Overview
Legal Administrative Assistant / Customer Service Jobs in Topeka, KS at DiPasquale Moore
Job Summary:
As Compliance Officer, serve as Vivant Healths (Vivant) Compliance and Privacy Officer and manage and direct all aspects of Vivants Compliance and Privacy Program, work to enhance existing compliance programming, and implement new policies and procedures as appropriate to ensure that the Vivant governing body, management and employees achieve consistently high levels of compliance with applicable laws, regulations, contractual obligations policies, and standards.
Responsibilities:
Establish and maintain an effective, comprehensive Compliance and Privacy Program.
Develop, initiate, maintain and revise policies, procedures and practices to prevent, detect and respond appropriately to potentially non-compliant practices, including Privacy and Fraud, Waste and Abuse practices.
Direct and supervise Department employee(s) to achieve the desired outcomes.
Monitor, coordinate and track Vivants day-to-day compliance activities.
Collaborate with other Vivant departments to direct compliance matters to appropriate channels for investigation and resolution.
Consult with, and work collaboratively with, Vivants General Counsel and outside counsel to address legal compliance issues.
Respond effectively to potential violations of applicable standards and develop and oversee a uniform system for documenting and resolving them.
Develop and implement compliance and audit work plans.
Oversee all company audits.
Manage Corrective Active Plans.
Oversee Vivants Compliance Hotline.
Institute and maintain effective compliance communications.
Ensure compliance training is current and appropriate.
Report to management and the governing body about compliance initiatives, activities and developments.
Act as Vivants HIPAA Privacy Officer.
Performs related duties consistent with the scope and intent of the position.
Regular attendance.
Travel as required.
Other Functions
Enforces Company policies and safety procedures.
Regularly updates job knowledge by participating in educational opportunities, reading professional publications, maintaining professional networks, and participating in professional organizations.
Maintain IPA, Health Plan compliance standards.
Supervisor Responsibility
This position supervises several employees in multiple disciplines
Competencies
5+ years of experience in a healthcare compliance leadership role at a Medi-Cal managed care focused Independent Physician Association (IPA), medical group, or health plan is strongly preferred.
Current expertise in Medi-Cal and DMHC/DHCS is required. Additional expertise in Medicare Advantage is preferred.
Demonstrated knowledge and experience working for or with Medi-Cal managed care organizations is strongly preferred, including medical groups, IPAs, health plans, Management Services Organizations (MSOs), Department of Managed Health Care (DMHC), and other healthcare systems and managed care organizations.
Demonstrated knowledge and experience working with HIPAA privacy, corporate compliance programs, and healthcare industry laws and regulations is required.
Demonstrated track record of serving in increasingly responsible compliance positions and working collaboratively and effectively with others.
Furtherance of the organizations strategic objectives, and development of creative and thoughtful solutions, taking into account the current legal and regulatory landscape, the organizations policies and procedures, and its current and future needs.
Strong communication and leadership skills, including diplomacy, independence, integrity, and trustworthiness, while commanding respect of the senior management and executive team, governing body and other colleagues.
Possess the demeanor, maturity, skill, discretion and professionalism to work and interact effectively with multiple and diverse constituencies who may be internal or external to Vivant, its subsidiaries, and affiliates.
Consistently exercise sound judgment, and strict maintenance of confidentiality.
Ability to exercise sound discretion and strict maintenance of confidentiality of all confidential and sensitive communications and information
Excellent attention to detail, multi-tasking, time management, project management, and organization skills.
Proactively and effectively solve complex problems.
Ability to work independently as well as in a team environment.
Collaboration with others, and development of partnerships and good working relationships.
Ability to effectively and positively work in a dynamic, fast-paced team environment and achieve objectives.
Excellent research, writing, analytical, and communication skills.
Microsoft software (Word, Excel, PowerPoint) expertise.
Demonstrated excellence in project management and organization.
Demonstrated leadership and project success are expected.
Education and Licensure
High School Diploma or GED minimum requirement.
BA/BS in related field is required.
Juris Doctor Degree preferred.
MA/MS in related field is preferred.
Certification Health Care Compliance (CHC) highly preferred.
Travel
The incumbent may travel up to 5% of the time.
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Title: Legal Administrative Assistant / Customer Service
Company: DiPasquale Moore
Location: Topeka, KS
