Provides direction and oversight of the Corporate Compliance and Risk Management Programs, functioning as an independent and objective body that reviews and evaluates regulatory and legal compliance within the organization. The position ensures the Board of Directors, management and employees are in compliance with the rules and regulations of regulatory agencies, applicable laws, company policies and procedures, and that behavior in the organization meets the organizational Code of Conduct. Primary system administration for the management of the policy system and managing the policy process.
•Develops, initiates, maintains, and revises policies and procedures for the general operation of the Compliance and Risk Management Programs and related activities to prevent illegal, unethical, or improper conduct. Manages day-to-day operation of the Program.
•Collaborates with other departments to direct compliance and risk management issues to appropriate existing channels for investigation and resolution. Consults with the Copley legal team as needed to resolve difficult legal and/ or regulatory compliance issues.
•Reporting and management of actual or potential legal claims and lawsuits in collaboration with the medical malpractice insurer
•Identifies, evaluates, and coordinates response to actual or potential organizational risks through periodic and as needed risk assessment
•Acts as an independent review and evaluation body to ensure that compliance and risk management issues/concerns within the organization are being appropriately evaluated, investigated and resolved.
•Collaborates with the Director of Quality and Patient Safety in relation to real or potential risks identified through the review of incident reports to develop appropriate response plan
•Responds to alleged violations of rules, regulations, policies, procedures, and standards of conduct by evaluating or recommending the initiation of investigative procedures. Develops and oversees a system for uniform handling of such violations.
•Monitors, and as necessary, coordinates compliance activities of other departments to remain abreast of the status of all compliance activities and to identify trends.
•Identifies potential areas of compliance vulnerability and risk; develops/implements corrective action plans for resolution of problematic issues, and provides general guidance on how to avoid or deal with similar situations in the future.
•Provides reports on a regular basis, and as directed or requested, to keep the Board, senior management and Audit Committee informed of the operation and progress of compliance efforts.
•Ensures proper reporting of violations or potential violations to duly authorized enforcement agencies as appropriate and/or required.
•Establishes and provides direction and management of the compliance hotline.
•Institutes and maintains an effective compliance communication program for the organization, including promoting (a) use of the compliance hotline; (b) heightened awareness of standards of conduct, and (c) understanding of new and existing compliance issues and related policies and procedures.
•Works with the Human Resources Department and others as appropriate to develop an effective compliance training program, including appropriate introductory training for new employees as well as ongoing training for all employees and managers.
•Monitors the performance of the Compliance and Risk Management Program and related activities on a continuing basis, taking appropriate steps to improve its effectiveness.
•Willing to become certified in compliance and risk management.
Designs/develops,manages, monitors, and oversees The Policy Manager system and the Policy Management process.