Health Care/Attorney/In House/Conshohocken, Pennsylvania
Location: Conshohocken, Pennsylvania
Description: GCC Consulting is at present recruited Health Care/Attorney/In House/Conshohocken, Pennsylvania right now, this position will be depute in Pennsylvania. For complete informations about this position opportunity kindly read the description below. Compliance Director, Take Care Health Systems The candidate directs the development and implementation of an ! effective compliance program for Take Care Health. Serves as the compliance officer for Take Care Health Systems and as the outsourced compliance officer for state Take Care Health Services. Becomes familiar with practices and procedures of in-store health clinics and analyzes staff compliance with practices and procedures in critical areas such billing, coding, hazardous waste disposal. Conducts benchmarking and periodic audits related to claims submissions in identified risk areas such as Medicare, Medicaid and private payor billing. Establishes methods, such as periodic auditing and monitoring to improve efficiency and quality of services and to reduce vulnerability to fraud and abuse. Develops and revises training materials and delivers training to colleagues and staff in key compliance areas. Works collaboratively with Compliance and Government Affairs to develop and maintain a database of current federal, state and local compliance regulations applicable to the organi! zation. Ensures compliance with state and federal regulatory r! equirements including licensing, Medicare, Medicaid, and private payor billing, OSHA, CLIA, physician collaboration/supervision requirements, clinical requirements and timely filing of licensing and/or regulatory documents with state entities. Coordinates with Walgreens Privacy Office to monitor and identify issues related to patient privacy and security of patient health information under HIPAA; investigates allegations of breach of patient privacy and security standards; develops business-specific policies and procedures for privacy and security for Take Care Health.
The candidate should have a Bachelor Degree and 8+ years of compliance experience. A J.D., M.J. degree or related Master Degree desired. Clinical experience (such as nursing) will be considered. 7+ years of experience as a compliance officer for a health care provider is required. Experience applying knowledge of healthcare regulatory laws (for example, Medicare billing, fraud and abuse, self-referra! l, HIPAA privacy and security) needed. Experience in diagnosing, isolating, and resolving complex issues and recommending and implementing strategies to resolve problems necessary. Should have experience presenting and reporting on project plans and cost benefit analyses to appropriate stakeholders, executives and senior management. Must also have experience presenting to and coordinating senior level meetings, including preparation of agendas, documenting meeting minutes, and sending out documents to attendees. Should have experience directly managing people, including hiring, developing, motivating, and directing people as they work.
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If you were eligible to this position, please deliver us your resume, with salary requirements and a resume to GCC Consulting.
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This position starts available on: Sun, 16 Jun 2013 07:17:23 GMT
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