2 open positions available
Oversee and develop the company's compliance program, ensuring adherence to laws and regulations, and lead the compliance department. | Minimum 5 years in healthcare compliance, leadership experience, law degree or advanced degree preferred, and healthcare compliance certification. | COMPANY OVERVIEW Kinex Medical Company is an orthopedic specialty medical equipment company dedicated to improving patient outcomes through innovative products and comprehensive healthcare services. We are committed to supporting patients, healthcare providers, and insurance companies with quality solutions and exceptional service. SUMMARY The CCO is responsible for the overall implementation, monitoring and operation of the Compliance Program, including all updates as necessary, identifying and assessing areas of compliance risk for the organization; communicating the importance of the Compliance Program to executive leadership and the Board of Directors; preparing and distributing the written Code of Conduct setting forth the ethical principles and policies which are the basis of the Compliance Program; developing and implementing targeted education and training programs addressing compliance in the Code of Conduct; operating the retaliation-free internal reporting process, including an anonymous telephone and online reporting system; collaborating with executive management to effectively incorporate the Compliance Program within system operations and programs and to carry out the responsibilities of the position. The duties listed below are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related or a logical assignment to this position. The duties listed below are intended only as illustrations of the various types of work that may be performed. The SUPERVISORY RESPONSIBILITIES Supervise and evaluate all Compliance Department positions REQUIRED KEYS, SKILLS AND ABILITIES Duties & Responsibilities · Ensuring that the Compliance Program effectively prevents and/or detects violations of law, regulations, organization policies, and the Code of Conduct · Regularly reviewing the Compliance Program and recommending appropriate revisions and modifications, including advising administrative leadership and the Board of Directors of potential compliance risk areas · Coordinating resources to ensure the ongoing effectiveness of the Compliance Program · Operating the retaliation-free reporting channels, including an anonymous telephone and reporting system available to all employees, distributors and agents · Developing targeted educational and training programs for all employees, agents, and others working with the organization · Developing targeting education materials for ordering clinicians, as needed · Ensuring that the internal controls are capable of preventing and detecting significant instances or patterns of illegal unethical or improper conduct by employees, agents or others working with the organization · Ensuring that the system has effective mechanisms to reasonably determine that persons either promoted to or hired in management and certain other sensitive and/or responsible positions do not have a propensity to violate federal or state laws and regulations or engage in improper or unethical conduct in their designated areas of responsibility · Providing input and/or direction to Human Resources policies and procedures in the performance appraisal and incentive programs to ensure that improper conduct is discouraged and that support of any conformity with the Compliance Program is part of any performance evaluation process for all employees · Coordinating with Human Resources to ensure that all directors, owners, employees, contractors, and medical staff, if applicable, are screened before appointment or engagement and monthly thereafter against the List of Excluded Individuals or Entities (LEIE) and publicly available state Medicaid program exclusion lists (Exclusion Lists) · Coordinating with all relevant organization departments and functions (e.g., internal audit, finance, contracting, revenue cycle management) to develop work plans for reviewing, monitoring, and auditing compliance risks · Coordinating as appropriate with outside legal counsel conducting or authorizing and overseeing investigations of matters that merit investigation under the Compliance Program · Overseeing follow-up and, as applicable, resolution to investigations and other issues generated by the Compliance Program, including development of corrective action plans as needed · Tracking all issues referred to the compliance office · Developing productive working relationships with all levels of management · Presenting periodic and annual reports on the Compliance Program to the Board of Directors · Developing and implementing, with the approval of executive management and the Board of Directors, an annual review of an update to the Compliance Plan · Reporting on a regular basis to the Executive Compliance Committee on matters involving the Compliance Program. Additionally, the CCO at his/her discretion is expected to regularly report issues to the CEO and Board of Directors · Working with administrative leadership to provide adequate information to staff to ensure that they have the requisite information and knowledge of regulatory issues and requirements to carry out their responsibilities in a lawful and ethical manner · Ensuring that all contracts contain language which is corporate compliant · Chairing the Executive Compliance Committee, and developing appropriate agendas, reports, and