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Compliance and Risk Specialist
Sauk Prairie Healthcare
Location: Prairie du Sac, Wisconsin
Work Setting: Ambulatory Care, Hospital, Other
Job Function: Compliance, Risk Manager, Other
Job Type: Full-Time
Sauk Prairie Healthcare includes a 36-bed, not-for-profit (501c3) acute care hospital, wellness center and two surgical specialty practices located in Prairie du Sac, Wis., plus four primary care clinics in Mazomanie, Plain, Spring Green and Lodi. We set the standard for patient excellence, patient safety and overall quality with this connected, community-based network of primary and specialty services.
Multiple-time winner of the Advisory Board’s Workplace of the Year Award and Press Ganey’s Guardian of Excellence Award for Patient Experience and Clinical Quality, Sauk Prairie Healthcare employs experienced healthcare professionals in a local, hometown setting. Our Birth Center, Joint Health Center, general surgery program, orthopedics program, emergency department, family medicine and urology program are just a few of the services we offer to our community.
Over 700 people work for Sauk Prairie Healthcare and are dedicated to making a difference in the lives of the patients we serve. We support them through manageable work and patient loads for our staff and the support of a close-knit, multi-disciplinary team. Our people know that no matter how good your care is, it will always be better when you really do care. This commitment to providing excellence in care, one person at a time, has earned us distinctions in patient experience and quality.
Do You Belong Here?
We are seeking a Compliance & Risk Specialist (hybrid position) that will have responsibility supporting and leading the organization’s efforts to maintain regulatory compliance through ACHC accreditation and continuous readiness, manage risks related to patient complaints and coordinate legal interactions, and uphold ethical standards in all healthcare activities. This role involves monitoring, coordinating, and facilitating compliance programs and risk management strategies to ensure the organization operates in accordance with all applicable laws, regulations, and industry standards as set forth by the Office of the Inspector General, Centers for Medicare and Medicaid Services, and other applicable bodies.
Compliance Monitoring and Reporting:
Monitor healthcare regulations, laws, and industry standards to ensure the organization remains compliant, which includes all current, new and retiring administrative policies.
Research federal, state and voluntary regulatory standards that relate to Medicare/Medicaid/CMS (Centers for Medicare & Medicaid Services) anti-kickback, fraud and abuse, ACHC regulations, and corporate ethics.
Assist with the planning for implementation of new state and federal government requirements within the organization.
Conduct regular audits, assessments, and reviews to identify compliance and risk issues.
Prepare and submit reports on compliance status to relevant stakeholders.
Lead a cross functional Compliance Committee including preparing appropriate documents, facilitating the conversation, and initiating projects/improvements/tasks based upon committee input and feedback.
Maintain and promote an anonymous reporting (a hotline) of situations of organizational risk or potential non-compliance.
Establish a consistent procedure for corrective, remedial, or disciplinary action, in collaboration with Human Resources and departmental leadership, as appropriate, to address failure to comply with standards, policies and procedures, and applicable laws and regulations related to federal and state healthcare programs.
Policy Development and Implementation:
Assist in the development, revision, and implementation of compliance and risk management policies, procedures, and guidelines. Ensure that policies are communicated effectively to employees.
Training and Education:
Develop educational materials and deliver compliance and risk management training programs to staff members and members of the medical staff.
Keep employees informed about changes in regulations and best practices.
Risk Assessment and Mitigation:
System Administrator for the internal incident reporting system.
Monitor and respond to risk related incidents reported.
Lead the process with our retained legal team for any litigation related incidents.
Serve as primary contact for legal counsel.
Reporting and Investigation:
Investigate compliance violations, incidents, and complaints.
Prepare reports on investigation findings and recommend corrective actions.
Documentation and Record-Keeping:
Maintain accurate and complete records related to compliance and risk management activities.
Ensure that documentation is easily accessible for audits and reviews.
Identify opportunities for process improvement to enhance compliance and risk management efforts.
Implement continuous improvement initiatives as needed.
Knowledge/Skills and Abilities: Strong knowledge of healthcare regulations and laws, including CMS regulations, and other healthcare compliance standards (quality dept/regulatory/risk/compliance).
Licenses/Certifications: Certifications in healthcare compliance and/or risk management (e.g., Certified Risk Manager; Health Care Privacy Certification; Certified in Healthcare Compliance (CHC); Certified Compliance and Ethics Professional (CCEP))
Required: High School diploma
Preferred: Bachelor’s degree in healthcare related field
We provide competitive pay and a robust benefits package for our employees. This includes health and dental insurance, life insurance, accrued paid time off for work/life balance, a 403(b) retirement plan that matches up to 5%, a free single wellness membership and tuition reimbursement.
Instructions for Resume Submission
Apply online through the Sauk Prairie Healthcare Careers page (select “Compliance and Risk Specialist”)
Posted: January 12, 2024 at 4:51 PM
Post ID: 84076