CORPORATE COMPLIANCE OFFICER

• Hospital-Main Campus
• Management(non-Executive)
• Full-Time
• 8 hour shift – Weekdays
• CORPORATE COMPLIANCE
• 9019

Job Description

Benefits

In addition to competitive compensation and wellness benefits (medical, dental, vision and prescription) Beebe Healthcare also offers:

• Sign-on and Referral Bonuses for select positions
• Tuition Assistance up to $5,000
• Paid Time Off
• Long Term Sick accrual
• Employer Contribution Plan
• Free Short and Long-Term Disability for Full Time employees
• Zero copay for drugs on prescription plan for certain conditions
• College Bound 529 Savings Plan
• Life Insurance
• Beebe Perks via Work Advantage
• Employee Assistance Program
• Pet Insurance

Overview

The Corporate Compliance Officer ensures adherence to healthcare regulations, including HIPAA, HITECH, Medicare/Medicaid requirements, ACA provisions, and other healthcare-specific compliance obligations.

Responsibilities

Program Development & Management

• Design, implement, and maintain a comprehensive healthcare compliance program
• Create and manage annual compliance work plans with measurable objectives
• Develop and maintain compliance policies, procedures, and standards of conduct
• Chair the Executive Compliance Committee and coordinate regular meetings
• Establish compliance monitoring and auditing systems
• Maintain compliance hotline and other reporting mechanisms
• Manage planning and coordination for outsourced internal audit firm

Regulatory Compliance & Privacy

• Monitor clinical documentation for compliance with regulatory requirements
• Oversee medical necessity and utilization review processes
• Ensure compliance with conditions of participation for Medicare/Medicaid
• Review and monitor provider arrangements for Stark Law compliance
• Oversee compliance aspects of clinical research programs
• Monitor emergency medical treatment (EMTALA) compliance
• Review marketing & advertising materials for compliance

Training & Education

• Develop annual compliance training calendar
• Create role-specific compliance training programs
• Conduct new hire compliance orientation
• Provide specialized training for high-risk areas
• Track and document all compliance training completion
• Develop compliance newsletters and updates
• Create awareness campaigns for key compliance issues

Auditing & Monitoring

• Develop and implement annual audit plans
• Conduct regular audits of high-risk areas including:

Medical billing and coding
Clinical documentation
Quality metrics reporting
Provider credentialing
Pharmacy operations
Laboratory services

• Perform regular sanction screening of employees and vendors
• Monitor excluded provider lists and take appropriate action

Investigation and Reporting

• Lead investigations of reported compliance concerns
• Develop corrective action plans and monitor implementation
• Prepare quarterly compliance reports for Board and senior leadership
• Manage external audit processes and regulatory surveys
• Coordinate responses to government investigations
• Report compliance metrics and trending data
• Document all compliance activities and outcomes

Risk Management Integration

• Collaborate with Risk Management on incident reporting
• Participate in root cause analyses
• Assist in the development of risk mitigation strategies
• Review patient safety events for compliance implications
• Coordinate with Quality Department on performance improvement initiatives

Vendor and Business Relations

• Review and approve vendor contracts for compliance requirements
• Monitor physician arrangements and compensation
• Oversee conflicts of interest disclosure process
• Review marketing arrangements and patient inducement issues
• Monitor referral relationships for compliance with Anti-Kickback Statute

Qualifications

Skills & Competencies

• Proficiency in healthcare compliance software
• Experience with EHR systems
• Knowledge of healthcare billing systems
• Familiarity with quality reporting systems
• Data analysis and statistical reporting capabilities
• Strong ethical judgement
• Healthcare regulatory interpretation skills
• Clinical operations understanding
• Risk assessment expertise
• Change management abilities
• Collaborative leadership style
• Problem-solving skills
• Communication across all levels of healthcare organization

Education & Experience

Required

• Bachelor's degree; Master's or JD preferred
• 8+ years in healthcare setting
• 5+ years management experience in healthcare setting
• In-depth knowledge of healthcare regulations and standards:
• HIPAA/HITECH
• Stark Law
• Anti-Kickback Statute
• False Claims Act
• Medicare/Medicaid regulations
• Joint Commission standards

Preferred Qualifications

• Healthcare compliance certifications (CHC, CHPC, or CHRC)
• Clinical background (RN, MD, or similar)
• Experience in hospital or large healthcare system
• Background in healthcare risk management
• Knowledge of quality management systems
• Experience with CMS reporting requirements

Competencies Skills

"Essential:
* Clear Communication Skills Both Written And Verbal
* Able To Keep Confidential Information Regarding Patients, Team Members
* Able To Withstand Crisis Situations
* Has Skills To Provides Customer Service To Patients, Team Members And Visitors
* Experience With Excel, Power Point, Word, Visio, Etc.
"

Education

Essential:
* Bachelor's Degree in related field

Entry

USD $121,472.00/Yr.

Max

USD $194,355.20/Yr.

Apply

©2025 Main Campus: 424 Savannah Road | Lewes, DE 19958

• Privacy
• Terms & Conditions
• Accessibility
• EEO