information as directed by the Committee · Performing other duties related to the organization’s compliance program, or as assigned by the CEO Essential Duties and Responsibilities Include but not limited to: · Oversee, coordinate, and monitor compliance program including the day-to-day compliance activities of the business · Establish a company compliance manual; maintain and supplement the manual as necessary · Develop and implement policies, procedures, processes, and programs designed to ensure compliance with applicable laws and regulations as well as any specific requirements for the organization set forth by the Office of Inspector General or other government agencies · Establish, supervise, and train compliance department staff as well as teams of department compliance champions responsible for identifying compliance issues at the department levels. Ensure appropriate communication for compliance issues between local departments and compliance office · Conduct periodic risk assessments and advise the CEO, Board, and other executive and senior leaders on compliance risks facing the organization, compliance risks related to strategic and operational decisions of the organization, and the operation of the organization’s compliance program · Revise the compliance program periodically in light of changes in the needs of the organization, applicable law, and policies and procedures of third-party payers · Develop and coordinate appropriate compliance training and education programs for all employees. Ensure and understand the company's commitment to comply with all laws, regulations, company policies, and ethical requirements applicable to the conduct of the business. Assess the need for additional training and education and develop appropriate compliance programs · Develop, coordinate, and oversee internal and external audit procedures for the purpose of monitoring and detecting any misconduct or noncompliance. If any misconduct or noncompliance is detected, recommend a solution and follow-up to ensure that the recommendations have been implemented · Formalize and monitor the reporting system to enable employees to report any noncompliance without fear of retaliation, ensuring that the reporting system is adequately publicized and that allegations of noncompliance are investigated and responded to promptly · In consultation with the Human Resources Department, help ensure that there is a mechanism in place for disciplining instances of noncompliance, including the failure to prevent, detect, or report any noncompliance, appropriate to the nature and extent of the deviation and ensure consistency in the application of the disciplinary action · In conjunction with the outside legal counsel, interface and, when appropriate, negotiate with external regulatory agencies · Report to the Executive Compliance Committee at its regular meetings, or as otherwise necessary, on any significant compliance issues to ensure appropriate discussion of such compliance issues and to ensure that appropriate action is taken · Report to the Board at least quarterly on the implementation, operation, and needs of the compliance program, the compliance risks the organization faces, the methods through which the organization is addressing or can address those risks, and all the reporting requirements required by any government agency including, but not limited to, those required of this organization by the Office of Inspector General (OIG) · Carry out all duties and responsibilities as assigned by the Executive Compliance Committee and the Board of Directors An individual in this position must be able to successfully perform the essential duties and responsibilities listed above. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position. PROFESSIONAL APPROACH: · Display on time attendance and dependability · Maintain the company’s image and reputation at the highest level possible · Conduct oneself in a professional and ethical manner · Teamwork skills · Ability to work well with all levels of colleagues · Make effective use of work time · Maintain a positive and compassionate attitude · Treat all information and data with appropriate confidentiality and security · Be able to resolve conflicts positively The above list reflects the general details necessary to describe the principal and essential functions of the position and shall not be construed as the only duties that may be assigned for the position. MINIMUM QUALIFICATIONS: Education: Bachelor’s Degree Experience and/or Training: At least five (5) year’s experience in healthcare compliance and two years in compliance department leadership. PREFERRED QUALIFICATIONS: Education: Law degree or advanced degree in related field Experience and/or Training: · Experience in healthcare law · Knowledge of fraud and abuse and Medicare/Medicaid issues · Auditing experience preferred · Experience in dealing with compliance issues preferred · Strong influencing skills and perseverance in investigating Certificate: Healthcare Compliance Computer Skills: Strong PC Software and Web skills: MS Word, Excel, Outlook, and web-based tools. Language Skills: To perform this job successfully an individual must have a strong ability to use the English language properly in written and oral communication. Mathematical Skills: To perform this job successfully an individual must have the ability to add, subtract, multiply, and divide into all units of measure, using whole numbers, common fractions, and decimals. This person must possess the ability to perform