Manager of Compliance & Business Ethics Manager

About Us:

At Sinai Chicago, we take health care personally. Excellence in health care is about more than just medicine, technology, tests and treatments, it is about really caring for people with dignity and respect. That's what we do. We are dedicated to providing the best care to meet the needs of people, for our community, for our patients and for you.

Position Purpose:

Reporting to the Chief Compliance and Integration officer, the Manager of Compliance and Business Ethics assists with all efforts related to healthcare compliance, privacy and the daily application of the Sinai Health System Compliance and Business Work Plan. This position will play a role in identifying, investigating and resolving healthcare compliance issues, privacy incidents, and will assist the Chief Compliance and Integration Officer with training efforts, drafting policies, and other projects.

Key Job Activities:

• Collaborates with other departments (Legal, Health Information Management, Information Technology, etc.) to direct compliance issues and privacy concerns to appropriate existing channels for investigation and resolution.
• Develop, coordinate and participate in a multifaceted educational and training program with focus on the 7 elements of an effective compliance program, ensuring that all caregivers are knowledgeable of and comply with Sinai's policies, and applicable federal and state standards.
• Develops and completes periodic risk assessments to identify compliance and privacy compliance risks.
• Continue campaign to heighten awareness of the compliance office function, as well to disseminate information and collect employee feedback.
• Draft, review and revise policies related to the Compliance and Business Ethics Department.
• Conduct site/department walkthroughs/visual inspections to identify risks and deficiencies as part of routine auditing practices.
• Conducts internal monitoring and auditing activities, as needed.
• Performs other duties as assigned.

Education and Work Experience:

• BACHELORS / UNDERGRADUATE DEGREE
• 2-3 years of industry-related experience in healthcare compliance/privacy, regulatory/accreditation, internal audit, operations, quality, or applicable healthcare experience.
• Experience working with federal and state laws and regulations concerning HIPAA, Privacy and Security.
• Manage verification process on caregivers against OIG Sanction List and other governmental databases.
• Communicate or assist in communication with regulatory agencies regarding inquiries, investigations and alleged violation resolutions.
• Conduct investigations, track progress, and consult as needed related to compliance investigation matters to Human Resources, Managers, and Legal.
• Manage the Business and Ethics Compliance Hotline and Email.
• Facilitate and participate in the Compliance and Business Ethics Committee, Audit and Compliance Committee, and HIPAA Security Task Force. Record minutes and provide periodic compliance reports to the committees.

Knowledge and Skills:

• Strong analytical and problem-solving skills.
• High degree of integrity and ethical decision-making.
• Able to perform responsibilities and establish collaborative partnerships with a high level of professionalism, accuracy, tact, and integrity.
• Detail and solution-oriented, resourceful, demonstrated ability to prioritize effectively.
• Strong initiative and experience working autonomously as well as in teams.
• Excellent oral and written communication skills.
• Self-disciplined with a high level of motivation.

Certifications/Licenses:

• Certified Healthcare Compliance (CHC) or Certified Healthcare Privacy Compliance (CHPC) preferred or must be obtained within 12 months from date of hire.

Workplace Conditions:

PHYSICAL DEMANDS:

• While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle or feel; and talk or hear
• The employee frequently is required to walk and stoop, kneel, crouch
• The employee is occasionally required to stand
• The employee must occasionally lift and/or move up to 25 pounds.
• Specific vision abilities required by this job include close vision, distance vision, and ability to adjust focus

WORK ENVIRONMENT:

• General office environment and the noise level in the work environment is usually moderate

BLOOD-BORNE PATHOGEN EXPOSURE CATEGORY:

Category 1 - Job usually involves contact with patients or patient's specimens. Exposure to blood, body fluids, non-intact skin or tissue specimens, is possible

Category 2 - Job may expose incumbent occasionally or in emergency situations to blood, body fluids, non-intact skin or tissue specimens

x Category 3 - Job does not involve exposure to blood, body fluids, non-intact skin or tissue specimens. Incumbent does not perform or help in emergency medical care or first aid as a part of his/her job.

Benefits:

Sinai Health System's goal is to provide you with the most comprehensive benefit package possible while balancing our fiscal commitments and obligations. Sinai Health Systems currently offers its employees the option to participate in a full range of benefits, including a health care program which includes medical, dental, vision and prescription coverage. Along with Employer Paid Life and Accidental Death & Dismemberment (AD&D), Supplemental Life, Short-Term and Long-Term Disability, Health Savings Account (HSA) and Flexible Spending Account (FSA), Employee Assistance Program and Student Loan Assistance. Participation in some programs requires that employees be regularly scheduled to work a minimum number of hours and/or to have fulfilled a waiting period after they begin employment with Sinai Health Systems.

Registry (per diem) Caregivers are caregivers who work less than 1,000 hours in a calendar year. Registry caregivers are employees of Sinai Health System but are typically on an as needed basis. These caregivers may be called upon to cover full-time or part-time caregivers during PTO events or sick leave as well as to provide supplemental coverage. Registry Caregivers are not eligible for Sinai's benefit programs with the exception for Sick-C, PPO Medical Plan, Employee Assistance Program (EAP) and non-match eligible contribution to the Sinai Health System Consolidated 403(b) retirement savings plan.

Living the Values:

• TEAMWORK - Caregiver works together with other caregivers to create and maintain an inclusive workplace where differences, inclusivity, conflict resolution and open communication are valued
• RESPECT - Caregiver shows mutual respect and fairness, treats each person with dignity and encourages each individual's unique talents and contributions
• QUALITY - Caregiver improves our services by following protocol and suggesting improvements based on observations, continuous learning and industry best practices
• INTEGRITY - Caregiver holds self and others accountable for their actions and are honest and ethical in all dealings
• SAFETY - Caregiver practices behaviors that promote safety for all patients, visitors, and caregivers
• ROLE MODEL - Caregiver is a dependable role model and champions our values through their daily interactions with patients, customers and coworkers