Compliance Specialist, Senior

Senior Compliance Specialist

The Senior Compliance Specialist, working with the Vice President of Compliance, will assist with the compliance program activities of the organization. This individual supports the planning, education, assessments, testing / monitoring and other compliance program functions including any existing compliance activities and will primarily focus on physician relationships, conflicts of interest, interactions with industry, risk assessments, and clinical / billing compliance. May also assist with such activities as policy and procedure development and maintenance, hotline monitoring and compliance complaint investigations, interfacing with the HIM department, reviewing Business Associate Agreements and overseeing relationships with Business Associates, and other HIPAA-related privacy and security functions.

Qualifications :

• Bachelor's degree required. Master's preferred.
• Bachelor's degree should be in business related field, but can be in health related field.
• Candidates should have a minimum of 3 years experience in health care compliance and demonstrated expertise in the areas of billing / coding and data analytics.

Knowledge, Skills, & Abilities :

Individual needs health care experience, preferably in the compliance area. Strong written and verbal communication skills are required. This individual will have reporting responsibilities that require routine use of software packages such as Word, PowerPoint and Excel.

Recommended Licensure, Registration, and / or Certification :

Cook Children's Health Care System offers a unique approach to caring for children because we are one of the country's leading integrated pediatric health care delivery organizations. Patients benefit from the integrated system because it allows Cook Children's to use all of its resources to treat a patient and allows for easy communication between the various companies by physicians with a focus on caring for children and adolescents.

Cook Children's is an equal opportunity employer. As such, Cook Children's offers equal employment opportunities without regard to race, color, religion, sex, age, national origin, physical or mental disability, pregnancy, protected veteran status, genetic information, or any other protected class in accordance with applicable federal laws. These opportunities include terms, conditions and privileges of employment, including but not limited to hiring, job placement, training, compensation, discipline, advancement and termination.