The Chief Compliance Officer (CCO) is responsible for establishing and implementing an effective compliance program as set out in the Office of Inspector General ("OIG") Compliance Program guidance to prevent illegal, unethical, or improper conduct; monitors and reports results of the compliance efforts of the organization and provides guidance for the Board of Managers and senior management team on matters relating to reporting and compliance. Along with the Compliance Committee, implements all necessary actions to ensure achievement of the objectives of an effective compliance program. For purposes of the Compliance Program, reports directly to the Board of Managers.
Compliance Program Development:
Develop, implement, and maintain an effective compliance program to prevent illegal, unethical, or improper conduct.
Regularly review and update the compliance program to reflect changes in laws, regulations, and company policies.
Policy Management:
Draft and revise company policies and procedures to ensure compliance with regulatory requirements. Support leaders in the enforcement of company policies to ensure compliance.
Develops and periodically reviews and updates the Code of Conduct to ensure continuing currency and relevance in providing guidance to management employees/providers.
Lead the development, implementation, and ongoing review of compliance policies, ensuring they remain current with changing regulatory landscapes.
Collaborate with internal stakeholders to assess policy impact and effectiveness.
Training and Education:
Develop and deliver ongoing compliance training programs for employees at all levels, providers and Board members.
Ensure that compliance training programs are engaging, relevant, and updated in response to new regulations or internal policies.
Conduct specialized training sessions for leadership and high-risk departments.
Ensure all employees and providers are trained on the company’s compliance program and any periodic updates to laws and regulations affecting the organization.
Risk Assessment:
Conducts an annual compliance risk assessment to direct program activities for the coming year
Periodically update the compliance risk assessment
Identify potential areas of compliance vulnerability and risk; develop/implement corrective action plans for resolution of problematic issues.
Provide general guidance on how to avoid or deal with similar situations in the future.
Auditing, Monitoring and Reporting:
Conduct regular audits consistent with the risk assessment to identify potential weaknesses and non-compliance situations.
Monitor and report results of the compliance/ethics efforts of the company and provide guidance for senior management on matters relating to compliance. Prepare and present clear and concise compliance reports to the senior management.
Ensures proper reporting of violations or potential violations to duly authorized enforcement agencies as appropriate or required.
Provides reports to the Board of Managers on a regular and no less than quarterly basis
Investigations:
Oversee internal investigations of compliance issues and coordinate responses to regulatory inquiries or examinations.
Establishes and provides direction and management of the compliance hotline.
Institutes and maintains an effective compliance communication program for the company, including promoting: (a) use of the compliance hotline; (b) heightened awareness of the Code of Conduct and (c) understanding of new and existing compliance issues and related policies and procedures.
etc.) to direct compliance issues to appropriate existing channels for investigation and resolution.
Consults with internal counsel as needed to resolve difficult legal compliance issues.
Responds to alleged violations of rules, regulations, policies, procedures, and Code of Conduct by evaluating or recommending the initiation of investigative procedures.
Develops and oversees a system for uniform handling of such violations.
Acts as an independent review and evaluation body to ensure that compliance issues and concerns within the company are being appropriately evaluated, investigated, and resolved.
Maintains a log of reported compliance concerns along with documentation of investigations and outcomes
Compliance Committee:
Chairs the company Compliance Committee
Liaison:
Act as a liaison to the Board of Managers, the Audit Committee, and other relevant bodies.
Establish and maintain strong relationships with regulatory agencies and other external stakeholders.
Establish key performance indicators (KPIs) and benchmarks to measure the effectiveness of compliance initiatives
Provide leadership in fostering a corporate culture that promotes integrity, ethical conduct, and a commitment to compliance across all levels of the organization.
Stay abreast of emerging regulatory trends and proactively adjust policies and procedures accordingly.
QUALIFICATIONS
Education Level |
Education Details |
Required/ Preferred |
And / Or |
Bachelor's Degree (higher degree accepted) |
Bachelor’s degree in Law, Business Administration, Nursing, or related field
| Required |
|
Master's Degree (higher degree accepted) |
Master’s degree or Juris Doctor (JD) is preferred
| Preferred |
|
Work Experience
Experience |
Experience Details |
Required/ Preferred |
And / Or |
10+ years |
Minimum of 10 years of experience in compliance, legal, or regulatory roles, with at least 5 years in a leadership position
| Required |
|
Licenses/Certifications |
Licenses/Certification Details |
Time Frame | Required/ Preferred | And/Or |
Certified Compliance & Ethics Professional (CCEP) or similar certification is preferred |
|
| Preferred |
|
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