Job Summary

The Director of Corporate Compliance is responsible for providing operational support to and daily management of BestCare’s Corporate Compliance Program to ensure full compliance with all applicable state and federal regulatory requirements; for effectively advancing a culture of accountability towards compliance; implementing/maintaining proactive, timely, and comprehensive standards and procedures; identifying and managing compliance risks effectively; ensuring appropriate investigations of suspected non-compliance, developing/monitoring corrective actions and reporting, and continuous improvement efforts. This role supports the Compliance Officer/COO and collaborates/works closely with the Director of Quality & Accreditation and the Program Directors regarding accreditation agency (CARF) and licensure/certification (DEA, OHA, CMS) requirements. All work is performed in alignment with BestCare’s mission, vision, values, strategic goals, and all state and federal regulations.

Essential Functions

1. As delegated by Compliance Officer, coordinates, monitors, and carries out day-to-day compliance activities and support ad-hoc projects.

2. Partners collaboratively and builds strong professional relationships with key leadership across the organization. Supports the teams in problem solving, process improvement efforts, and standardized best practices to achieve corporate compliance initiatives.

3. Manages, coaches, and develops the skills of the compliance team and its individual members in alignment with BestCare’s strategic plan and business needs.

4. Designs and conducts audits and investigations, documents findings and recommendations, and maintains oversight from investigation/audit completion to remediation completed. As appropriate, coordinates with outside legal counsel, conducting or authorizing and overseeing investigations of matters that merit investigation. Assesses potential findings and collaborate with business partners and compliance leadership to develop appropriate corrective action solutions and ensure appropriate reporting completed in timely manner.

5. Works collaboratively with all levels of staff with BestCare to build a strong knowledge of the Compliance Program and maintains compliance with regulatory standards/requirements across the organization. Assesses the need for additional training and education.

6. Develops and delivers ongoing staff training programs and communication plans designed to promote an understanding of compliance issues and the consequences of non-compliance

7. Directs and oversees efforts to communicate compliance standards, awareness, and education for related healthcare compliance; periodically review and revise, as necessary, the Compliance Program’s training materials; provide updates and information briefings on regulatory developments.

8. Develops, revises, implements, maintains, and enforces policies and procedures that ensure BestCare processes and sites operate in a legal, ethical, and efficient manner.

9. Oversees the organization’s policy database and policy management processes to ensure efficient and effective guidance is readily accessible by all staff.

10. Manages and continuously improves the formal system to enable employees to report any noncompliance without fear of retribution, ensuring that the reporting system is adequately publicized and that allegations of noncompliance are investigated and responded to promptly.

11. Identifies opportunities to standardize and streamline compliance reporting processes to ensure open communication channels and appropriate reporting

12. Performs ongoing regulatory readiness through rounding with all departments (clinical and non-clinical) and assists in the ongoing maintenance of risk assessments and work plan updates.

13. Regularly reviews relevant industry publications to ensure current compliance requirements are recognized, appropriately prioritized, and implemented. Communicates regulatory compliance changes/issues/trends to appropriate groups overseeing timely response to the required changes.

14. Closely collaborates with Director of Quality on accreditation and licensure/certification applications, improvement plans, and site visits. While Quality leads application, preparation, and manages survey process, Compliance will be a key contributor regarding policies, compliance program description, and development/oversight of corrective action plans with CARF, OHA, or CCO’s.

15. Supports the Compliance Officer in the coordination of Compliance Committee meetings and providing regular reports to the committee and any significant compliance issues to ensure appropriate discussion of the matter and appropriate action is taken. Serves on other committees as requested or appropriate.

16. Prepares required reports or information requests from regulatory agencies and payors/CCOs

17. Provides briefings and policy recommendations to executives on state and federal regulatory issues impacting BestCare.

18. Performs work in alignment with BestCare’s mission, vision, values, and adheres to the organization’s Code of Conduct, policies, procedures, and other relevant compliance needs.

19. Performs other duties as assigned

Qualifications

Education, Licensure, Certification:

• Bachelor’s Degree, preferably in healthcare or related field; Master’s Degree in related field preferred
• Certification in Healthcare Compliance (CHC) or must obtain within one year of hire
• Must maintain a valid Oregon driver’s license or obtain one upon hire, qualify for BestCare’s vehicle insurance

Experience:

• Minimum 5 years healthcare work experience
• Preferred experience in a CARF-accredited organization
• Proficiency in navigating electronic health record system preferred
• Previous leadership responsibility in healthcare setting
• Minimum of 5 years of experience working directly with corporate compliance programs in a healthcare setting
• Minimum 5 years of successful managerial or supervisory leadership in healthcare quality management
• Working knowledge of and expertise with CARF, HIPAA, Medicare and Medicaid, and other State and Federal regulations and statutes relating to addiction treatment services
• Extensive knowledge and experience with industry-leading quality improvement methods and tools
• Experience within a behavioral healthcare setting and working knowledge of state administrative rules and statutes preferred

Knowledge, Skills and Abilities:

• Proficiency in use of Microsoft applications (e.g. Office 365, Excel, Word, One-Note, Teams, PowerPoint), virtual meeting and training facilitation
• Proficiency with electronic health record systems (EHR)
• Excellent organizational skills, attention to detail, and record keeping
• Demonstrate advanced knowledge of: Healthcare regulations including but not limited to HIPAA, 42 CFR Part 2, CURES Act, False Claims, Antikickback, Stark law; Principles, practices, procedures, and professional standards associated with compliance program management and techniques for evaluationof program effectiveness; Effective research skills to maintain current knowledge and understanding of state and federal regulations
• Provide effective leadership and direction to teams
• Excellent verbal and written communication skills, including ability to persuade, influence, negotiate, and deliver presentations to management teams
• Demonstrated ability to assess a situation critically and logically, problem solve, and achieve resolution
• Demonstrated ability to use various approaches to build buy-in, achieve favorable outcomes, manage change, and influence others
• Demonstrated ability to collect and analyze data to identify problematic issues and formulate timely and effective performance improvement initiatives
• Demonstrated ability to oversee and manage multiple complex projects concurrently, ensuring effective use of resources and achievement of outcomes
• Ability to effectively lead multidisciplinary teams and establish cooperative working relationships with diverse groups and individuals
• Budget management skills, as well as ability to monitor and address cost effectiveness
• Ability to use good judgment and manage stress appropriately, demonstrate effective critical-thinking skills

Tools and Equipment Used: Computer/laptop and software applications, printers, fax/scan/copy machine, telephone.

Physical/Mental Demands: The physical/mental demands described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

This position requires a mixture of sedentary and light working conditions. While performing this job, the employee is continuously required to utilize hands, wrists, and arms, and have manual dexterity to feel or operate objects or controls. The employee is frequently required to sit, stand, walk, talk and hear. May occasionally be required to climb or balance; stoop, kneel, crouch, or crawl, lift and/or carry up to twenty (20) pounds, or push pull a cart with weights > twenty (20) pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.

Work Environment:

Local travel between BestCare locations in Bend, Redmond, Madras, and Klamath Falls is required as needed. Travel outside of the state for training or research is less frequent.

The position requires the employee to dress in a professional manner that meets the standards for professional attire in Central Oregon.

Job Type: Full-time

Pay: $85,000.00 - $130,000.00 per year

Benefits:

• Dental insurance
• Employee assistance program
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Ability to commute/relocate:

• Redmond, OR 97756: Reliably commute or planning to relocate before starting work (Required)

Experience:

• FDA regulations: 1 year (Preferred)

Work Location: One location

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