COMPLIANCE OFFICER - CCHHS

Applicants may apply for this position by submitting a resume/ CV to the following email address: mgmtrecruit@cookcountyhhs.org

When submitting a resume/CV by email, you must include the job title and posting number in the subject line of your email. An application or resume/CV must be filed for each position which interests you.

This position is exempt from Career Service under the CCH Personnel Rules.

Job Summary

The Compliance Officer reflects the mission and vision of Cook County Health (CCH) 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 CCH 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.

General Administrative Responsibilities

Collective Bargaining

• Review applicable Collective Bargaining Agreements and consult with Labor Relations to generate management proposals

• Participate in collective bargaining negotiations, caucus discussions and working meetings

Discipline

• Document, recommend and effectuate discipline at all levels

• Work closely with labor relations and/or labor counsel to effectuate and enforce applicable Collective Bargaining Agreements

• Initiate, authorize and complete disciplinary action pursuant to CCH system rules, policies, procedures and provision of applicable collective bargaining agreements

• Direct and effectuate CCH management policies and practices

• Access and proficiently navigate CCH records system to obtain and review information necessary to execute provisions of applicable collective bargaining agreements

• Contribute to the management of CCH staff and CCH systemic development and success

• Discuss and develop CCH system policies and procedures

• Consistently use independent judgment to identify operational staffing issues and needs and perform the following functions as necessary: hire, transfer, suspend, layoff, recall, promote, discharge, assign, direct or discipline employees pursuant to applicable Collective Bargaining Agreements

• Work with Labor Relations to discern past practice when necessary

Typical Duties

Fundamental job duties for which this position is accountable

* 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 CCH 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 CCH 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

Additional Functions

* Ability to prioritize work with minimal supervision and use time effectively. Requires high degree of follow-through despite frequent interruptions

* Possess ability to work in a fast-paced environment, which requires handling multiple tasks at once

Reporting Relationship

Reports to the Chief Corporate Compliance & Privacy Officer

Minimum Qualifications

• Master's degree or higher from an accredited college or university

• 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

Preferred Qualifications

• Master's degree in Healthcare, Business, Education, or related field from an accredited college or university

• 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)

Knowledge, Skills, Abilities and Other Characteristics

• Project Management experience and exceptional organizational skills

• Extensive Report Development experience & Policy & Procedure development experience

• Knowledge of Health Care Regulatory standards

• Excellent Analytical, Written, & Oral Communications skills

• Experience in Public Speaking and Business Presentations

• Highly developed software application skills - MS Office Access, Excel, PowerPoint, and Word

• Behavioral commitment to quality work and customer service philosophy

• Strong communication skills - written and verbal; skilled in partnership development and conflict resolution

• Strong knowledge of Microsoft Office Suite

• Ability to travel to and from any CCH entity, including the Ambulatory Clinics and Cook County entities/offices

Physical and Environmental Demands

This position is functioning within a healthcare environment. The incumbent is responsible for adherence to all hospital and department specific safety requirements. This includes but is not limited to the following policies and procedures: complying with Personal Protective Equipment requirements, hand washing and sanitizing practices, complying with department specific engineering and work practice controls and any other work area safety precautions as specified by hospital wide policy and departmental procedures.

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of the personnel so classified.

For purposes of the American with Disabilities Act, "Typical Duties" are essential job functions.

BENEFITS PACKAGE

• Medical, Dental, and Vision Coverage

• Basic Term Life Insurance

• Pension Plan and Deferred Compensation Program

• Employee Assistance Program

• Paid Holidays, Vacation, and Sick Time

• You may also qualify for the Public Service Loan Forgiveness Program (PSLF)

F

VETERAN PREFERENCE

PLEASE READ

When applying for employment with Cook County Health, preference is given to honorably discharged Veterans who have served in the Armed Forces of the United States for not less than 6 months of continuous service

To take advantage of this preference a Veteran must:

• Meet the minimum qualifications for the position.

• Identify self as a Veteran on the employment application by answering yes to the question by answering yes to the question, "Are you a Military Veteran?"

• Attach a copy of their DD 214, DD 215 or NGB 22 (Notice of Separation at time of application filing. Please note: If you have multiple DD214s, 215s, or NGB 22S, Please submit the one with the latest date. Coast Guard must submit a certified copy of the military separation from either the Department of Transportation (Before 9/11) or the Department of Homeland Security (After 9/11). Discharge papers must list and Honorable Discharge Status. Discharge papers not listing an Honorable Discharge Status are not acceptable

OR

A copy of a valid State ID Card or Driver's License which identifies the holder of the ID as a Veteran, may also be attached to the application at time of filing.

If items are not attached, you will not be eligible for Veteran Preference

VETERANS MUST PROVIDE ORIGINAL APPLICABLE DISCHARGE PAPERS OR APPLICABLE STATE ID CARD OR DRIVER'S LICENSE AT TIME OF INTERVIEW.

MUST MEET ALL REQUIRED QUALIFICATIONS AT TIME OF APPLICATION FILING.

"Degrees awarded outside of the United States with the exception of those awarded in one of the United States' territories and Canada muse be credentialed by an approved U.S. credential evaluation service belongings to the National Association of Credential Evaluation Services (NACES) or the Association of International Credential Evaluators (AICE). Original credentialing documents must be presented at time of interview".

*Please note all offers of Employment are contingent upon the following conditions: satisfactory professional & employment references, healthcare and criminal background checks, appropriate licensure/certifications and the successful completion of a physical and pre-employment drug screen.

*CCH is strictly prohibited from conditioning, basing or knowingly prejudicing or affecting any term or aspect of County employment or hiring upon or because of any political reason or factor.

COOK COUNTY HEALTH IS AN EQUAL OPPORTUNITY EMPLOYER.