Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. We are committed to transforming the health care experience with high-quality care for every stage of life. Our service-oriented mission is in action every day, whether it’s by providing care in our facilities, training the next generation of health care professionals, or serving others through international outreach.

Job Summary:

The Director of Compliance Programs/Privacy (“Director”) reports directly to the Kettering Health Chief Compliance Officer/Vice President of Corporate Integrity (“CCO”). The Director assists the CCO with the development and implementation of an effective compliance and corporate integrity program for the Kettering Health system. 

Job Duties:

• Develop, enhance and operationalize system-level policies to support adherence to Kettering Health’s compliance program, federal/state privacy regulations and regulations that prohibit fraud waste & abuse of federal healthcare programs
• Serve as Kettering Health’s Chief Privacy Officer
• Identify, on an ongoing basis, areas of healthcare compliance risk to actively monitor and audit based on various data sources including, but not limited to, federal/state guidance, internal risk assessments and concerns reported to the KH hotline
• Support the development of and manage an annual compliance plan designed to address potential fraud, waste & abuse based on areas of focus identified by federal and state agencies and organization-specific risks
• Co-lead Kettering Health’s drug diversion program and assist with drug diversion investigations
• Support the investigation of compliance-related concerns reported to Kettering Health’s hotline
• Participate in committees, teams and projects to provide compliance-related guidance and advice
• Promptly and effectively respond to questions and inquiries about a wide-range of compliance-related issues including, but not limited to, conflicts of interest, beneficiary inducement, billing and coding, HIPAA, provider-based rules and physician compensation
• Provide training and education to leaders, providers and employees across the organization regarding healthcare compliance-related issues

Job Requirements:

• Bachelor’s degree and a minimum of 5 years of experience in a compliance role with leadership responsibilities
• Ability to work in the office at least 4 days/week
• A compliance mindset with a strong sense of integrity and the ability to effectively and professionally collaborate with and positively influence leaders to navigate complex problems
• Excellent project management, communication and collaboration skills
• Ability to work independently in a fast-paced environment and handle multiple complex and confidential tasks and competing priorities
• Ability to manage and devote resources based on data and identified priorities of the organization and the compliance department