• Senior Director Compliance

    Job ID
    2019-82043
    Employment Type
    Full Time
    Department
    Compliance
    Hours / Pay Period
    80
    Facility
    Dignity Health Management Services Organization
    Shift
    Day
    Location
    Bakersfield
    State/Province
    CA
    Standard Hours
    Mon-Fri (8-5 PM)
    Work Schedule
    8 Hour
  • Overview

    Overview

    The purpose of Dignity Health Management Services Organization (Dignity Health MSO) is to build a system-wide integrated physician-centric, full-service management service organization structure. We offer a menu of management and business services that will leverage economies of scale across provider types and geographies and will lead the effort in developing Dignity Health’s Medicaid population health care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups, hospitals, health plans and employers with a business objective to excel in coordinating patient care in a manner that supports containing costs while continually improving quality of care and levels of service. Dignity Health MSO accomplishes this by capitalizing on industry-leading technology and integrated administrative systems powered by local human resources that put patient care first.

    What We Offer

    Dignity Health MSO offers an outstanding Total Rewards package that integrates competitive pay with a state-of-the-art, flexible Health & Welfare benefits package. Our cafeteria-style benefit program gives employees the ability to choose the benefits they want from a variety of options, including medical, dental and vision plans, for the employee and their dependents, Health Spending Account (HSA), Life Insurance and Long Term Disability. We also offer a 401k retirement plan with a generous employer-match. Other benefits include Paid Time Off and Sick Leave.

     

    • This position will report to the: Chief Executive Officer
    • Percentage Travel Required/Frequency: 10% or as needed.
    • FLSA Status: Exempt
    • Remote Worker: Not Applicable

    Responsibilities

    What You’ll be Responsible For in this Role – Your Contribution & Career Journey

    Creates and leads an organizational compliance and privacy structure which enables Dignity Health facilities, entities, business units, and affiliates to reasonably implement, monitor and enforce a program to prevent and detect criminal or unlawful conduct, and ensure activities relative to Medicare, Medicaid, and other government programs are conducted in a manner consistent with program requirements.

    What We’re Looking For

    • Creates and leads an organizational compliance and privacy structure which enables Dignity Health facility
    • Functions as the primary point of contact with external entities on compliance and privacy matters including but not limited to business partners, regulatory and accrediting agencies, internal/external auditors and State and Federal agencies, including oversight of government settlements and agreements.
    • Assesses organizational performance, business initiatives, services, delivery models, and behaviors and identifies operational issues impacting compliance and privacy. Develops plans, policies and process change designs to prevent, mitigate or correct regulatory risk.
    • Leads Compliance Directors and analysts to support compliance and privacy programs in all service lines and corporate functional areas.

    Core Competency

    Details

    Patient/Customer Focus

    Ensuring that the patient/customer perspective is a driving force behind our actions and business decisions; crafting and implementing service practices that meet patients'/customer's and own organization’s needs. (Focus also includes internal and external customers.)

    Driving for Results

    Setting high goals for personal and group accomplishment; using measurement methods to monitor progress toward goals; tenaciously working to meet or exceed goals while deriving satisfaction from the achievement, creativity and continuous improvement. Goes the extra mile.

    Leading Through Mission, Vision & Values

    Keeping the organization’s mission, vision and values at the forefront of associate decision making and action.

    Facilitating Change

    Encouraging others to seek opportunities for different and innovative approaches to addressing problems and opportunities; facilitating the implementation and acceptance of change within the workplace.

    Technical Competence

    Demonstrates breadth and/or depth of professional/technical skills and capabilities required for position; shares knowledge; sets or contributes to the Company’s direction within area of expertise.

    Building Partnerships & Teamwork

    Identifying opportunities and taking action to build strategic relationships between one’s area and other areas, teams, department, units or organizations to help achieve business goals. Resolves issues and problems, and makes a significant contribution to team efforts.

    Building Trust

    Interacting with others in a way that gives them confidence in one’s intentions and those of the organization.

     

    Functional Competency

    Details

    Decision Making and Critical Thinking

    Knowledge of the decision-making process and associated tools and techniques; ability to accurately analyze situations and reach productive decisions based on informed judgment.

    Risk Management

    Knowledge of processes, tools and techniques for assessing and controlling an organization's exposure to risks of various kinds; ability to apply this knowledge appropriately to diverse situations.

    Auditing

    Knowledge of the organization's internal audit processes, practices and methods; ability to perform audits to ensure organizational compliance.

    Systemic Perspective

    Knowledge of and insight into all the pieces and parts that produce results and ability to utilize various methods and techniques to frame problems and situations from the perspective of their impact on the entire system; to make appropriate action plans and take the right risks.

    Business Ethics

    Knowledge of practices, behaviors, applicable laws, rules, and regulations governing proper business conduct; ability to demonstrate ethical behavior in diverse situations.

    Organizational Governance

    Knowledge of the processes, customs, policies, and rules affecting the way the organization is administered and controlled; ability to ensure compliance with same.

    Healthcare Regulatory Environment

    Knowledge of federal, state and local healthcare related laws and regulations; ability to comply with these in healthcare practices and activities.

    Qualifications

    Minimum Qualifications

    • Minimum of ten (10) years’ experience in a management-level (administrative, financial or clinical) position in a hospital or healthcare system.
    • Minimum of seven (7) years’ working experience in one or more areas of healthcare compliance, including privacy, in either an acute care or clinic environment
    • Bachelor’s Degree in a healthcare related field (such as Healthcare Information Management, Hospital Leadership or Nursing) or business.
    • Certification in Compliance and Privacy (CHC and CHPC or CHPS) - must be completed within one year (required)

    Equal Employment Opportunity

    We are an equal opportunity employer committed to fostering a culturally diverse organization. We strive for inclusiveness and a workplace where mutual respect is paramount. We encourage applications from a diverse pool of candidates, and all qualified applicants will receive consideration for employment without regard to race, color, ethnicity, religion, sex, age, national origin, disability, sexual orientation, gender identity and expression, or veteran status. We will provide reasonable accommodations to qualified individuals with disabilities, as need, to assist them in performing essential job functions.

    Recruitment Agencies 

    Dignity Health Management Services Organization does not accept unsolicited agency resumes. Dignity Health Management Services Organization is not responsible for any fees related to unsolicited resumes.

     

     

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