Associate Director of Compliance

Associate Director of Compliance - Stony Brook CPMP Compliance

Location: St. James, NY

Schedule: Full time

Days/Hours: Monday - Friday; 8 AM - 5 PM

Salary Range: $110,655.90 - $147,535 (pay will be determined based on experience, preferred qualifications, and education)

Our compensation philosophy aims to provide marketable compensation programs and to compensate employees based on relevant experience and education. Individual compensation discussions begin during the hiring process and may occur during job review and promotional opportunities. Salaries vary depending on experience, education and current market for the position. Human Resources determines the external and internal equitable salary for each employee. The above salary range (or hiring range) represents Stony Brook CPMP’s good faith and reasonable estimate of the range of possible compensation at the time of posting 

SUMMARY: The Associate Director of Compliance for the Clinical Practice Management Plan (CPMP) will collaborate with the Compliance Officer for CPMP and Stony Brook Accountable Care Organization (SB ACO) in carrying out the Compliance Program for the Clinical Practice Management Plan and its University Faculty Practice Corporations (UFPC) as well as the ACO. The Associate Director is accountable for the compliance program operations as well as to provide guidance and education to physicians and non-physician practitioners, clinical department leaders, and others regarding compliance with federal and state rules, regulations, and laws on physician billing and business practices, and organizational policies and procedures as prescribed in the Compliance Code of Conduct. The Associate Director will manage and mentor the CPMPs compliance team members and will partner with management to provide continual risk assessment and in the development of comprehensive policies and procedures, compliance training, and investigations.

Job Duties & Essential Functions:

• Assist the Compliance Officer with the design, implementation, and report on programs, policies, and practices to ensure compliance with federal, state and local regulatory requirements. Respond to all allegations of noncompliance as it relates to violations of rules, regulations, policies, procedures, and Standards of Conduct. Ensure the implementation of new compliance regulations.
• Lead, manage, and conduct compliance investigations and audits throughout the CPMP and its UFPC, including compiling reports with recommendations to physician leaders, clinical administrators, the compliance officers, and management. Prepare reports for the CPMP Compliance Committee and department leadership related to auditing and monitoring and activities of the CPMP Compliance Office.
• Develop compliance training materials and provide training for all new staff and providers as well as provide ongoing compliance education and training throughout the CPMP and its UFPC and as requested for other areas. Maintain and distribute compliance educational material and regulatory compliance updated to the applicable individuals and areas.
• Guide management and leadership of the clinical departments on compliance issues and inquiries; collaborate with Management for reasonable solutions with process improvements.
• Assist the Compliance Officer to strengthen and enhance the CPMP’s Compliance Program. Develop and implement an annual Compliance Work Plan and develop and review compliance-related policies and procedures. Monitor the performance of the CPMP Compliance Program and related activities, continuously taking appropriate steps to improve its effectiveness.
• Other duties as assigned, including management and supervision of the CPMP compliance staff.
• Other projects as assigned.

Required Qualifications:

• Bachelor’s degree.
• 5 years’ experience in a healthcare setting.
• Physician practice plan compliance or physician office compliance experience.
• Coding certification preferred through American Health Information Management Association (AHIMA) or the American Academy Professional Coders (AAPC).
• Minimum of three years of leadership and/or supervisory experience required.
• Ability to work collaboratively with physicians, non-physicians and practitioners, and staff and leaders of clinical, financial, and other departments.
• Ability to manage multiple initiatives at the same time.
• In-depth knowledge and understanding, fulfilling the elements of an effective compliance program.
• Strong analytical, communication and presentation skills are required.

Preferred Qualifications:

• Master’s degree.
• 5 years’ experience in Compliance.
• Certification in Health Care Compliance or Graduate Certificate in Health Care Compliance.
• Academic medical center compliance experience.
• Clinical background preferred (e.g., MD, DO, RN, PA, NP, RT).

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to communicate with patients, staff and medical providers. The employee must be able to exchange accurate information in these situations. This position is largely sedentary and requires the employee to remain stationary for a majority of the day. Any additional physical demands will be outlined and provided by management. 

The responsibilities and tasks outlined in this job description are not exhaustive and may change as determined by the needs of CPMP. 

StaffCo is a Professional Employer Organization, commonly referred to as a PEO, duly organized and registered under the New York Professional Employer Organization law. StaffCo and SUNY have entered into a professional employer agreement under which StaffCo is the employer of Stony Brook Clinical Practice Management Plan employees and responsible for all aspects of employment, including hirings, promotions, disciplines, terminations, the day-to-day direction and supervision of work, as well as labor relations and collective bargaining. StaffCo is fully responsible for providing all payroll and human resources services, including the payment of wages, collecting and reporting payroll taxes and maintaining any and all employee benefits.  SUNY Stony Brook Hospital is responsible for the operation of the hospital and provision of health care and is the co-employer as is necessary to conduct its responsibilities and for related licensure, regulatory or statutory requirements and obligations.    

Given StaffCo’s employment responsibilities, it is deemed the “employer” for employment and labor law purposes.  Thus, the employees are private sector employees of StaffCo, not public sector employees of SUNY.  The private sector nature of the StaffCo employees has been approved by NYS Civil Service and upheld in a decision by the US National Labor Relations Board. 

CPMP provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation, gender identity or expression, or any other legally protected status.  This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall and transfer, leaves of absence, compensation and training.

CPMP expressly prohibits any form of workplace harassment based on race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation, gender identity, or any other legally protected status.  Improper interference with the ability of CPMP’s employees to perform their job duties may result in discipline up to and including discharge.