Diamond Healthcare - Corporate Office

  • Director of Audit and Compliance

    Job ID
    2020-3162
    # of Openings
    1
    Hospital/Program
    Diamond Healthcare
    Position Category
    Executive / Program Administration
  • Overview

    Come work with a great team!  

     

    Job Summary:  The Director of Audit and Compliance (“Director”) is responsible for developing, implementing and managing a compliance auditing and monitoring system that provides comprehensive assessments of business processes and functions and is actively engaged in the audit process from planning to issuance of the audit report.  Additionally, this position is responsible for assisting in the development and implementation of Diamond Healthcare Corporation’s (“Diamond”) Ethics and Compliance Program, including policy development, training and education, investigations and auditing and monitoring to identify and reduce compliance risks. 

    Position may require travel to client sites for compliance reviews, audit, and/or education.

    This position reports the Chief Ethics and Compliance Officer.

    Job Responsibilities:

    Implement an end-to-end auditing and monitoring program, consistent with compliance industry and internal audit standards and protocols, to identify compliance risks and control deficiencies, assess root-causes, and formulate corrective action plans.

      • Oversee and monitor program and service lines for effectiveness and adequacy of internal controls, recommending appropriate revisions and modifications, educating staff and helping to develop systems and processes to improve the monitoring and control of risk.
      • Conduct risk-based compliance assurance reviews across Diamond’s various programs and service lines.
      • Determine internal audit scope and develop annual plans, document process, prepare audit findings and conduct follow-up audits to monitor interventions of business and program leadership.
      • Develop and deliver scheduled and ad hoc reports on the results of ongoing auditing and monitoring activities including the status of efforts to remediate/address findings.
      • Develop data points, a repository, and trending to identify risks to Diamond (e.g. collection and review of past incidents, claims, etc.).
      • Assess ongoing, regulations, proposed rules, industry standards, external benchmarks, etc. for applicability to Diamond; incorporating into the Corporate Integrity department work plan.
      • Provide independent, objective assessment related to internal controls and their adequacy in mitigation of risks.
      • Participate as an active member of the Corporate Integrity team.
      • Other duties as assigned.

    Requirements/Qualifications

    Minimal Qualifications:  

    • Master’s degree required.
    • Certified Healthcare Internal Audit Professional (CHIAP), Certified Compliance & Ethics Professional (CCEP), Certified in Healthcare Compliance (CHC), Leadership Professional in Ethics & Compliance (LPEC) or other relevant certification required.
    • Minimum of seven (7) years’ experience in a hospital, health system, academic medical center or consulting firm with a focus on health care compliance or assurance services. 
    • Demonstrated experience and knowledge of compliance procedures, systems of internal control, and auditing standards.
    • Extensive knowledge of industry laws, regulations and policies.
    • Proven ability to develop broad program objectives for individual audits which are relevant to organizational needs and identified risks, to evaluate performance against objectives, and to assist business units, where needed, in implementing corrective actions to improve internal controls.
    • Demonstrated ability to analyze potential problems and formulate appropriate solutions which will assist in mitigating organizational risk.
    • Excellent communication and presentation skills, both verbally and in writing, complex and technical healthcare and audit information in a clear and concise manner to all levels of management and as applicable, client organizations and regulators. Ability to communicate in a way that imparts leadership, independent judgment and tact.
    • Proven ability to exercise independent judgment to handle highly sensitive and confidential issues that may require strict discretion, and maintain strict confidentiality of sensitive, confidential and/or privileged information.
    • Ability to prioritize and organize work for self and others to deliver on commitments and achieve results. 
    • Ability to perform data analysis and assess compliance risk while analyzing facts and circumstances. 
    • Expert computer skills and proficiency in Microsoft Office Suite (e.g. MS Word, Excel, PowerPoint, etc.) required.

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