calculations that assist the analysis process. Reasoning Ability: To perform this job successfully an individual must have the ability to solve problems within minutes and also recognize analogous situations and solutions. RISK LEVEL, PHYSICAL AND MENTAL DEMANDS: EXPOSURE Remote Job responsibilities will be performed in the home setting. It is possible job responsibilities would be required to be performed in the office setting. In this case, there is minimal risk for exposure to infectious disease as this position does not have direct contact with patients and/or equipment. Should the employee become infected with Tuberculosis, they will report to their direct supervisor to ensure that other employees are not at risk for exposure. The employee will seek medical attention and not return to work until released by a physician. Office Job responsibilities will be performed within an office setting. There is minimal risk for exposure to infectious disease as this position does not have direct contact with patients and/or equipment. Should the employee become infected with Tuberculosis, they will report to their direct supervisor to ensure that other employees are not at risk for exposure. The employee will seek medical attention and not return to work until released by a physician. RISK LEVEL Physical and Mental Demands The physical and mental demands described here are representative of those that must be met by employees to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Physical Demands While performing the duties of this job, employees are regularly required to sit, stoop, kneel, crouch, walk and stand; talk or hear, both in person and by telephone; use hands repetitively to finger, handle, feel or operate standard office equipment (fine finger dexterity); reach, carry, push and/or pull with hands and arms; and lift up to 40 pounds. Specific vision abilities required by this job include close vision, distance vision and the ability to adjust focus. Generally the job requires 75% sitting, 20% walking, and 5% standing. Mental Demands While performing the duties of this job, employees are regularly required to use written and oral communication skills; read and interpret data, information and documents; analyze and solve non-routine and complex office administrative problems; use math and mathematical reasoning; observe and interpret situations; learn and apply new information or skills; perform highly detailed work on multiple, concurrent tasks; work under intensive deadlines with frequent interruptions; and interact with colleagues or external individuals encountered in the course of work, some of whom may be dissatisfied or abusive individuals. EQUAL OPPORTUNITY It is the policy of the Company that no person may be illegally discriminated against in applying for employment or in employment. Accordingly, all employment decisions are based on the principles of equal opportunity. These decisions include recruitment, selection, promotion, transfer, discipline, compensation, benefits, training, and other personnel actions involving persons in all job titles and shall occur without regard to creed, race, color, religion, sex/gender, age, national origin/ethnicity, ancestry, arrest record, disability, genetic information including testing, veteran/military status/service, membership in the National Guard, state defense force or any other reserve component of the military forces (either state or the United States), political affiliation/orientation, declining to attend a meeting or to participate in any communication about religious matters or political matters, marital family status, sexual orientation, gender, gender identity or gender expression, or the authorized use of family or medical leave or worker's compensation benefits, genetic information, pregnancy, harassment, equal pay/compensation, retaliation, familial status/parenthood, citizenship or immigration status, disease (i.e. HIV or AIDS), marital status, hairstyles, mental health, status of tobacco usage, breastfeeding, domestic abuse, public assistance status or any other factor prohibited by state or federal law. Kinex Medical operates in several states throughout the U.S. State law may require additional protected characteristics; please check the Equal Employment Opportunity section in the state addendum that aligns with the employee’s work location. Our Company is committed to following any additional state requirements regarding this topic. Reasonable accommodations shall be made for qualified individuals with a disability, unless such accommodations would impose an undue hardship on the Company. A reasonable accommodation is a change or adjustment to job duties or work environment that permits a qualified applicant or employee with a disability to perform the essential functions of a position or enjoy the benefits and privileges of employment compared to those enjoyed by employees without disabilities. Requests for accommodations under the Americans with Disabilities Act or under a state regulation (i.e. the Wisconsin Fair Employment Act) from current employees must be made in writing in accordance with Company policy. Job Type: Full-time Pay: From $120,000.00 per year Benefits: • 401(k) • Dental insurance • Employee assistance program • Flexible schedule • Flexible spending account • Health insurance • Health savings account • Life insurance • Paid time off • Vision insurance Education: • Bachelor's (Required) License/Certification: • Healthcare Compliance (Preferred) Work Location: Remote
