Corporate Compliance Program Specialist

 Posted 7 days ago
     
5-10 years experience
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AI Summary

The Corporate Compliance Program Specialist manages daily compliance operations and implements risk-based audit plans to detect fraud, waste, and abuse. They also conduct independent investigations and provide administrative guidance to ensure organizational adherence to federal and state regulations.

Facility:

Dayton Children's - Main Campus

Department:

Compliance and Privacy

Schedule:

Full time

Hours:

40

Job Details:

Reporting to the Chief Compliance and Privacy Officer, the Corporate Compliance Program Specialist will provide advanced administrative guidance and direction on effective implementation of the Corporate Compliance Program. The Specialist assists with managing the day-to-day operation of the compliance program and helps maintain a comprehensive process for an evidence-based compliance approach for the Compliance Department. Functioning as part of an independent and objective body within Dayton Children’s, helps review and evaluate compliance issues/concerns and ensure 100% compliance with the organization’s Corporate Compliance Program.

This position is responsible for helping establish and implement a risk-based audit and internal monitoring plan which detects and prevents fraud, waste, and abuse (FWA), and misconduct, in order to maintain the highest level of ethics and to align with all relevant federal and state statutes, regulations and other guidance.

Empowered to conduct independent investigations and audits related to Medicare, Medicaid, Commercial, Military and Provider related business segments compliance.

Serves as the organization’s key Corporate Compliance leader in the absence of the Chief Compliance and Privacy Officer.

Department Specific Job Details:

Work shift: Main campus, remote work possible.

 

Education

  • Associate's degree required
  • Bachelor's degree preferred

Experience:

  • 5+ years in Healthcare required
  • 1+ year compliance/ regulatory, preferred

Certifications

  • CHC-Certified Healthcare Compliance, must acquire within first 24 months required

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