The Director, Corporate Responsibility Program (CRP) Laboratory Compliance is responsible for planning, directing and reviewing laboratory compliance activities for CHI. This position is responsible for the overall direction and management of the laboratory compliance program to ensure system compliance with applicable Federal, state and local laws and regulations.
This position requires an in-depth understanding of the CHI enterprise and MBO/entity (herein referred to as entity) business and operational practices. The individual must have the ability to communicate effectively and provide formal reports to CHI leaders and governance. This individual also provides consultative and supportive services to CHI National, Market Based/Entity Organizations (Entities), and Community Health Service Organizations (CHSOs). This position works closely with local laboratory leadership, Internal Audit, Human Resources, Legal Services Group, Revenue Cycle, Clinical Services, and regional and local Corporate Responsibility, privacy and security officers.
Failure to adequately perform this job exposes CHI to serious legal consequences.
Monitors and disseminates pertinent new laws and regulations and/or revisions to current laws and regulations as they pertain to clinical and anatomic pathology laboratory compliance matters. Such laws and regulations may come from many agencies including but not limited to: Office of the Inspector General (OIG), Centers for Medicare and Medicaid (CMS), Federal Sentencing Guidelines, Department of Justice (DOJ), state regulatory agencies, etc.
Provides oversight for the design and implementation of the laboratory compliance program. Will serve as the lead for various CHI laboratory compliance committees and workgroups.
Provides leadership for the development, implementation, maintenance, and evaluation of policies, procedures, tools and resources to address changes in current laws and regulations and/or revisions to current laws and regulations related to laboratory compliance. This leadership may involve working with non-laboratory departments such as patient access, revenue cycle/patient financial services, and other areas where knowledge and application of laboratory compliance regulations may be critical.
Develops and implements a laboratory compliance plan and policies as well as annual reviews and updates (as needed) for laboratory compliance activities that take into account the organization’s risks as well as the areas identified in the Office of Inspector General’s Annual Work Plan, OIG Advisory Opinions, or other sources of potential laboratory compliance risk.
Provides effective leadership, guidance and consultation to management on matters of laboratory compliance. Must be proficient in the Clinical Laboratory Improvement Amendments (CLIA) and their application to laboratory operations.
Develops laboratory compliance education designed to promote understanding of laboratory compliance issues, laws and regulations and consequences of noncompliance. This position assists the Director CRP Resources in the implementation of associated education.
Investigates allegations of laboratory non-compliance. Responds appropriately to detected problems, oversees development of corrective action plans and coordinates reporting to the appropriate internal departments and state and federal agencies as necessary.
Oversees auditing and monitoring activities to ensure ongoing compliance with laboratory policies and procedures, state and federal laws and regulations.
Bachelor’s Degree required, preferably in the clinical laboratory sciences. Other health care related fields may be considered. Master’s Degree or J.D. preferred.
Certification in Health Care Compliance preferred upon hire and required within the first year of employment.
A minimum of ten years of experience in the laboratory industry including strong regulatory, compliance, quality assurance/improvement, operations and leadership experience.
Previous experience in reference laboratory working environment is a plus.
Internal Number: 2018-R0186267
About Catholic Health Initiatives
At Catholic Health Initiatives (CHI), we’re united. Through 101 hospitals and clinics in 18 states, our 90,000+ employees strive to create healthy communities and provide exceptional care rooted in a profound respect for human dignity.
We believe all lives should be filled with health and well-being; that each person should have the knowledge and resources to make the best and healthiest choices for themselves and their families, with access to care and services that make acting on these choices easy. And you deserve personal attention from people who acknowledge and understand your frustrations and work to eliminate them. It means working together because that’s the way we all improve.
Catholic Health Initiatives offers expertise, convenience, resources and best-in-class care from a foundation of togetherness. To serve communities better, we’ve grown into the third-largest nonprofit health system in the nation. And we’re not done yet. We currently offer care in 18 states through 101 hospitals and clinics, including three academic health centers and major teaching hospitals as well as 29 critical-access facilities, community health-service organizations, and nursing colleges.... We connect agencies, communities and facilities with a goal of bringing everyone the care they need where they need it.
There is nothing we can't do together.