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Stanford Health Care Sr. Manager, Compliance and Ethics (Healthcare) in United States

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Day - 08 Hour (United States of America)

This is a Stanford Health Care job.

A Brief Overview

The Senior Manager-Compliance (Healthcare) is a visible leadership role who will support, enhance, and lead components of the Stanford Medicine Compliance and Ethics Program. The role will address risks related to health care compliance and ethics requirements, and ensure all policies, processes, and practices adhere to expectations of the Federal Sentencing Guidelines, DHHS Office of the Inspector General, and the Department of Justice. The ideal candidate will be knowledgeable of, and have experience in, all elements of corporate compliance in relationship to healthcare delivery. He or she will have broad familiarity with the laws and regulations governing the activities of hospitals and health care providers, as well as a strong leadership presence and the demonstrated ability to collaborate effectively with large teams consisting of business, legal, compliance, internal audit, human resources, and operational colleagues in a highly matrixed environment.

This position is responsible for coordinating compliance activities between the Stanford Medicine Adult and Children's Hospitals and affiliated entities. This position is also responsible for investigating reports of alleged violations and wrongdoing, as necessary. The Senior Manager proactively assists with the management, design, and implementation of strategies, policies, processes, and tools that facilitate effective and efficient compliance practices. This role reports to the Senior Director, Compliance and Ethics in the Stanford Medicine Compliance and Privacy Office and will work closely with the Senior Director to enhance the overall design, implementation, and development of an effective compliance program. This position will have management responsibility of two (2) direct reports and actively support the growth of the compliance and ethics team.

Locations

Stanford Health Care

What you will do

  • Proactively assist with the design, development, enhancement, and implementation of the compliance program that includes training, policies, investigations, auditing, and reporting.

  • Manage the development and deployment of a deliberate compliance training, policy, and communications strategy and program that builds awareness of the program, processes, and policies pertinent to health care compliance.

  • Identifies, monitors, researches, analyzes, and communicates new and changing laws and regulations, including helping the organization assess potential impacts and identify areas of risk, process gaps, or compliance-related issues. Communicates and advises compliance leadership on significant compliance issues, new or changing legal and regulatory requirements, trends, potential or existing risks in current or proposed operations, and the status of ongoing corrective action plans.

  • Identify and implement solutions to enhance and update the compliance policy governance framework, including the Code of Conduct revision, and compliance related training and communications.

  • Develops and conducts periodic risk assessments, monitors key elements of the Compliance and Ethics program, and ensures implementation of training programs and compliance and ethics workplan.

  • Creates regular and thorough hospital compliance program reports and dashboards for the Audit, Compliance, and Enterprise Risk Board Committee and Corporate Compliance Committee, and management as requested.

  • Proactively collaborate with Stanford Medicine leadership and stakeholders to serve as a subject matter consultant to clinical and operational teams in collaboration with the Office of General Counsel with working knowledge of key laws and regulations that apply to hospital and provider compliance, including, but not limited to, Anti-Kickback Statute, EMTALA, the Stark Law, Conflicts of Interest, Gifts and Entertainment, and Medicare and Medicaid program requirements.

  • Develop written policies, procedures, and programs that promote compliance and oversees activities to promote adherence to these policies, procedures, and programs.

  • Lead the internal transition to a new incident management and document management system and policy governance process.

  • Investigates and maintains documentation of compliance and ethics incidents.

  • Ensures the alignment, standardization, and effectiveness of compliance activities across the affiliate hospital groups.

  • Analyzes problems and issues from a variety of perspectives to understand legal, privacy, risk, and operational impact of decisions. Interprets significance of findings, resolves issues, makes recommendations, and offers solutions for compliance and business decisions.

  • Assists with developing and implementing the hospitals’ compliance workplan.

  • Actively represents the Compliance Department on working groups.

  • Other duties as assigned.

Education Qualifications

  • Bachelor's degree required. (Juris Doctor, JD, preferred)

  • Master’s degree in Public Health, Business Administration, or Juris Doctor degree strongly preferred

  • Experience working with or in an academic medical center environment helpful but not required.Experience with Accountable Care Organizations (ACO) and unique compliance issues pertaining to such organizations.Strong understanding of EMTALA compliance issues.Preferred

  • Certification in Healthcare Compliance preferred or obtain within 2 years of hire.

Experience Qualifications

  • 7+ years related experience dealing with healthcare compliance and regulatory issues required

Required Knowledge, Skills and Abilities

  • Strong knowledge of applicable federal, state and local laws, regulations and policies pertaining to health care compliance matters. This role will serve as a subject matter consultant and must have working knowledge of key laws and regulations that apply to hospital and provider compliance, including, but not limited to, HIPAA, Anti-Kickback Statute, EMTALA, the Stark Law, and Medicare and Medicaid program requirements.

  • Demonstrated understanding of hospital operations and compliance, including compliance matters that affect physician groups.

  • Hospital compliance and regulatory hospital operations experience, including experience leading compliance programs and managing compliance professionals.

  • Demonstrated ability to independently identify, analyze, and propose and move forward with solutions, and ability to problem solve to find answers and solutions while using sound judgment prior to escalating questions/matters to managers/leaders.

  • Prioritizes multiple, ongoing initiatives and efficiently re-prioritizes such responsibilities, as may be required in a changing compliance risk environment. Pays meticulous attention to detail and verifies work product and conclusions are well supported and accurate.

  • Demonstrated strong interpersonal skills to deal effectively and tactfully with people at all levels. Experience managing a team of compliance professionals.

  • Demonstrated project management and performance improvement skills.

  • Strong planning and problem-solving skills.

  • Demonstrated ability to work with sensitive information and maintain confidentiality.

  • Detail and deadline oriented.

  • Remote Work Eligible-Travel 10-15%, West Coast time zone preferred, but open to other time zones for exceptional candidates who are highly productive.

These principles apply to ALL employees:

SHC Commitment to Providing an Exceptional Patient & Family Experience

Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford’s patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery.

You will do this by executing against our three experience pillars, from the patient and family’s perspective:

  • Know Me: Anticipate my needs and status to deliver effective care

  • Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health

  • Coordinate for Me: Own the complexity of my care through coordination

#LI-RL1

Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.

Base Pay Scale: Generally starting at $74.66 - $98.94 per hour

The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.

At Stanford Health Care, we seek to provide patients with the very best in diagnosis and treatment, with outstanding quality, compassion and coordination. With an unmatched track record of scientific discovery, technological innovation and translational medicine, Stanford Medicine physicians are pioneering leading edge therapies today that will change the way health care is delivered tomorrow.

As part of our spirit of discovery, we also leverage our deep relationships with luminary Silicon Valley companies to develop new ways to deliver preeminent patient care.

Learn about our awards (https://stanfordhealthcare.org/about-us/awards.html) and significant events (https://stanfordhealthcare.org/about-us/our-history.html) .

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