Compliance analyst Jobs in Louisville, KY

Job Description

Job Description

Commonwealth Pain & Spine is a pain management network dedicated to improving the lives of our patients by treating their pain with the utmost respect and providing them with the most innovative, safe, responsible, and clinically proven pain relief possible.

Our team of best-in-class physicians, administrators, and staff empathizes with the needs of our patients. We recognize that their pain is exhausting and debilitating and limits their quality of life. Relief from chronic pain is achievable in various degrees through our intelligent and multimodal team-based approach. Our entire team is committed to providing levels of patient satisfaction and overall clinical outcomes that far exceed the expectations of the medical community, referring physicians, and our customers.

Job Summary :

The Compliance Officer will lead and manage the company's compliance program to ensure adherence to legal and regulatory requirements, as well as internal policies and procedures. This role will work closely with senior leadership to identify compliance risks, develop strategies to address them, and foster a culture of ethics and compliance across the organization. The Compliance VP will play a crucial role in safeguarding the integrity and reputation of the organization.

This is a Full Time, Salaried position Responsibilities

• Develop, implement, and maintain the organization’s compliance program and strategy.
• Advises CEO, Board, and Senior Leaders on compliance risks as related to strategic and operational decisions.
• Head the management compliance committee and develops and implements an annual compliance plan and monitoring.
• Act as a subject matter expert on regulatory issues impacting the company.
• Monitor and assess the company’s adherence to applicable laws, regulations, and industry standards.
• Revise the compliance program periodically based on changes in laws and regulations.
• Ensure the company is in full compliance with all local, state, and federal laws, including financial, healthcare, and data protection regulations.
• Identify and assess compliance-related risks across various business operations.
• Coordinate with audit, risk, quality and IT on plans for monitoring and auditing compliance risks.
• Manage conflict of interest process and CMS open payments database.
• Monitors initial and monthly excluded provider checks for officers, directors, employees, contractors and medical staff.
• Tracks Physician Non-Monetary Compensation annually under Stark.
• Conducts and monitors compliance training and education.
• Monitors repayment of overpayments.
• Conduct an annual risk assessment, along with internal audits and assessments to evaluate compliance risks.
• Design and implement training programs to ensure employees are informed of compliance policies and procedures.
• Oversees corporate policies and procedures that encourage employees to report suspected fraud and other violations without fear of retaliation and oversees and manages the hotline.
• Follows the 7 Elements of Compliance under the Federal Sentencing Guidelines.
• Follows DOJ and OIG Compliance Program Effectiveness Guidance and the General Compliance Program Guidelines.
• Promote a strong culture of ethics and compliance within the organization.
• Provide guidance and support to other departments, including legal, finance, and operations, to address compliance challenges.
• Investigate potential violations of company policies or regulatory requirements and recommend corrective actions.
• Stay updated on regulatory changes and evolving industry standards.
• Continuously evaluate and improve the company’s compliance processes and systems.
• Lead the development and implementation of compliance-related initiatives and projects.
• The above is intended to describe the general content and requirements for the performance for this position. It is not to be construed as an exhaustive statement of duties, responsibilities, or requirements.
• Required Skills
• In-depth knowledge of relevant laws, regulations, and industry standards (e.g., SOX, GDPR, HIPAA, etc.).
• Strong leadership and interpersonal skills with the ability to influence and collaborate across departments.
• Exceptional communication and presentation skills.
• Strong analytical, problem-solving, and decision-making abilities.

Education & Experience :

Physical Requirements :

The physical demands of this position will include sitting and standing with occasional light to medium lifting. An employee must meet these requirements to successfully perform the essential duties of this job. Reasonable accommodation will be made in accordance with ADA rules and regulations.

I have reviewed this job description, and I understand all my job duties and responsibilities. I can perform the essential functions as outlined. I understand that my job may change on a temporary or regular basis according to the needs of my location or department without it being specifically included in the job description. If I have any questions about job duties not specified in this description that I am asked to perform, I should discuss them with my immediate supervisor.

Commonwealth Pain and Spine is an Equal Employment Opportunity Employer!