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Duties and Responsibilities:

• Reviews, maintains, and revises policies and procedures for the general operation of the company and

the compliance program and its related activities to prevent illegal, unethical, or improper conduct.

• Manages day-to-day operation of the Compliance Program.
• Develops and periodically reviews and updates Standards of Conduct to ensure relevance in providing

guidance to management and employees.

• Collaborates with other departments and serves as Risk Manager and Internal Auditor to direct

compliance issues to appropriate existing channels for investigation and resolution.

• Consults with the Corporate attorney as needed to resolve difficult legal compliance issues.
• Serves as secondary point of contact for claims made against the company.
• Responds to alleged violations of rules, regulations, policies, procedures, and Standards of Conduct by

evaluating or recommending the initiation of investigative procedures.

• Develops and manages a system for uniform handling of such violations.
• Acts as an independent review and evaluation body to ensure that compliance issues/concerns within

the organization are being appropriately evaluated, investigated and resolved.

• Monitors, and as necessary, coordinates compliance activities of other departments to remain abreast of

the status of all compliance activities and to identify trends.

• Identifies potential areas of compliance vulnerability and potential risks associated with fraud, patient

services and patient satisfaction; develops/implements corrective action plans for resolution of
problematic issues, and provides general guidance on how to avoid or deal with similar situations in the
future.

• Provides reports on a regular basis, and as directed or requested, to keep the Corporate Compliance

Committee of the Board and senior management informed of the operation and progress of compliance
efforts.

• Ensures proper reporting of violations or potential violations to duly authorized enforcement agencies

as appropriate and/or required.

• Establishes and provides direction and management of the compliance Hotline.
• Institutes and maintains an effective compliance communication program for the organization,

including promoting (a) use of the Compliance Hotline; (b) heightened awareness of Standards of
Conduct, and (c) understanding of new and existing compliance issues and related policies and
procedures.

• Works with the Human Resources Department and others as appropriate to develop an effective

compliance training program, including appropriate introductory training for new employees as well as
ongoing training for all employees and managers.

• Monitors the performance of the Compliance Program and relates activities on a continuing basis,

taking appropriate steps to improve its effectiveness.
Qualifications:
Education: A Bachelor’s degree preferred.
Experience: A minimum of 10 years experience in a community-based, healthcare or similar
organization, to include demonstrated leadership.