Tufts Medical Center Chief Compliance Officer and Director of Internal Audit in Boston, Massachusetts

Chief Compliance Officer and Director of Internal Audit

Department: Corporate Compliance and Internal Audit

Schedule: Full-Time Regular

Shift: Day shift

Grade: 15

Hours: 8:00-5:00

Job Details:

  • Master's degree is preferred

  • Certification Required

  • 5+ years of experience is required

  • Recent experience in the specialty area is required

  • Supervisory experience is required

  • The Chief Compliance Officer & Director of Internal Audit is responsible for developing and implementing an effective compliance and internal audit infrastructure including resources, organization, policies and procedures; preparing and monitoring annual budgets for the compliance and internal audit programs; recruiting, directing, supervising and counseling professional staff; reviewing and analyzing organizational compliance with internal controls established by Tufts Medical Center and external requirements as established state and federal laws and regulations and professional standards and guidelines. Responsibilities: Manages and monitors implementation of the Joint Compliance Program including periodic reports to the Board of Trustees' Audit and Compliance Committee, Chief Executive Officer and Joint Compliance Steering Committee. Plans, develops and implements an annual compliance audit plan that examines the organization's exposure to potential areas of compliance risk. Prepares detailed written management reports on audit findings, recommendations for improvements and corrective actions planned by management to mitigate risk. Follows-up on audit recommendations to assure correction of deficient or exposed areas previously reported, and implementation of agreed-upon correction actions. Reviews and revises the compliance program as necessary in light of changing organizational needs and changes in the law, governmental regulations and third party payer requirements. Recruits and oversees the work of consultants to supplement the work of internal professional staff on compliance issues. Develops, coordinates and participates in educating all hospital employees, volunteers, and medical staff to ensure that they are knowledgeable of and comply with pertinent federal and state standards and Compliance Policies. Provides training to medical staff as directed by the Joint Compliance Steering Committee. Ensures that appropriate screening is in place for all employees, medical staff and independent contractors. Performs special reviews, investigations, analyses and audits at the request of the Joint Compliance Steering Committee or Senior Management as needed. Independently investigates compliance matters brought to its attention and reports on the results. Develops policies that encourage reporting suspected fraud or other improprieties without fear of retaliation and that foster integration of the compliance program into the routine operations of the medical center. Develops external relationships with appropriate state, federal, payer, and provider organizations; professional compliance organizations; and other resources. Plans, develops and implements an annual internal program of audits that evaluate the accuracy of financial information and internal controls, the degree of internal and external risk, the potential exposure and the degree of compliance with all applicable internal and external guidelines, policies and regulations. Evaluates compliance with established controls and procedures and documents activities with work papers, which support material facts and conclusions and incorporates references to applicable regulations and guidelines. Prepares detailed written management reports outlining audit findings, recommendations for improvement and management agreement to corrective actions. Follows-up on audit recommendations to assure correction of deficient or exposed areas previously reported, and implementation of agreed-upon correction actions. Reports to the Audit & Compliance Committee of the Board on audit results, the adequacy and status of management responses to audit reports, and the status of the annual internal auditing audit plan. Performs special reviews, investigations, analyses and audits at the request of the Audit Committee of the Board of Trustees and/or Senior Management as needed. Requirements: Bachelor's Degree in Accounting or related field is required; Master's Degree preferred. Professional certification (CPA, CIA or CFE) or Compliance Certification (CHC or CHRC) is required. Minimum of 10 years related experience in a healthcare environment with a minimum of 3-5 years of supervisory experience required. Must have strong analytical skills and the ability to evaluate risks in order to develop and maintain annual audit plans. Must possess and maintain broad professional and technical knowledge on federal and state regulations as well as changes in both the Compliance and Internal Audit environments. Must have excellent oral and written communication skills. Must have a working knowledge of the health care environment particularly as it pertains to an academic medical center. Must be able to effectively plan, coordinate and direct the activities of others to accomplish predetermined objectives and nurture a team environment. Must have the ability to build professional staff into a cohesive team, provide developmental opportunities to team members and provide meaningful feedback on performance. Must be a highly self-motivated individual with the ability to function in a fast-paced environment with limited supervision and direction. Requires excellent interpersonal skills to effectively supervise staff, and effectively work with all levels of management to effectuate change. Must have superior computer skills on various software products and systems at least including MS Office Word, Excel and PowerPoint, and have the ability to learn and understand new software applications. #InDeed