Vice President, and Chief Compliance Officer

• Designs, implements, and maintains a robust, organization-wide compliance program.
• Regularly assesses program effectiveness and makes enhancements.
• Leadership and Culture
• Fosters a culture of compliance, transparency, and ethical behavior.
• Leads and mentors the compliance team, promoting professional development and collaboration.
• Incorporates and demonstrates ProMedica's Values and Vision in behaviors, practices, and decisions.
• Regulatory Compliance Oversight
• Ensure compliance with federal and state healthcare regulations (e.g., HIPAA, CMS, Stark Law, Anti-Kickback Statute, EMTALA).
• Monitors regulatory changes and assess organizational impact.
• Policy and Procedure Governance
• Oversees the organization's policy management system and ensure timely review and updates of policies and procedures.
• Training and Education
• Oversees compliance training programs for all levels of staff.
• Promotes awareness of compliance responsibilities and ethical conduct.
• Risk Assessment and Mitigation
• Oversee the compliance risk assessment and compliance audits to identify and address compliance vulnerabilities.
• Collaborates with internal stakeholders to implement corrective action plans.
• Incident Management and Investigations
• Oversees the intake, investigation, and resolution of compliance concerns and reports.
• Ensures timely investigation, documentation, root cause analysis, and remediation.
• Reporting and Communication
• Provides regular updates to Compliance Committee, Compliance Council, executive leadership, and Audit and Compliance Committee of the Board on compliance activities, risks, and outcomes.
• Maintains open lines of communication with staff and leadership regarding compliance matters.
• Builds and maintains relationships with key system leaders crucial to the organization's success.
• Privacy and Data Protection
• Develops, implements, and maintains the organization's privacy program in compliance with HIPAA and other applicable privacy laws and regulations.
• Collaborates with IT and legal teams to ensure data privacy and security compliance.
• Supports breach response and notification processes.

• Master's degree Healthcare Administration, Law, Business Administration, or a related field. Seven to ten years of experience in healthcare corporate compliance with at least three to five years in a leadership role.
• Must have superior leadership, communication, and interpersonal skills with an ability to build trust and credibility to enable common understanding of goals and objectives.
• Must possess strong analytical skills to interpret complex regulations, assess organizational risk, evaluate policy effectiveness, analyze compliance data, lead investigations, and drive strategic improvements with the goal of promoting a culture of accountability and integrity throughout the organization.
• Must have a strong ethical foundation and the ability to lead with integrity, impartiality, and fairness.
• Must be able to influence others, build relationships, and champion ethical practices within the organization.
• Must have ability to manage sensitive issues with discretion and sound judgment.
• Computer proficiency required including Word, Excel, PowerPoint, and Outlook.

• Experience with enterprise risk management and quality improvement processes.
• Proven ability to lead cross-functional teams and drive organizational change.
• Experience with chart review/analysis.
• Experience performing and analyzing regulatory research.
• Certified in Healthcare Compliance (CHC) and/or Certified in Health Privacy Compliance (CHPC) Certified, LEAN, and/or Six Sigma.

ProMedica