Director Compliance Revenue and ACO

INTEGRIS Health, Oklahoma’s largest not-for-profit health system, has a great opportunity for a Director Compliance Revenue and ACO in Oklahoma City, OK. The position facilitates compliance with applicable laws, regulations, standards, and organization policies and provides oversight to ensure procedures are being followed, and behavior in the organization meets the INTEGRIS Code of Conduct. This position, together with the Corporate Compliance Officer and department, will implement all necessary actions to achieve the objectives of the ACO and adhere to the ACO Compliance Plan.

If our mission of partnering with people to live healthier lives speaks to you, apply today and learn more about our recently enhanced benefits package for all eligible caregivers such as front-loaded PTO, 100% INTEGRIS Health paid short-term disability, increased retirement match, and paid family leave.

Responsibilities:

Develop and Implement Compliance Programs:

Establish and maintain a program that ensures the ACO complies with all applicable healthcare regulations, laws, and ACO participation agreements.

Risk Assessment:

Identify and assess areas of compliance risk within the ACO.

Education and Training:

Develop and conduct education programs for ACO staff regarding compliance issues and the importance of the compliance program.

Internal Reporting Systems:

Implement and manage a system for internal reporting of compliance issues, which may include an anonymous telephone reporting system.

Monitoring and Auditing:

Conduct regular compliance reviews and audits to ensure adherence to regulations and the compliance program.

Policy Development:

Create policies and procedures that support the compliance program and address areas of risk.

Collaboration with Management:

Work closely with executive management to integrate the compliance program into system operations and address compliance responsibilities effectively.

Regulatory:

Stay up-to-date with state and federal healthcare legislation and carry out risk assessments for current facility practices. This position demands a proactive approach to prevent noncompliance and promote ethical healthcare practices.

The INTEGRIS Health Corporate Compliance Officer provides regular updates to the ACO board of directors and the ELT compliance committee assists in the implementation and oversight of the compliance program.

Will utilize critical thinking skills as a self-starter, problem resolution, analysis, and negotiation and will be instrumental in building a contemporary, forward-thinking compliance function across the entire organization.

Minimum Qualifications:

Bachelor's degree in business, healthcare administration, area of clinical expertise, or other related field.

Master's degree preferred.

7 years of experience in the field.

Healthcare Compliance certification (within the first year).

Thorough understanding and versed in healthcare compliance laws and regulations.

Knowledge of leadership, management, and quality improvement concepts.

Knowledge of ACO coding and healthcare billing requirements.

Experienced in multiple facets of a complex health system.

Demonstrated experience providing leadership and direction in a manner that cultivates respect and influences behavior at all levels of an organization.

Strong communication skills and critical thinking skills.

Reports to Vice President and is accountable for Compliance subject matter expertise contractors.

INTEGRIS Health is an Equal Opportunity/Affirmative Action Employer.

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