Sutter Health Compliance Officer - CPMC in San Francisco, California
The Compliance Officer administers the Sutter Health Ethics and Compliance Program at California Pacific Medical Centerby implementing systems and processes designed to ensure compliance with applicable laws, regulations and standards (e.g., Department of Health and Human Services Departments, including the Centers for Medicare and Medicaid Services (CMS) and the Office of the Inspector General (OIG)).The Compliance Officer assists senior management and governance boards in carrying out their respective roles and responsibilities by providing compliance monitoring, reporting, training and advice.
A Bachelor’s degree or clinical degree in health care related field with substantial experience in healthcare compliance will be considered. Master’s degree preferred. (e.g., MPH, MBA, MHA, JD, MD, etc.).
Certification in Healthcare Compliance required. A law degree, admission to the State Bar of California, and substantial experience in health care and compliance law may be considered as substitution for Certification.
Must have demonstrated significant business and/or healthcare compliance experience, including working with senior leaders. Experience working with a governing Board is strongly desired. This level of experience is typically obtained in approximately seven (7) years of increasingly responsible experience in a health system or healthcare law or healthcare consulting environment.
Must have a working knowledge of management of an effective ethics and compliance program, including training, monitoring, conducting and documenting investigations, addressing violations and monitoring corrective actions. Knowledge of healthcare compliance requirements strongly desired. Knowledge of other disciplines outside of own area of expertise, including business planning, clinical disciplines, human resources, finance, clinical and financial auditing, and information technology is desired. Must have demonstrated current knowledge of business ethics and legal and compliance risks and the knowledge to manage those risks in a dynamic health care environment. Should have working knowledge of federal and state reimbursement program requirements (e.g., Medicare and Medi-Cal), federal and state anti-kickback and physician self-referral laws (e.g., Stark and PORA), and provider and practitioner licensure and scope of practice requirements, privacy and consent laws.
Primary Location: California, San Francisco, San Francisco
Organization: Sutter Health System Office
Employee Status: Regular
Employee Referral Bonus: Yes
Position Status: Exempt
Job Shift: Day
Shift Hours: 8 Hour Shift
Days of the Week Scheduled: Monday-Friday
Weekend Requirements: None
Schedule: Full Time
Hrs Per 2wk Pay Period: 80 hours
All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, marital status, sexual orientation, registered domestic partner status, sex, gender, gender identity or expression, ancestry, national origin (including possession of a driver's license issued to individuals who did not present proof of authorized presence in the U.S.), age, medical condition, physical or mental disability, military or protected veteran status, political affiliation, pregnancy or perceived pregnancy, childbirth, breastfeeding or related medical condition, genetic information or any other characteristic made unlawful by local, state, or federal law, ordinance or regulation. External hires must pass a background check/drug screening. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state, and local laws, including but not limited to the San Francisco Fair Chance Ordinance.