartford Hospital, the flagship HHC campus. Build strong relationships with Hartford Hospital leadership and present periodic reports, updates and education to the leadership team * Perform risk assessments to evaluate and mitigate compliance risk. Link risk assessment activity to the development of a strong annual compliance work plan * Support the Enterprise Risk Management (ERM) activities at HHC by aligning ERM integrated frameworks and principles (i.e., COSO) with the HHC operating model and culture of ERM * Perform compliance due diligence activities for system business transactions including mergers, acquisitions and joint ventures * Provide general guidance to all levels of staff and management on compliance and regulatory issues * Address new and emerging compliance laws and requirements in collaboration with HHC management, including the development of education materials and policies and procedures as necessary * Develop, implement, promote and maintain policies and procedures. Facilitate education on policies and procedures as required * Coordinate response to the Office of Inspector General, Attorney General's Office, or other governmental entities, and organization officers as necessary * Maintain current knowledge of applicable federal and state laws and other regulations and accreditation standards, and monitor compliance and audit standards and changes in regulations to ensure organizational adaptation and compliance Qualifications * Master's Degree or Juris Doctorate required * Five plus years of experience in healthcare compliance, preferably in a large Healthcare system setting or in a consulting capacity * Five plus years of progressive leadership experience * CHC, CCEP or CIA certification is required * Demonstrated leadership skills with the ability to effectively manage, motivate and develop staff * Ability to research and interpret regulatory requirements and coordinate and monitor internal responses to complaints, audits and investigations. * Exceptional investigational skills including logical incident response coordination, clear and thorough written reports, effective interviewing and problem solving skills * Strong knowledge of Enterprise Risk Management frameworks and principles * Demonstrated organization, facilitation, communication and presentation skills * Prioritize, plan and work independently * Effectively work with and coordinate the activities of outside consultants and legal counsel * Lead by influence through a matrix organ

Keywords: Hartford HealthCare, Hartford , System Director, Compliance & Internal Audit, Executive , Hartford, Connecticut

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