Compliance Specialist

MAHEC is now hiring a Compliance Specialist to support operations with our Risk and Compliance Division.

If you are a Compliance professional with Healthcare Compliance experience, passionate about hands-on investigative work and patient privacy/HIPAA, then we'd love to talk to you! This role is full time, and eligible for MAHEC's full Total Rewards package which includes great healthcare coverage, robust PTO and more. Join a highly impactful team with one of the largest non-profit organizations in Western North Carolina.

JOB SUMMARY:

Performs administrative duties under the direction of the Director of Risk and Compliance and the Chief Compliance Officer with emphasis on maintaining the MAHEC Corporate Compliance Program, to include but not limited to: development of policies and procedures; identification and prevention of illegal, unethical or improper conduct; independent investigation and follow-up; employee education & training; performing audit processes for compliance; trending, evaluation and improvement activities; and data analysis and report writing.

SPECIFIC RESPONSIBILITIES:

Promote the development and implementation of the MAHEC Corporate Compliance Program including:

• Assists in maintaining and revising policies and procedures for the support of the compliance program and its related activities to prevent illegal, unethical, or improper conduct.

• Reviews record releases and systems (i.e. Patient Portal, HIE) for HIPAA compliance.

• Periodically reviews and makes suggestions for updating the Compliance Program and Standards of Conduct to reflect changes for MAHEC considering federal and state laws, rules, regulations and OIG Work Plan.

• Assists in preparing reports on a regular basis for leadership, committee meetings and the Board of Directors and as requested or needed.

• Monitors secure system for receiving direct and anonymous reports of perceived noncompliance.

• Engages in the investigation, follow-up and summary documentation to reports of perceived noncompliance, including but not limited to, recommended corrective action plans.

• Ensures that the HHS-OIG's List of Excluded Individuals and Entities and other sanction lists are checked and documented with respect to employees, physicians and independent contractors.

• Maintains and conducts an effective compliance education program, under the direction of the Compliance and Privacy Officer, to include new employee orientation, annual training, and other organizational education as needed.

• Assists the Compliance and Privacy Officer with planning, documenting, and executing compliance audits that support the Program.

• Communicates and provides training and education on policies regarding regulatory compliance to ensure consistency across the organization.

• Collaborates with leadership and departments to direct and respond to compliance concerns.

• Identifies potential areas of compliance vulnerability and works with the Compliance and Privacy Officer to develop plans for resolution.

• Consults with the Compliance and Privacy Officer and outside legal counsel as needed to resolve difficult legal compliance issues.

• Assists the Compliance and Privacy Officer in supporting special projects, audits and additional accreditation needs of the organization (i.e. Graduate Medical Education (GME), Commission on Dental Accreditation (CODA).

• Support MAHEC's ethical and mutually respectful work environment by:

• Performing all job-related responsibilities in a manner consistent with MAHEC's Compliance policies and Standards of Conduct;

• Completing all Compliance training in a timely manner;

• Reporting any concerns or perceived Compliance violations to the Compliance and Privacy Officer in a timely manner.

This role description is a general description of the essential job functions. It is not intended to describe all the duties the Compliance Specialist may perform.

KEY COMPETENCIES:

• Communication Skills

Effectively and respectably communicate with other individuals, whether it be a colleague, patient, or patient's family member and appropriately enumerate information in a manner easily understood by all parties. We do this to foster a culture of understanding between all parties, especially in complex and difficult situations, to ultimately provide the best care possible to our patients and their families.

• Decision Making

Ability to make the most appropriate decision in a given situation and then taking the next steps to ensure appropriate and timely completion. This requires conflict resolution skills, critical thinking skills, confidence in your ability to make the right decision in most situations. This also includes ability to prioritize your workday appropriately to ensure the most important tasks are completed on time.

• HealthCare Knowledge

Having the drive to keep yourself abreast and up to date on the new breakthroughs in your area of expertise and communicating them to the rest of the team, as appropriate. This also includes keeping up with your licensure and yearly training requirements within your area expertise along with MAHEC's organizational training. Finally, the ability to apply the depth of knowledge maintained and gained through this process in real life scenarios as appropriate.

• Interpersonal Skills

Showing the ability to meet difficult situations with grace, professionalism, and understanding. Within your area of expertise, showing respect and showing empathy where appropriate with your colleagues, patients, and their family at all times, even when its most difficult to do so. This is done, in part, by effective listening, being your authentic self, showing responsibility and dependability, and being patient with others.

• Organizational Values

Adherence to MAHEC's founding principles and incorporating them every day. This includes, among others, having integrity and accountability, reverence for other cultures and equitable practices, ability to manage change, and displaying a clear understanding of organizational dynamics. Doing these things creates a culture where people want to do the best for each other and gives personal ownership towards the goal of helping people in their time of need.

• Problem Solving

Having an analytical mind and ability to work autonomously to solve complex problems that may arise. The wherewithal to think logically through a difficult problem and come to an appropriate resolution for a given issue. This helps to drive continuous improvement by thinking through where we can improve in a novel way. Measures success by understanding where we are currently and where we want to go and then applying those new ideas to affect positive change.

SPECIFIED SKILLS

• COMPUTER

• Excellent skills in Microsoft Office including Word, Excel, PowerPoint, and database applications required.

• FOREIGN LANGUAGE

• Spanish speaking skills preferred.

EDUCATION AND EXPERIENCE

• MINIMUM QUALIFICATIONS:

• Any combination of training and experience equivalent to an Associate's Degree and a minimum of four (4) years of experience in healthcare and or compliance required.

• PREFERRED QUALIFICATIONS:

• Clinical and or administrative experience.

• CHC certification. (required for Tier II Compliance Specialists)

REQUIRED LICENSES:

• Not Applicable.

SCHEDULE:

Regular attendance on-site is an essential function of this position. Typical business hours are Monday - Friday, 8:00 am to 5:00 pm (or flexed to best meet the needs of the clients and/or the Division); 40 hours per workweek; weekend, holiday, or evening coverage is occasionally required. Work hours will need to be flexible in order to respond to special work assignments, or evening activities, as requested by the team leader.

At MAHEC, we strive to equip all team members with Total Rewards (pay + benefits) to honor their service, support their health, manage their financial security, build their career, and thrive.

All MAHEC employees and learners will be required to receive the Flu vaccine or have an approved exemption.

MAHEC Talent Management is located at 121 Hendersonville Road, Asheville, NC 28803. Equal Opportunity Employer. Black, Indigenous, People of Color and Spanish/English bilingual persons are strongly encouraged to apply. With this in mind, studies show that women, gender diverse, and BIPOC candidates are less likely to apply unless they meet all of the qualifications listed in the job description.

If you are interested in this role, and you have related experience and qualifications, we encourage you to apply or reach out to AskTalent@mahec.net for support in your job search process. You could be the talent we are seeking for this or other opportunities.