Oversee and develop the healthcare compliance program, conduct risk assessments, and ensure adherence to legal and ethical standards. | Requires at least 5 years in healthcare compliance, leadership experience, and preferably a law degree or advanced compliance certification. | COMPANY OVERVIEW Kinex Medical Company is an orthopedic specialty medical equipment company dedicated to improving patient outcomes through innovative products and comprehensive healthcare services. We are committed to supporting patients, healthcare providers, and insurance companies with quality solutions and exceptional service. SUMMARY The CCO is responsible for the overall implementation, monitoring and operation of the Compliance Program, including all updates as necessary, identifying and assessing areas of compliance risk for the organization; communicating the importance of the Compliance Program to executive leadership and the Board of Directors; preparing and distributing the written Code of Conduct setting forth the ethical principles and policies which are the basis of the Compliance Program; developing and implementing targeted education and training programs addressing compliance in the Code of Conduct; operating the retaliation-free internal reporting process, including an anonymous telephone and online reporting system; collaborating with executive management to effectively incorporate the Compliance Program within system operations and programs and to carry out the responsibilities of the position. The duties listed below are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related or a logical assignment to this position. The duties listed below are intended only as illustrations of the various types of work that may be performed. The SUPERVISORY RESPONSIBILITIES Supervise and evaluate all Compliance Department positions REQUIRED KEYS, SKILLS AND ABILITIES Duties & Responsibilities · Ensuring that the Compliance Program effectively prevents and/or detects violations of law, regulations, organization policies, and the Code of Conduct · Regularly reviewing the Compliance Program and recommending appropriate revisions and modifications, including advising administrative leadership and the Board of Directors of potential compliance risk areas · Coordinating resources to ensure the ongoing effectiveness of the Compliance Program · Operating the retaliation-free reporting channels, including an anonymous telephone and reporting system available to all employees, distributors and agents · Developing targeted educational and training programs for all employees, agents, and others working with the organization · Developing targeting education materials for ordering clinicians, as needed · Ensuring that the internal controls are capable of preventing and detecting significant instances or patterns of illegal unethical or improper conduct by employees, agents or others working with the organization · Ensuring that the system has effective mechanisms to reasonably determine that persons either promoted to or hired in management and certain other sensitive and/or responsible positions do not have a propensity to violate federal or state laws and regulations or engage in improper or unethical conduct in their designated areas of responsibility · Providing input and/or direction to Human Resources policies and procedures in the performance appraisal and incentive programs to ensure that improper conduct is discouraged and that support of any conformity with the Compliance Program is part of any performance evaluation process for all employees · Coordinating with Human Resources to ensure that all directors, owners, employees, contractors, and medical staff, if applicable, are screened before appointment or engagement and monthly thereafter against the List of Excluded Individuals or Entities (LEIE) and publicly available state Medicaid program exclusion lists (Exclusion Lists) · Coordinating with all relevant organization departments and functions (e.g., internal audit, finance, contracting, revenue cycle management) to develop work plans for reviewing, monitoring, and auditing compliance risks · Coordinating as appropriate with outside legal counsel conducting or authorizing and overseeing investigations of matters that merit investigation under the Compliance Program · Overseeing follow-up and, as applicable, resolution to investigations and other issues generated by the Compliance Program, including development of corrective action plans as needed · Tracking all issues referred to the compliance office · Developing productive working relationships with all levels of management · Presenting periodic and annual reports on the Compliance Program to the Board of Directors · Developing and implementing, with the approval of executive management and the Board of Directors, an annual review of an update to the Compliance Plan · Reporting on a regular basis to the Executive Compliance Committee on matters involving the Compliance Program. Additionally, the CCO at his/her discretion is expected to regularly report issues to the CEO and Board of Directors · Working with administrative leadership to provide adequate information to staff to ensure that they have the requisite information and knowledge of regulatory issues and requirements to carry out their responsibilities in a lawful and ethical manner · Ensuring that all contracts contain language which is corporate compliant · Chairing the Executive Compliance Committee, and developing appropriate agendas, reports, and information as directed by the