VP Chief Compliance Officer & Audit

Location

Morristown, NJ | United States

Job description

KEY RESPONSIBILITIES

As an executive leader for Atlantic Health, the Chief Corporate Compliance, Privacy and Internal Audit Officer and Research Integrity Officer will:

Corporate Compliance and Privacy

• Serve as Chief Compliance Officer and Privacy Officer for AHS and various AHS entities and affiliates (e.g., Atlantic Medical Group, Atlantic Health Partners, Atlantic Surgery Center, Atlantic ACO).
• Serve as executive liaison to Board of Trustee’s Audit & Compliance Committee. Prepare materials for quarterly meetings.
• Serve as Chair of Senior Leadership compliance committee.  Prepare materials for quarterly meetings.
• Oversee administration of the compliance program including regular review of compliance policies. Implement applicable federal and state regulations and AHS policies. 
• Oversee, monitor and ensure the delivery of compliance training and education. Conduct compliance trainings for certain audiences (AHS Board of Trustees, Atlantic ACO governing board.
• Prepare annual compliance effectiveness report.
• Conduct certain-level compliance matters and investigations. 
• Assist internal legal counsel on contractual matters related to compliance representations, Deficit Reduction Act, Foreign Corrupt Practices Act, Business Associate Agreements
• Serve as resource for Senior Leadership and Chair of Board of Trustees’ Audit & Compliance Committee
• Assist with due diligence for AHS acquisitions, partnerships and affiliations.
• Oversee HIPAA privacy program. Ensure implementation of appliable privacy laws (e.g., NJ, GDPR). 
• Maintain, update AHS’ Notice of Privacy Practices.
• Lead response to OCR audits.
• Collaborate with Information Security and appropriate AHS leadership regarding privacy governance, administration and security.  Lead privacy review and action related to cybersecurity.
• Direct Report: Director, Corporate Compliance & IRB Advisor; Total FTEs: 5.

Internal Audit

• Oversee development and execution of annual internal audit work plan.
• Collaborate with AHS leadership regarding business and risk strategy.
• Oversee AHS’ conflicts of interest program. Serve as ultimate reviewer of potential conflict of interest disclosures. 
• Serve as chair of AHS’ endorsements committee.
• Co-lead AHS’ Enterprise Risk Management program.
• Co-chair AHS’ drug diversion committee.  Lead committee meetings.  Serve as resource for investigations. 
• Participate in AHS initiatives around Environmental, Social and Governance, Public Health Emergency, Enterprise Resource Planning. 
• Direct Reports: Director, Internal Audit & Enterprise Risk Management, Director, Clinical Internal Audit & Corporate Drug Diversion Management.  Total FTEs: 8

Human Subject Research

• Serve as AHS’ Research Integrity Officer.
• Oversee human subject research compliance.
• Maintain and update research compliance policies.
• Conduct research analysis, investigations. 
• Ensure annual filing with Office of Research Integrity. 
• Review all Financial Conflict of Interest disclosures, create management plans, corrective actions.
• Conduct focused trainings for research community.
• Serve as resource for principal investigators, study teams.  
• Direct Report: Manager, Research Compliance; total FTEs: 1

BUSINESS CHALLENGES 

Accelerating Success

• Address the challenges of an ever-changing regulatory landscape.
• Managing balanced approach to risk.
• Encourage and support development of a leading, effective and best practices compliance program.

Enhancing reputation

• Demonstrate credibility by communicating insights to all stakeholders and building a stronger organization in terms of process and talent.
• Be visible in industry circles and external organizations to raise the profile of the AHS externally

LEADERSHIP CHALLENGES 

Transforming Culture

• Moving the system leadership from a “doing” to a “developing and empowering others” mindset to develop the next generation of AHS leaders and innovation for the network (e.g., artificial intelligence).
• Redefining the expectations of what an effective leader does and driving results with a greater sense of urgency.
• Getting the organization past old approaches to issues; helping them see the future and encouraging openness to new approaches.
• Effectively identifying and dealing with burnout, designing proactive strategies to reduce it in the system.
• Leading an increasingly diverse workforce.

Raising talent levels

• Ensuring that team members embrace new standards for performance and develop new skills, including new technology, to enhance performance.
• Hiring agile, collaborative, and emotionally intelligent talent who possess a competitive drive, demonstrate AHS values, and provide team-based care to our patients.
• Providing leaders throughout the organization opportunities to make important decisions; prepare the next generation of leaders by providing stretch opportunities.

