Compliance Program Coordinator

US-CA-Irvine
Req No.
2017-2221
Category
Compliance
Type
Regular Full-Time

Overview

ConcertoHealth Inc. is the leading provider of specialized primary care and supporting clinical services for complex, frail, elderly, and dual-eligible patients. Operating exclusively in value-based agreements, ConcertoHealth provides high-touch, individualized care for patients, and deploys wraparound clinical resources to extend the reach of primary care practices. This comprehensive medical management solution, elevated by Concerto’s proprietary population health technology, improves overall healthcare quality and patient outcomes, benefitting payers and their provider networks. The company is headquartered in Irvine, Ca. For more information, please visit www.concertohealth.com.

 

The Compliance Program Coordinator will report directly to the VP, Compliance and will assist in the successful administration of an effective Corporate Compliance Program. The individual in this role must maintain a comprehensive understanding of the Values and ethical principles upon which ConcertoHealth operates, as well as the highest level of personal and professional conduct. The Compliance Program Coordinator must remain objective and independent when completing assignments, and consistently demonstrate the ability to hold information in confidence.

 

Responsibilities

  1. Assists and supports all aspects of the compliance program
  2. Maintains working knowledge of basic healthcare compliance legal and regulatory requirements
  3. Coordinates and organizes various compliance, risk, and quality assurance projects and manages documents
  4. Coordinates compliance program sub-committee(s) or work groups and other compliance meeting activities and manages groups schedules and documents
  5. Responsible for documenting and filing meeting minutes for the compliance program sub-committee(s) or work groups and other compliance meeting activities as needed
  6. Works with team members to update and organize policies and procedures, including a tracking method for review of policies and procedures by employees and contracted vendors / agents
  7. Occasional assistance with the oversight of the anonymous reporting hotline
  8. Assists with the oversight of the exclusion screening process and other background verification processes including development and maintenance of reporting and tracking mechanisms
  9. Establishes effective working relationships and builds credibility within the organization to support a culture of compliance based Core Values
  10. Maintains databases, produces, and monitors various reports from multiple systems (for example: learning management system)
  11. Assists with production and communication of compliance or related alerts, newsletters, and educational emails
  12. Support Organization’s commitment to comply with all federal, state, and local standards, with an emphasis on prevention of fraud and abuse
  13. Promote and adhere to the Code of Ethics and Business Conduct and the elements of the Corporate Compliance Program and exercise due diligence to ensure with policies and local requirements
  14. Performs other duties as assigned / necessary

Qualifications

  • Ability to understand and work with and organize data from various systems and databases: facts, figures, narratives, and data analysis.
  • Ability to translate data into an understandable document or report. Be able to clearly communicate the information in front of technical and non-technical persons.
  • Comfortable looking at the numbers, trends, and data and come to new conclusions based on the findings.
  • Ability to work independently with little direct supervision and manage timelines
  • Ability to maintain positive professional business relationships
  • Strong organizational and interpersonal skills, along with strong attention to detail
  • Excellent oral and written communication skills
  • Demonstrates independent reasoning, critical thinking, and decision making skills
  • Ability to professionally and confidentially handle personnel information and maintain HIPAA compliance
  • Adaptability to change and ability to prioritize competing duties

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