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Compliance Officer-Fraud and Abuse/Physician Arrangements
Compliance Officer-Fraud and Abuse/Physician ArrangementsOSF HealthCare • Peoria, IL, US
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Compliance Officer-Fraud and Abuse / Physician Arrangements

Compliance Officer-Fraud and Abuse / Physician Arrangements

OSF HealthCare • Peoria, IL, US
14 hours ago
Job type
  • Full-time
Job description

Overview

POSITION SUMMARY : The Compliance Officer – Fraud and Abuse manages the organization-wide programs focused on maintaining compliance with the Stark Law, the Anti-Kickback Statute and other fraud and abuse laws for OSF HealthCare, one of the best employers in the country, according to Fortune magazine.

The Compliance Officer is responsible for :

  • Serving as the trusted organization-wide expert on the application of the federal and state fraud and abuse laws.
  • Guiding and supporting operational areas in embedding adherence to the fraud and abuse laws in day-to-day departmental and individual decisions and actions.
  • Overseeing the compliance aspects of office leases, medical directorships and other compensation arrangements with physicians and physician practices.
  • Providing guidance on the compliance features of fair market valuation and determination of commercial reasonableness.
  • Keenly understanding operational objectives, challenges and processes.
  • Collaborating with the Clinical, Real Estate, Accounting, Marketing and Legal Services teams.

The Compliance Officer's role is focused on :

  • Addressing risks
  • Partnering on developing workflows
  • Improving outcomes
  • The Compliance Officer understands and effectively uses the tools and skills of the Program :

  • The OSF Code of Conduct
  • Compliance policies and procedures
  • Operational compliance committees
  • Compliance education
  • OSF Integrity Line
  • Compliance Questions
  • Investigations
  • Data analysis
  • Auditing, monitoring and corrective action
  • Positive discipline for compliance violations
  • The Compliance Officer serves as a model of personal and professional integrity.

    Qualifications

    REQUIRED QUALIFICATIONS :

    Education : Must have either a Master's Degree or Juris Doctor

    Experience : 2 years experience in Compliance, Audit, Healthcare, Business or Area of Focus being recruited.

    Other skills / knowledge :

  • Excellent interpersonal and communication skills.
  • Solid computer skills, including proficiency with Microsoft software.
  • Strong analytical and problem solving skills, with the ability to be detail oriented.
  • PREFERRED QUALIFICATIONS : Certification in healthcare compliance, privacy, audit or assigned area of focus

    EOE / Minorities / Females / Vet / Disabled

    Job seekers will be afforded equal opportunity regardless of their race, ethnicity, veteran status or disability status.

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