System Director Compliance amp Internal Audit

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System Director, Compliance & Internal Audit
Duties: Provide strategic leadership in regards to system-wide compliance and internal audit plans, investigations, risk assessments and policies and procedures serving as a true content expert in health care regulations. Will be the Subject Matter Expert (SME) in internal audit theory and practice with the ability to evaluate the design and operating effectiveness of internal controls and make recommendations, as needed, for control enhancements and improvements. Serve as the key compliance liaison to Hartford Hospital. Oversee compliance inquiries and investigations with subject matter expertise in matters relating to the Anti-Kickback Statute, Stark Law, Exclusion Statute, Human Subject Research, EMTALA, Beneficiary Inducement, Antitrust and other State and Federal non-privacy and healthcare reimbursement related laws and regulations. Manage the Internal Audit Function and the work of the outsourced internal audit partner. Responsible for all aspects of vendor management in the delivery of high quality internal audit reports with an emphasis on adding value to the organization. Effectively cascade audit recommendations and internal control improvements throughout all applicable campuses and facilities. Acts as the key liaison between the audit partner and all levels of HHC Management and Executive Leadership. Serve as the key corporate compliance liaison to Hartford Hospital, the flagship HHC campus. Build strong relationships with Hartford Hospital leadership and present periodic reports, updates and education to the leadership team. Perform risk assessments to evaluate and mitigate compliance risk. Link risk assessment activity to the development of a strong annual compliance work plan. Support the Enterprise Risk Management (ERM) activities at HHC by aligning ERM integrated frameworks and principles (i.e., COSO) with the HHC operating model and culture of ERM. Perform compliance due diligence activities for system business transactions including mergers, acquisitions and joint ventures. Provide general guidance to all levels of staff and management on compliance and regulatory issues. Address new and emerging compliance laws and requirements in collaboration with HHC management, including the development of education materials and policies and procedures as necessary. Develop, implement, promote and maintain policies and procedures. Facilitate education on policies and procedures as required. Coordinate response to the Office of Inspector General, Attorney General’s Office, or other governmental entities, and organization officers. Maintain current knowledge of applicable federal and state laws and other regulations and accreditation standards, and monitor compliance and audit standards and changes in regulations to ensure organizational adaptation and compliance.

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