![]() ![]() ![]() Solid computer skills with Microsoft Office/Outlook, industry-related databases and use of the internet.Knowledge of risk information management systems(RIMS).Experience with broad spectrum regulatory issues is a must.Compliance experience at a national level is preferred and experience with Medicare Part D is required.Bachelor’s degree in a business, health care or related area of study required (or equivalent combination of education and experience) an advanced degree is preferred.Candidates with other healthcare experience (health plans, state Medicaid plans) may be considered 5 to 10 years of job-related management experience in the healthcare environment.Directs the coordination and completion of all government, regulatory, and compliance documents on an organization level and oversees the acquisition and maintenance of required licenses and certificates from appropriate state and federal entities.Prepares compliance reports for presentation to the Board of Directors and executive management Tracks laws and regulations that affect the organization's policies.Designs and implements programs, policies, and practices to ensure that all business units are in compliance with federal,state, and local regulatory requirements.Manages the development and operation of the organization’s compliance hotline and works with the SVP, Corporate Services and General Counsel and/or designated outside legal counsel to resolve legal compliance issues, and works with Human Resources to resolve employee-related issues, as appropriate.Effectively translates regulatory guidance into streamlined operational processes to ensure compliance, at times with short notice.Oversees the development, implementation and]maintenance of an effective compliance communication and training program for the organization, subsidiaries and affiliate entities.Manages any investigations of alleged violations of law, policies and procedures, and the Company’s Code of Conducting consultation with the Compliance Office and General Counsel, and/or designated outside legal counsel, and takes appropriate corrective action.Reviews the content and performance of the Corporate Compliance Program including Medicare Part D, compliance policies and procedures, and the Corporate Code of Business Conduct and Ethical Behavior on a routine basis and takes appropriate steps to ensure its effectiveness to prevent, detect and correct illegal, unethical, or improper conduct within the corporation.In collaboration with the Compliance Officer, develops, directs and maintains responsibility for the corporation's compliance function and business ethics related to standard of conduct, including HIPAA/Hitech privacy and security compliance.Responsible for development, implementation and ongoing refinement of organization-wide strategies for an effective compliance, ethics and integrity and privacy/security program.The role is also responsible for organization-wide confidential reporting systems allowing employees, customers, contractors, and other stakeholders to disclose violations of the corporation's ethical standards,violations of law, or corporate policy relating to such matters without fear of retaliation. The position oversees the development of a compliance risk management program to assess, prioritize, and manages legal and regulatory compliance risks based on state/federal guidelines and requirements and benchmarking research,facilitating the systematic assessment and management of compliance risks. The Risk Manager provides strategic and operational leadership pertaining to compliance and regulatory issues including but not limited to Human Resources, Finance Clinical and Operations. ![]() If you are looking for a place to work where you can provide the care that will change the lives of the people in the community, BMS is the place for you! BMS adopts an“integrated primary care community based health” service model reflecting our commitment to treating the “whole person” and our mission driven goal to enable every individual and family in the communities we serve to achieve total health. We offer the best possible care for everyone in the communities we serve. The Brownsville Multi-Service Family Health Center is an NCQA recognized Patient Centered Medical Home (PCMH) Level 3. ![]()
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