Committee · Performing other duties related to the organization’s compliance program, or as assigned by the CEO Essential Duties and Responsibilities Include but not limited to: · Oversee, coordinate, and monitor compliance program including the day-to-day compliance activities of the business · Establish a company compliance manual; maintain and supplement the manual as necessary · Develop and implement policies, procedures, processes, and programs designed to ensure compliance with applicable laws and regulations as well as any specific requirements for the organization set forth by the Office of Inspector General or other government agencies · Establish, supervise, and train compliance department staff as well as teams of department compliance champions responsible for identifying compliance issues at the department levels. Ensure appropriate communication for compliance issues between local departments and compliance office · Conduct periodic risk assessments and advise the CEO, Board, and other executive and senior leaders on compliance risks facing the organization, compliance risks related to strategic and operational decisions of the organization, and the operation of the organization’s compliance program · Revise the compliance program periodically in light of changes in the needs of the organization, applicable law, and policies and procedures of third-party payers · Develop and coordinate appropriate compliance training and education programs for all employees. Ensure and understand the company's commitment to comply with all laws, regulations, company policies, and ethical requirements applicable to the conduct of the business. Assess the need for additional training and education and develop appropriate compliance programs · Develop, coordinate, and oversee internal and external audit procedures for the purpose of monitoring and detecting any misconduct or noncompliance. If any misconduct or noncompliance is detected, recommend a solution and follow-up to ensure that the recommendations have been implemented · Formalize and monitor the reporting system to enable employees to report any noncompliance without fear of retaliation, ensuring that the reporting system is adequately publicized and that allegations of noncompliance are investigated and responded to promptly · In consultation with the Human Resources Department, help ensure that there is a mechanism in place for disciplining instances of noncompliance, including the failure to prevent, detect, or report any noncompliance, appropriate to the nature and extent of the deviation and ensure consistency in the application of the disciplinary action · In conjunction with the outside legal counsel, interface and, when appropriate, negotiate with external regulatory agencies · Report to the Executive Compliance Committee at its regular meetings, or as otherwise necessary, on any significant compliance issues to ensure appropriate discussion of such compliance issues and to ensure that appropriate action is taken · Report to the Board at least quarterly on the implementation, operation, and needs of the compliance program, the compliance risks the organization faces, the methods through which the organization is addressing or can address those risks, and all the reporting requirements required by any government agency including, but not limited to, those required of this organization by the Office of Inspector General (OIG) · Carry out all duties and responsibilities as assigned by the Executive Compliance Committee and the Board of Directors An individual in this position must be able to successfully perform the essential duties and responsibilities listed above. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position. PROFESSIONAL APPROACH: · Display on time attendance and dependability · Maintain the company’s image and reputation at the highest level possible · Conduct oneself in a professional and ethical manner · Teamwork skills · Ability to work well with all levels of colleagues · Make effective use of work time · Maintain a positive and compassionate attitude · Treat all information and data with appropriate confidentiality and security · Be able to resolve conflicts positively The above list reflects the general details necessary to describe the principal and essential functions of the position and shall not be construed as the only duties that may be assigned for the position. MINIMUM QUALIFICATIONS: Education: Bachelor’s Degree Experience and/or Training: At least five (5) year’s experience in healthcare compliance and two years in compliance department leadership. PREFERRED QUALIFICATIONS: Education: Law degree or advanced degree in related field Experience and/or Training: · Experience in healthcare law · Knowledge of fraud and abuse and Medicare/Medicaid issues · Auditing experience preferred · Experience in dealing with compliance issues preferred · Strong influencing skills and perseverance in investigating Certificate: Healthcare Compliance Computer Skills: Strong PC Software and Web skills: MS Word, Excel, Outlook, and web-based tools. Language Skills: To perform this job successfully an individual must have a strong ability to use the English language properly in written and oral communication. Mathematical Skills: To perform this job successfully an individual must have the ability to add, subtract, multiply, and divide into all units of measure, using whole numbers, common fractions, and decimals. This person must possess the ability to perform calculations that assist the analysis