A Regional Compliance Associate (RCA) is responsible for managing and reporting health care and privacy compliance program activity at a regional level. Promoting a culture of compliance throughout the organization, ensuring compliance always remains top of mind in all business activities performed by self or others and that compliance is represented at every management and governance‐level meeting. This position is responsible for ensuring awareness of compliance communications, Hotline availability, Internet and Intranet site locations, awareness of and existence of company-wide policies (CWPs) as well as consistently enforcing compliance with CWPs and Doing the Right Thing! The RCA is responsible for coordinating compliance display materials, including Hotline Posters, Code of Conduct and Privacy materials as well as supporting the promotion of compliance through regional activities such as Compliance Awareness Week, Compliance Fairs, or other employee involvement activities.

The RCA is also responsible for Elder Justice Act (EJA) and other regional compliance and or privacy related incident investigations, that compliance and or privacy related requirements and responsibilities are appropriately managed efficiently and effectively and incidents are reported timely and accurately utilizing the TridentCare compliance incident management system. Immediate communication of material concerns, programmatic or other systemic issues to the Chief Compliance and Privacy Officer is required. RCA is responsible for ensuring corrective action plans and or all appropriate disciplinary action is followed for all occurrences where compliance and or privacy related requirements are not being met and ensuring there is adequate two‐way communication between the compliance department staff and employees such as periodic check‐ins with employees and follow‐up with employees who report concerns.

Any other duties of the RCA should not be in conflict with health care compliance and privacy goals.

Tasks And Responsibilities

Health Care Compliance, Our Code of Conduct, EJA and Privacy Related Training: o Assure regional employees, physicians, vendors, and other agents successfully complete compliance and or privacy related training as a new hire and on a minimum of an annualized basis.

Assure risk‐specific training is conducted for targeted employees

Provide follow up, as requested, to the Compliance Leader on:  Associates’ annual training completion

New hires training completion within 30 days of hire

Returning Associate from LOA

Incident Management, Tracking And Reporting

Gather all related information and documentation related to compliance incidents

Complete each section of the TridentCare compliance incident management system (Navex) – document every communication and interaction that took place to discuss the incident (including communications and interactions with other Trident Associates)

Review the recorded documentation to ensure all information is included in each section of the report

Record documentation relating to disciplinary action:  Include the completed, signed, scanned, PIP or Document of Discussion

If no disciplinary action was implemented, document why disciplinary action was not issued

Escalate material concerns to the immediate attention of the Chief Compliance and Privacy Officer

Review daily, weekly, monthly regional incident activity to understand trends, corrective and preventative activity to trends and communicate such with Vice President of Operations as well as the Chief Compliance and Privacy Officer

Vendors Business Associate Agreements (BAA): o Identify vendors who service our offices and/or locations

Determine if the vendor collects, uses, accesses, stores, or otherwise touches or handles patient information

If the vendor handles patient information, then contact the Corporate Compliance to obtain or update a Business Associate Agreement (BAA)

Maintain an up to date log of BAAs for the region

Send BAA log to Corporate Compliance on a month basis and or as requested

Lost/Stolen Devices (e.g., laptop, desktop, cell phone, flash/thumb drives, etc.):

Alert IT Security immediately upon notification of the incident.

Gather all related information and documentation to create a case in NAVEX  Please follow instructions above

Ensure that appropriate Associate discipline is documented, including suspensions and payroll deductions in accordance with our Laptop Security SOP

Participate in all Compliance and Privacy team forums, meetings, calls and other activities

Participate in continuing education to maintain professional competence with up to date knowledge of compliance, privacy, billing and coding rules and practices

All other tasks that may be assigned by Management from time to time

SKILLS|EXPERIENCE:

Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization.

Health care industry knowledge in all aspects of compliance and privacy, including but not limited to HIPAA privacy rule application in various health care settings.

Must have strong written and verbal communication skills.

Must have strong interpersonal skills and the ability to effectively work with a variety of experience levels in unrelated departments.

Candidate must be a self started, with strong time management skills and the ability to multitask and priority

SKILLS|EXPERIENCE:

Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization.
Health care industry knowledge in all aspects of compliance and privacy, including but not limited to HIPAA privacy rule application in various health care settings.
Must have strong written and verbal communication skills.
Must have strong interpersonal skills and the ability to effectively work with a variety of experience levels in unrelated departments.
Candidate must be a self started, with strong time management skills and the ability to multitask and priority workloads.
Strong people development skills. Excellent oral and written communication skills with ability to adapt communication to audience.
To perform this job successfully, an individual should have a working knowledge of how a Database functions; MS Excel, MS PowerPoint

Other

Other duties as assigned by superior and senior management.
Willing to travel over 20% of the time.
Must be organized, have the ability to communicate effectively and work in stressful situations.
Must maintain confidentiality with company information and understand what situations are applicable to share company information.
Must be able to create, review and analyze spreadsheets, and PowerPoint documents.

Education And Experience

5+ years’ experience of responsibility in health care compliance/ethics, and/or health care business conduct.
Undergraduate degree preferred. Graduate degree a plus.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. o Frequently required to stand, walk, sit and reach with hands and arms.
Occasionally required to lift and/or move up to 20 pounds.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions

TridentCare

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Regional Compliance Associate