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Director Of Compliance, Legal Counsel
Refer job# DBBV150215
 
Director of Compliance, Legal Counsel Duties: Establish and maintain an effective, comprehensive Compliance Program. Develop, initiate, maintain and revise policies, procedures and practices to prevent, detect and respond appropriately to potentially non-compliant practices. Monitor, coordinate and keep a record of day-to-day compliance activities. Collaborate with other departments to direct compliance matters to appropriate channels for investigation and resolution. Consult with, and work collaboratively with, General Counsel and outside counsel to address legal compliance issues. Respond effectively to potential violations of applicable standards and develop and oversee a uniform system for documenting and resolving them. Develop compliance and audit work plans. Oversee all company audits. Help to develop and to bring Corrective Active Plans to closure. Oversee Compliance Hotline. Institute and maintain effective compliance communications. Conduct compliance training. Report to management and the governing body about compliance initiatives, activities and developments. Act as HIPAA Privacy Officer. Support GC in legal, compliance, regulatory, transactional, contract, managed care, and other healthcare, business, operational, and employment matters. Support the GC in the performance of the legal function, including the provision of broad based legal, strategic, and regulatory advice and services. Review, draft, negotiate, and provide oversight on a variety of healthcare and business transactions and contracts. Support the GC in the management of any disputed matters, record requests, and subpoena responses. Maintain excellent working relationships and work collaboratively with RCMG management and leadership. Manage, organize and perform a variety of activities simultaneously while maintaining accurate and complete records and files. Assist management personnel in obtaining clarification and/or additional information on statutory, regulatory and contractual requirements, as necessary.

Requirements: JD Degree required. 4+ years of experience in a healthcare compliance leadership role, law firm, or in-house legal department at a healthcare organization, such as a medical group, managed care health plan, health or hospital system required. 2+ years of experience acting as legal counsel preferred. Demonstrated knowledge and experience working with HIPAA privacy and corporate compliance programs required. Demonstrated knowledge and experience working for or with medical groups, IPAs, MSOs, health plans, DMHC, and other healthcare systems and managed care organizations is required. Demonstrated track record of serving in increasingly responsible compliance positions, and working collaboratively and effectively with others. Familiarity with Medi-Cal, Knox-Keene Act, HIPAA, physician fraud and abuse, Medicare, and other healthcare industry laws and regulations is preferred. Furtherance of the organization's strategic objectives, and development of creative and thoughtful solutions, taking into account the current legal and regulatory landscape, the organization's policies and procedures, and its current and future needs. Strong communication and leadership skills, including diplomacy, independence, integrity, and trustworthiness, while commanding respect of the senior management and executive team, governing body and other colleagues. Possess the demeanor, maturity, skill, discretion and professionalism to work and interact effectively with multiple and diverse constituencies who may be internal or external to RCMG, its subsidiary, and affiliates. Consistently exercise sound judgment, and strict maintenance of confidentiality. Proactively and effectively solve problems. Collaboration with others, and development of partnerships and good working relationships. Excellent legal research, writing, analytical, and communication skills. Excellent attention to detail, multi-tasking, time management, project management, and organization skills. Microsoft software (Word, Excel, PowerPoint) expertise.
 
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