The Chief Compliance Officer (CCO) will direct and oversee the corporate compliance program for Baylor Scott & White Health. In this role, the CCO will oversee a department of compliance and privacy professionals that includes over 60 FTEs, with the following areas reporting through the CCO:
- Privacy - Compliance Operations, including the Compliance Hotline and Conflicts of Interest - Regional Compliance - Billing, Regulatory and Coding Compliance - Research Compliance - Health Plan Compliance - Compliance Communications
There is a dotted line affiliation with Information Security. The CCO has a direct reporting relationship with the Audit and Compliance Committee of the highest governing board of Baylor Scott & White Health and, along with the Chief Financial Officer, provides key staff support to the Chair of the Audit and Compliance Committee.
This is a mission critical position dedicated to the development of a Compliance Program serving the needs of a leading and growing integrated healthcare delivery system. The CCO:
- Develops and oversee an integrated, enterprise-wide compliance and privacy program. - Serves as a role model for ethical management behavior, promotes an awareness and understanding of positive ethical principles and compliance with federal and state law, and assists in planning and identifying priorities for the compliance program. - Oversees strategic planning, implementation, and operation of an effective compliance program with direct access and accountability to the CEO and Board of Trustees of Baylor Scott & White Holdings. - Regularly reviews the compliance program and recommends appropriate revisions and modifications. - Advises senior leadership and BSW Holdings Board of Trustees of potential compliance risk areas. - Presents periodic and annual compliance reports and education to the BSW Holdings Board of Trustees, the BSWH Corporate Compliance Committee, and BSWH senior management. - Coordinates with the BSWH Chief Legal Officer on matters of legal oversight and review. - Identifies and assesses areas of compliance risk for Baylor Scott & White Health and guides the Compliance Program to effectively prevent and/or detect violations of law, regulations, BSWH policies, or the Code of Conduct. - Designs internal controls that are capable of preventing and detecting significant instances or patterns of illegal, unethical, or improper conduct by employees, agents, affiliated providers, or others working with BSWH. - Encourages the prompt and proper resolution and implementation of audit or review recommendations. - Collaborates with legal counsel to conduct or authorize and oversee investigations of legal matters that merit investigation under the Compliance Program. - Provides input and/or direction to Human Resource policies and procedures, and the performance management system and incentive programs, to discourage improper conduct and support conformity with the Compliance Program in the performance management process for all employees. - Oversees all activities with respect to the BSWH conflict of interest’s disclosure process. - Identifies, develops and implements system-wide education and communication programs to educate all employees and affiliated parties on the BSWH Code of Conduct, the Compliance Program, and other specific compliance areas deemed necessary. - Implements and operates retaliation-free reporting channels, including an anonymous telephone and web-based reporting system available to all employees, volunteers, and affiliated providers, and oversees the resolution of investigations and other issues identified by or reported to the Compliance Program, including development of corrective action plans, as needed. - Develops and oversees the strategic auditing and monitoring plan for evaluating the performance of the Compliance Program and related activities to identify risks and initiate appropriate steps to improve effectiveness and mitigate risks.
PREFERRED CANDIDATE PROFILE
- Experience serving as compliance officer or regulatory counsel for an integrated healthcare delivery system including the following core functions: hospitals, physician clinics, academic medicine (UME and GME), research, ambulatory sites, joint venture relationships (including physician/hospital joint ventures), accountable care organizations and clinically integrated networks, health plan (including Medicare Advantage and Medicaid), pharmacy and 340b, provider-based billing and reimbursement, digital health, and tax-exemption - Proactive, collaborative executive - Visible, approachable individual who is an effective communicator and educator - Strategic business partner dedicated to managing and reducing potential risk and exposure while furthering strategic objectives - Leader and motivator of people and teams - Servant leader who is passionate about the mission of BSWH and those we serve - Solution-oriented team player who has credibility and integrity, provides counsel and contributes broadly as a subject matter expert - Capable of nurturing a culture that actively seeks input from compliance to further optimize BSWH’s day-to-day operations
GOALS & OBJECTIVES
Over the first 18 to 24 months the CCO will be expected to achieve the following: - Confirming an appropriate organizational structure of the compliance department that allows compliance to reach and communicate broadly and effectively over a complex, geographically dispersed organization - Elevating the highest risks and helping the organization develop appropriate structures and processes to effectively manage, track and report on those risks - Creating transparent and meaningful dashboards and metrics for executive and board leadership that answer the questions: “How are we doing in compliance?” and “Are we identifying and managing our highest risks?” - Developing innovative and effective compliance education programs that meet the needs of frontline operators to senior-most leaders to board members - Taking a Compliance Program to the next level such, it not only meets the elements of an effective program, but also provides innovation to leverage technology, data and analytics to build a proactive, leading compliance program. - Enhancing existing compliance policies to be clear, effective and simple policies that are designed to make compliance easy for the workforce - Working collaboratively with legal, risk management, and internal audit to develop a comprehensive compliance oversight program that leverages the skills and functions of each of these departments - Partnering with senior management and become fully integrated into the leadership team and providing regular and meaningful compliance reports to senior leadership and the board - Working with leadership to lead an annual process of risk assessment to develop the year's formal comprehensive compliance plan - Establishing collaborative working relationships across the enterprise - Building a service-oriented culture within the department so all employees feel comfortable seeking guidance from the areas of compliance and privacy - Viewing compliance as a means to optimize the mission of BSWH and empower people to take full ownership of their decisions and readily share information
- Bachelors degree required. Juris Doctor, Masters degree in Business, Healthcare Administration, or equivalent degree is preferred. Certification in Healthcare Compliance (CHC, CHC-F, CHRC and/or CCEP) is preferred. - In addition, candidates must have an outstanding record of achievement with at least ten years experience in healthcare and knowledge of all elements of corporate compliance for an integrated healthcare delivery system.
Internal Number: 20009074
About Baylor Scott & White Health
Baylor Scott & White Health (BSWH) is the largest not-for-profit health care system in Texas and one of the largest in the United States. With a commitment to and a track record of innovation, collaboration, integrity and compassion for the patient, BSWH stands to be one of the nation’s exemplary health care organizations. Our mission is to serve all people by providing personalized health and wellness through exemplary care, education and research as a Christian ministry of healing. Joining our team is not just accepting a job, it’s accepting a calling!