Sr Compliance Specialist, Investigations - New York

Compensation

: $126,790.00 - $142,720.00 /year *

Employment Type

: Full-Time

Industry

: Legal



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Position Specific Details Please note that this position can be located remotely

PURPOSE AND SCOPE:

Supports FMCNA?s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and division/company policy requirements. Collaborates with the appropriate personnel on selected Compliance related projects and processes.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

  • Responsible for driving the FMCNA culture through values and customer service standards.

  • Accountable for outstanding customer service to all external and internal customers.

  • Develops and maintains effective relationships through effective and timely communication.

  • Takes initiative and action to respond, resolve and follow up regarding customer service issues with all customers in a timely manner.

  • Proactively identifies gaps/issues with Department systems and processes and proposes appropriate resolutions to troubleshoot problems

  • Works with appropriate parties and reviews all quarterly and annual proposed and final federal rules for assigned programs; provides summary updates to appropriate business owners; and assists business owners in identifying and implementing changes to policies and procedures as required by regulatory changes.

  • Takes initiative to respond, resolve, and follow up regarding customer service issues with all customers in a timely manner.

  • Actively participates in the communication of the Compliance program. Communicates important aspects of the compliance program, and instills a culture within the organization through communication of regulations, healthcare laws, values and standards, as applicable.

  • Acts as a mentor and point of reference to junior level staff with general tasks that require a better understanding of functions

  • Works independently and autonomously. May refer to senior level staff for assistance with higher level problems that may arise.

  • Viewed as the Department?s leading authority on a niche subject matter and/or demonstrates a high level of expertise and strong capability in one or more area.

  • Escalates issues to supervisor/manager for resolution, as deemed necessary.

  • Review and comply with the Code of Business Conduct and all applicable company policies and procedures, local, state and federal laws and regulations.

  • Assist with various projects as assigned by direct supervisor.

  • Other duties as assigned.
  • Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions.

    ADDENDUM

    Investigations

  • Leads andconducts compliance investigations within North America, including, but notlimited to, assessment of allegations, review of relevant documents, witnessinterviews and written summaries of same, analysis of facts, and preparation ofinvestigation reports.
  • Adheres toCompliance Investigation work plans and protocols, assembles and manages thenecessary internal and external resources, and conducts the investigation incompliance with protocols.
  • Works onproblems of diverse scope, evaluation of identifiable factors and exercise ofgood judgment with respect to elevation of complex or significant issues andconcerns to Senior Director of Compliance Investigations, and may refer tosenior level staff for assistance with higher level problems that may arise.
  • Implements anenterprise-wide investigation process to review compliance-related concerns inNorth America raised through the Compliance Action Line (CAL), or otherwisebrought to the attention of compliance.
  • Assists compliance teamwith Compliance Action Line (CAL) investigation related research and informationgathering.
  • Collaborates with otherdepartments, including the Law Department, Human Resources, Global InternalAudit and Patient Safety to coordinate investigative resources enterprise-wide.
  • Serves as the complianceresource, upon request, for the formal investigation of compliance concernsinvolving legal review, working closely with FMCNA?s Law Department or outsidecounsel.
  • Works with partners inFresenius Medical Care outside North America, including the GlobalInvestigations Division, to coordinate investigative resources and reportingglobally.
  • Minimum 3 years? workexperience handling investigations for a large, complex organization.
  • Professional certificationsuch as membership in a State Bar or certification in healthcare compliance isa plus.
  • Assists with oversight ofcompliance activities within FMCNA Research activities to support FMCNA overallCompliance program policies, procedures and standards and compliance withapplicable laws and regulations.
  • Determines key risk areasand works with the business to address through education, training, policy andmonitoring.
  • Works in conjunction withother identified compliance personnel supporting other business segmentsregarding compliance concerns as they relate to Operations and Compliance forResearch.
  • Assists in development ofrisk assessments and annual compliance plans.
  • Actively seeks and obtainscurrent information on changes in federal, state, and local laws and FMCNApolicies and procedures.
  • Makes recommendations forimproving internal controls.

  • Qualifications

    PHYSICAL DEMANDS AND WORKING CONDITIONS:

  • The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
  • Up to 25%Travel Required
  • SUPERVISION:

  • None
  • EDUCATION:

  • Bachelor?s Degree required; Advanced Degree desirable
  • EXPERIENCE AND REQUIRED SKILLS:

  • 8-10 years? related experience or an equivalent combination of education and experience.
  • Ability to maintain confidentiality and comply with applicable privacy and security rules and regulations, including HIPAA.
  • High degree of integrity, self-motivation and initiative.
  • Excellent written and oral communication skills.
  • Ability to make clear presentations and prepare concise written reports.
  • Ability to read complex regulations and interpret legal and regulatory requirements.
  • Ability to produce accurate work in a fast-paced environment and handle constructive criticisms.
  • Excellent computer skills with proficiency in Microsoft Office applications and other databases.
  • Prior compliance, regulatory, policy development, experience preferred.
  • Ability to work a flexible schedule.
  • EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity

    Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.


    Associated topics: crime scene, detective, fingerprint, inspector, investigate, investigation, investigative, investigator * The salary listed in the header is an estimate based on salary data for similar jobs in the same area. Salary or compensation data found in the job description is accurate.

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