process. Reasoning Ability: To perform this job successfully an individual must have the ability to solve problems within minutes and also recognize analogous situations and solutions. RISK LEVEL, PHYSICAL AND MENTAL DEMANDS: EXPOSURE Remote Job responsibilities will be performed in the home setting. It is possible job responsibilities would be required to be performed in the office setting. In this case, there is minimal risk for exposure to infectious disease as this position does not have direct contact with patients and/or equipment. Should the employee become infected with Tuberculosis, they will report to their direct supervisor to ensure that other employees are not at risk for exposure. The employee will seek medical attention and not return to work until released by a physician. Office Job responsibilities will be performed within an office setting. There is minimal risk for exposure to infectious disease as this position does not have direct contact with patients and/or equipment. Should the employee become infected with Tuberculosis, they will report to their direct supervisor to ensure that other employees are not at risk for exposure. The employee will seek medical attention and not return to work until released by a physician. RISK LEVEL Physical and Mental Demands The physical and mental demands described here are representative of those that must be met by employees to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Physical Demands While performing the duties of this job, employees are regularly required to sit, stoop, kneel, crouch, walk and stand; talk or hear, both in person and by telephone; use hands repetitively to finger, handle, feel or operate standard office equipment (fine finger dexterity); reach, carry, push and/or pull with hands and arms; and lift up to 40 pounds. Specific vision abilities required by this job include close vision, distance vision and the ability to adjust focus. Generally the job requires 75% sitting, 20% walking, and 5% standing. Mental Demands While performing the duties of this job, employees are regularly required to use written and oral communication skills; read and interpret data, information and documents; analyze and solve non-routine and complex office administrative problems; use math and mathematical reasoning; observe and interpret situations; learn and apply new information or skills; perform highly detailed work on multiple, concurrent tasks; work under intensive deadlines with frequent interruptions; and interact with colleagues or external individuals encountered in the course of work, some of whom may be dissatisfied or abusive individuals. EQUAL OPPORTUNITY It is the policy of the Company that no person may be illegally discriminated against in applying for employment or in employment. Accordingly, all employment decisions are based on the principles of equal opportunity. These decisions include recruitment, selection, promotion, transfer, discipline, compensation, benefits, training, and other personnel actions involving persons in all job titles and shall occur without regard to creed, race, color, religion, sex/gender, age, national origin/ethnicity, ancestry, arrest record, disability, genetic information including testing, veteran/military status/service, membership in the National Guard, state defense force or any other reserve component of the military forces (either state or the United States), political affiliation/orientation, declining to attend a meeting or to participate in any communication about religious matters or political matters, marital family status, sexual orientation, gender, gender identity or gender expression, or the authorized use of family or medical leave or worker's compensation benefits, genetic information, pregnancy, harassment, equal pay/compensation, retaliation, familial status/parenthood, citizenship or immigration status, disease (i.e. HIV or AIDS), marital status, hairstyles, mental health, status of tobacco usage, breastfeeding, domestic abuse, public assistance status or any other factor prohibited by state or federal law. Kinex Medical operates in several states throughout the U.S. State law may require additional protected characteristics; please check the Equal Employment Opportunity section in the state addendum that aligns with the employee’s work location. Our Company is committed to following any additional state requirements regarding this topic. Reasonable accommodations shall be made for qualified individuals with a disability, unless such accommodations would impose an undue hardship on the Company. A reasonable accommodation is a change or adjustment to job duties or work environment that permits a qualified applicant or employee with a disability to perform the essential functions of a position or enjoy the benefits and privileges of employment compared to those enjoyed by employees without disabilities. Requests for accommodations under the Americans with Disabilities Act or under a state regulation (i.e. the Wisconsin Fair Employment Act) from current employees must be made in writing in accordance with Company policy. Job Type: Full-time Pay: From $120,000.00 per year Benefits: • 401(k) • Dental insurance • Employee assistance program • Flexible schedule • Flexible spending account • Health insurance • Health savings account • Life insurance • Paid time off • Vision insurance Education: • Bachelor's (Required) License/Certification: • Healthcare Compliance (Preferred) Work Location: Remote
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