Kaweah Health Jobs (NOW HIRING)

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state‑of‑the‑art medicine and high‑quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight‑campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community.

• Bachelor's or Master's degree with emphasis in health care or a closely related field.
• Minimum of five years of hospital compliance management experience.

• Serve as Director of Corporate Compliance for Kaweah Health and all subsidiary corporations and organizations.
• Oversee the Compliance Program and privacy‑related activities, functioning as an objective body that reviews and evaluates compliance issues/concerns within Kaweah Health.
• Monitor effectiveness of the Compliance Program.
• Develop and maintain the Standards of Conduct and privacy policies that support compliance program objectives.
• Communicate the Standards of Conduct to ensure behaviors meet the Standards to prevent illegal, unethical, or improper conduct.
• Conduct/facilitate risk assessments of OIG Work Plan concerns and complete operational, financial and medical reviews to determine Kaweah Health risk of work‑plan issues.
• Prepare quarterly reports to the Board of Directors and regular reports to the CEO, Executive Team and Compliance Committee detailing compliance initiatives and recommendations for improvement/changes in the overall Compliance Program.
• Ensure that Kaweah Health does not hire, employ, contract with or provide medical privileges to anyone excluded from participation in Federal or State Health Care Programs.
• Lead and/or support internal compliance investigations and audits throughout Kaweah Health, including compiling detailed reports with recommendations to the Compliance Committee.
• Collaborate with other departments to direct compliance issues to appropriate existing channels for investigation and resolution.
• Consult with the Compliance Advocate (legal counsel) as needed to resolve difficult legal compliance issues.
• Act as an independent review and evaluation body to ensure compliance issues/concerns within Kaweah Health are being appropriately evaluated, investigated, and resolved.
• Ensure proper reporting of violations or potential violations to duly authorized enforcement agencies as appropriate.
• Institute and maintain an effective compliance communication program for Kaweah Health.
• Work with outside legal counsel to establish and provide direction, management and response of the confidential reporting line; promote staff use of the reporting line.
• Work with Human Resource Department and others as appropriate to develop an effective compliance and HIPAA patient privacy training program, including introductory and ongoing training for new employees, physicians and managers.
• Support other departments by researching laws and regulations, monitoring changes and communicating applicable changes to pertinent areas to ensure continued compliance.
• Ensure that Kaweah Health maintains policies and practices on compliance with HIPAA patient privacy regulations and that all physician contracts meet Medicare Fraud and Abuse, Medicare Anti‑Kickback, Stark and other regulatory standards.
• Oversee and maintain the physician contracting policy and procedure; update the policy based on new and changing regulations as appropriate.
• Serve as a resource to review other Kaweah Health contracts.
• Direct, supervise and develop assigned personnel, including performance evaluations, orientation, and training.
• Participate as an active member of the Compliance, Bioethics, Institutional Review Board and Quality Council Committees.
• Report on project findings and complete special projects, tasks, or reviews as assigned by the Committee.

$72.90 - $109.36 per hour.