Director, Compliance and Risk Audit Jobs in Belle Mead at Hackensack Meridian Health

Overview

Our team members are the heart of what makes us better.

At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community.

Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.

The Director, Compliance and Risk Audit assists the Compliance Officer in the administration of Carrier Clinic's Corporate Compliance Program and all applicable committees related to the program. Performs employee training sessions and investigations/responses to employee inquiries. Responsible for coordination of organizational risk management functions consisting of insurance notification, case coordination, data gathering and overall risk reduction strategies. Responsible for protecting corporate assets, performing audits in accordance with the annual Internal Audit Program consisting of compliance, financial, process and internal controls. Performs additional audits as deemed necessary by the Board of Trustees or Vice President of Administrative Services. Incorporates the organization's Mission, Values and Service Excellence Guidelines in the fulfillment of all duties and responsibilities.

Responsibilities

A day in the life of a Director, Compliance and Risk Audit at Hackensack Meridian Health includes:

• Corporate Compliance: Assist Carrier's Corporate Compliance Officer in ensuring that the organization operates within the guidelines of its Corporate Compliance policies and procedures.
• Assists the Compliance Officer in managing Carrier's Corporate Compliance Disclosure Program, including the disclosure hotline.
• Develops, recommends, implements, communicates, procedure and practices directly related to Carrier's Corporate Compliance Program
• Works directly with Carrier's DEA Officer (Director of Pharmacy) on Corporate Compliance issues.
• Assists Carrier's Corporate Compliance Officer in investigating and resolving fraud and abuse issues, e.g. purchasing and marketing practices, billing and claims, relations with physicians and charitable donations.
• Assists Carrier's Corporate Compliance Officer in preparing for/presenting at the quarterly Corporate Compliance Board of Trustees Committee Meetings.
• Provides Corporate Compliance related training to Carrier staff in the areas of General Corporate Compliance and Billing and Coding, as needed.
• Risk Management: Works with malpractice insurance companies to coordinate claims. Keeps accurate files and records on the status of open and closed cases.
• Develops policies and procedures for the Risk Management Program.
• Analyzes risk exposures by reviewing patient complaints, infection control data, medication errors, safety data and employee health issues. Uses this information to perform appropriate Performance Improvement activities. Is an active member of committees where this data is presented.
• Provides risk education based on identified needs.
• Submits requested quarterly reports to the Board of Trustees.
• Coordinates depositions.
• Responsible for data collection, trending and analysis of all incident reports. Initiates corrective action as indicated.
• Maintains professional growth and development by attending appropriate workshops or seminars. Attends all mandatory hospital based in-services.
• Internal Audit: Develops an annual Work Plan with guidance from the CEO, Board of Trustees, Corporate Compliance Officer, Board Level Corporate Compliance and Audit Committees and the Executive Team. Reports the status of the Internal Audit Plan to the VP of Administrative Services and makes semi-annual reports to the Audit Committee of the Board of Trustees.
• Reviews legislative pronouncements and implements audit programs where necessary to ensure compliance with regulatory changes.
• Obtains and reviews the yearly OIG Work Plan and develops audit plans to ensure organizational compliance with items contained in the work plan.
• Monitors organizational regulatory agency corrective action plans for accuracy, adequacy, and compliance.
• Reviews financial data including, but not limited to, accounts receivable, accounts payable, revenues and expense reports, physician charges, time and attendance records, and capital asset inventory.
• Reviews hospital policies and procedures and recommends changes as necessary to encourage efficiency, control and compliance.
• Plans and performs special audits as requested by the VP of Administrative Services or Board of Trustees.
• Other duties and/or projects as assigned.
• Adheres to HMH Organizational competencies and standards of behavior.

Qualifications

Education, Knowledge, Skills and Abilities Required:

• Bachelor's degree in Accounting or Finance.
• Minimum of one year experience of healthcare auditing.
• Maintains standards of behavior as established in the Organizational Ethics and Codes of Conduct Policy
• Excellent written and verbal communication skills.
• Proficient computer skills that may include but are not limited to Microsoft Office and/or Google Suite platforms.

Licenses and Certifications Required:

• Certified Public Accountant License. 

If you feel that the above description speaks directly to your strengths and capabilities, then please apply today!   

HACKENSACK MERIDIAN HEALTH (HMH) IS AN EQUAL OPPORTUNITY EMPLOYER

All qualified applicants will receive consideration for employment without regard to age, race, color, creed, religion, sex, sexual orientation, gender identity or expression, pregnancy, breastfeeding, genetic information, refusal to submit to a genetic test or make available to an employer the results of a genetic test, atypical hereditary cellular or blood trait, national origin, nationality, ancestry, disability, marital status, liability for military service, or status as a protected veteran.

Our Network

Hackensack Meridian Health (HMH) is a Mandatory Influenza Vaccination Facility

As a courtesy to assist you in your job search, we would like to send your resume to other areas of our Hackensack Meridian Health network who may have current openings that fit your skills and experience.