Area Compliance Officer - Legacy Health

Overview:

This is a hybrid role that is highly consultative and has regular meetings onsite. On days that onsite activity is not scheduled, individuals in this role may work from remotely. 

 

All new hires are required to come to a designated Legacy Health office location in Portland, Oregon prior to their start date for a new hire health assessment and to complete new employee orientation.

Responsibilities:

At Legacy, we strive every day to make life better for others. Compliance reflects our commitment to quality healthcare. Your ability to research, interpret and provide consultation to support these requirements will ensure our readiness. If you want to grow your skills with a healthcare community that values your unique strengths and capabilities, we invite you to consider this opportunity.

 

The area Compliance Officer (ACO) is a member of the Legacy Corporate Compliance team and reports directly to the Vice President/Chief Compliance Officer (CCO). As part of the enterprise-wide Legacy Compliance Program, the ACO’s responsibility is to advance our program effectiveness at assigned Legacy entities to prevent, detect and remediate illegal, unethical, or improper conduct.  Directly and actively engaged in operations, the ACOs support detection and mitigation of risk within the business. The ACO is responsible for maintaining current knowledge of relevant state and federal laws and regulations that apply to hospital facilities and/or medical groups licensed in the states of Oregon and Washington, and acts as a resource and representative when compliance issues arise at their assigned facilities. The ACO demonstrates service excellence and positive interpersonal relations in dealing with others, including patients/families/members, employees, managers, medical staff, volunteers, and community members, so that productivity and positive relations are maximized.  The ACO serves as on-site champion for and consultant on ethical and compliant practices and behaviors consistent with Legacy’s values and Code of Conduct.

 

This ACO position support Unity Center for Behavioral Health (Unity), a 24-hour behavioral and mental health services center located in the greater Portland metropolitan area. A knowledge of or background in behavorial health and/or substance abuse disorders if preferred. Duties include implementing appropriate policies and procedures, creating and delivering compliance training and conducting investigations in partnership with compliance subject matter experts. Maintaining a systems of compliance reporting and metrics at their assigned entities, including corrective action implementation and validation. The ACO is responsible for following up on reported incidents of non-compliance, coordinating internal investigations, preparing reports on incidents and investigation findings, and providing compliance support to Unity leadership and staff.  The ACO also assists with the evaluation of areas of potential billing fraud and abuse, and compliance risk assessment. Collaborates with leadership to implement solutions to eliminate potential risks at Unity. The ACO works collaboratively to share information about compliance risks and to develop mitigation strategies to ensure that compliance risks are addressed at Unity.

 

The ACO is responsible for maintaining current knowledge of relevant state and federal laws and regulations, and acts as an expert resource and representative when local compliance issues arise.  Coordinates compliance efforts among departments with specific areas of substantive compliance responsibility; keeps leadership informed about compliance risks and other appropriate compliance information, chairs Unity Compliance Committee meetings and other meetings as assigned; monitors Legacy’s hospital and medical group compliance programs; and prepares and presents compliance dashboards and regular reports to the Corporate Compliance Committee. Develops annual plans for monitoring and auditing the effectiveness of the Compliance Program and compliance with specific standards, policies, procedures, and legal requirements for Unity. Develops and performs audit and monitoring, and coordinates compliance audit/review activity with audit activity of external and internal auditors.

 

The ACO is responsible for working in partnership with other Corporate Compliance team members on compliance issues and projects as assigned that impact Legacy but may not be specific to Unity.

Qualifications:

Education:  Bachelor’s degree in Healthcare related field or equivalent experience required.  Master’s Degree preferred.  Equivalent additional experience may be substituted for the education requirement.

 

Experience: 

Five (5) or more years of progressive experience in healthcare compliance, internal audit, revenue cycle and/or hospital operations required. Demonstrated knowledge of laws and regulations pertaining to Legacy operations and clinical services. Extensive knowledge/experience in compliance and management of an effective compliance program, including training, monitoring, conducting and documenting investigations, addressing violations, and monitoring corrective actions. Highly developed written and verbal communication and presentation skills; ability to present to various levels within the organization. Strong interdepartmental collaboration skills; willingness to engage across teams and demonstrates the ability to lead indirectly through influence.  Ability to prioritize and work on multiple projects and a variety of complicated tasks at the same time.

 

Skills: 

• Leadership ability to work across multiple operational and administrative departments to accomplish the objectives of the organization
• A high level of professional and personal integrity
• Organizational skills both to function independently and to work closely with other professionals using a team approach
• Judgment skills to make appropriate decisions
• A high degree of confidentiality in dealing with sensitive matters
• Ability to handle multiple demands and to respond rapidly to changing priorities.
• Demonstrated problem-solving, research, analytical, presentation, facilitation, organizational, consultation, negotiation, influence, and training skills
• Effective verbal and written communication skills
• Effective computer skills

 

LEGACY’S VALUES IN ACTION: 

Follows guidelines set forth in Legacy’s Values in Action.

 

Equal Opportunity Employer/Vet/Disabled

Licensure:

Health Care Compliance Association certification required within one year.

Pay Range:USD $55.51 - USD $82.71 /Hr.