![]() Manages and supervises the corrective action process including communication, education, involvement in policy/process updates, as well as overall project management Develop and manage on-going data analytics efforts, based on the annual Work Plan Ensures quality assurance through an internal process on each investigation Maintains documentation of methods used and individuals involved in verifying compliance documented identified issues, corrective actions taken, and improvements implemented Assists with the development and delivery of compliance training programs, as assigned Ensures all identified issues are logged in the OCCP database (Comply Track) accurately and timely and conducts regular documented follow up until issues are resolved Works collaboratively with appropriate Steward workforce members to resolve all compliance issues identified Leads investigations or supervises investigations of compliance and privacy concerns at the assigned entities that are raised through the various reporting mechanisms Under the direction of the Senior Vice President, Chief Compliance Officer, consults with the Office of General Counsel (OGC), as needed, to resolve legal compliance issues Monitors the implementation status of management's corrective action plans in response to identified compliance and privacy issues and facilitates regular discussion on open topics at local entity meetings, including Compliance Committee meetings Assists with preparing written reports, on a quarterly basis or as requested, to keep the Regional System Deputy, informed of compliance activities and issues for assigned areas on a timely basis. Assists with professional development of OCCP staff through in-service meetings, education programs, conferences, etc. KEY Responsibilities: Drives consistent application of Steward's Code of Conduct and compliance policies across the assigned Steward entities Acts as a consultative resource to assigned entity leadership on issues concerning compliance and privacy matters, and provides recommendations to enhance policies, procedures, and internal controls, as needed Ensures that information is provided to assigned entity-level management to keep them current on the latest compliance program related risks and leading practices Works with the OCCP leadership in the development and delivery of compliance and privacy training programs, ensuring all members of the assigned entity workforce are knowledgeable of applicable laws, Steward's Code of Conduct, and Steward's compliance policies Assists the OCCP in conducting a risk assessment to support the overall annual Compliance Plan Review's conflict of interest disclosure forms for assigned entities to identify any concerns that may need to be brought to the attention of the System Deputy, Compliance & Privacy Officer and entity leadership for follow-up or resolution Management responsibilities include but are not limited to hiring, training, development, and performance management, as well as continuous improvement of workflow/communication within the team based on leading practice techniques. This position is responsible for driving compliance program operational excellence (i.e., standardization, scalability, effectiveness, and efficiency) related to investigations, reporting, monitoring, education, and corrective action plans region wide. This position will be accessible to their assigned Region to implement and maintain the Compliance & Privacy Program and to provide guidance to hospital and clinic management teams. The Regional Compliance & Privacy Officer is responsible for driving implementation of Steward's Compliance Program at the hospital/clinic level. This position will be based at one of the hospitals in the assigned region and will require some travel to the other assigned hospitals as well as other Steward locations. The Regional Compliance & Privacy Officer needs to be a person of high integrity, and any other duties assigned should not conflict with the Steward's compliance program goals and objectives. This position reports directly to a Regional System Deputy. The Regional Compliance & Privacy Officer is a member of the OCCP with general duties and responsibilities related to being the focal point for implementing Steward Health Care System's (Steward) Compliance & Privacy Program for the specified Region.
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