IDEAL EXPERIENCE

• Exceptional interpersonal, problem-solving, and communication skills. Demonstrated empathy, warmth, and inclusiveness.
• A minimum of 5 -7 years of experience in healthcare compliance leadership.
• Education and certification: BA/BS required. Healthcare Masters or JD preferred. CHC and CHPC required or obtained within one year of employment.   
• Experiences in leading corporate compliance, internal audit, clinical audit, healthcare regulatory environment, human subject research are needed.
• Strong blend of management skills and technical expertise, demonstrated by superior planning, decision-making, leadership, and financial management skills/knowledge, with a focus on adding value to the bottom line of the business.
• Proven ability to motivate and inspire people to change, humanely deliver difficult messages, and develop leaders. 
• Has built coalitions and facilitated collaborative relationships within and outside the organization; is community minded.
• Has demonstrated creativity and innovation while being decisive and politically sophisticated. Additionally, experience leading and fostering innovation, either within health care or in a related industry. 
• Has initiated and implemented improvements to business practices within a specific discipline while managing the development and/or delivery of a significant element of the organization’s change-management program.
• Has worked as or closely with thought leaders, overseeing research programs and publishing reports from medical and clinical research.

STYLE  AND ATTRIBUTES 

Positive Leadership Attributes 

• Strong collaboration skills and desire to engage others in the process but does not delay for the sake of consensus; demonstrates urgency; makes well-considered decisions for the long-term.
• Shows consistent integrity in decisions and actions.
• Effectively manages ambiguity. Can manage a lot of moving parts at once.
• Is future focused and can “see around corners” to anticipate opportunities.
• Possesses a level of self-awareness and emotional intelligence required for working across many different constituencies and influencing diverse stakeholders; is respectful and adaptable to different styles and mindsets.
• Brings leadership presence and confidence; can present and influence at senior levels while communicating openly.
• Has the confidence to challenge others while realizing that they may not have all the answers.
• Is courageous; can stand their ground and make difficult decisions or put forth bold, new ideas.
• Can coach and develop talent effectively; invests time and energy in helping others grow.
• Takes risks; is ok with 70% “go.” Seeks feedback to adjust along the way.
• Tactfully handles difficult conversations with medical professionals.
• Embraces and prioritizes diversity and inclusion efforts; is committed to building a workforce that is reflective of the community it serves

LEADERSHIP COMPETENCIES

Thought Leadership

• Business Insight. Applying knowledge of business and the marketplace to advance the organization’s goals. 
• Customer Focus. Building strong customer relationships and delivering customer-centric solutions.
• Financial Acumen. Interpreting and applying understanding of key financial indicators to make better business decisions.
• Tech Savvy. Anticipating and adopting innovations in business-building digital and technology applications.
• Manages Complexity. Making sense of complex, high-quantity, and sometimes-contradictory information to effectively solve problems.
• Decision Quality. Making good and timely decisions that keep the organization moving forward.
• Balances Stakeholders. Anticipating and balancing the needs of multiple stakeholders.
• Global Perspective . Taking a broad view when approaching issues, using a global lens.
• Cultivates Innovation . Creating new and better ways for the organization to be successful.
• Strategic Mindset. Seeing ahead to future possibilities and translating them into breakthrough strategies.

Results Leadership

• Action Oriented. Taking on new opportunities and tough challenges with a sense of urgency, high energy, and enthusiasm.
• Resourcefulness. Securing and deploying resources effectively and efficiently.
• Plans and aligns. Planning and prioritizing work to meet commitments aligned with organizational goals.
• Optimizes Work Processes. Knowing the most effective and efficient processes to get things done, with a focus on continuous improvement.
• Directs Work. Providing direction, delegating, and removing obstacles to get work done.
• Ensures Accountability. Holding self and others accountable to meet commitments.
• Drives Results. Consistently achieving data-driven results, even under tough circumstances.

People Leadership

• Collaborates. Building partnerships and working collaboratively with others to meet shared objectives. 
• Manages Conflict. Handling conflict situations effectively, with a minimum of noise.
• Interpersonal Savvy. Relating openly and comfortably with diverse groups of people.
• Builds Networks . Effectively building formal and informal relationship networks inside and outside the organization.
• Attracts Top Talent. Attracting and selecting the best talent to meet current and future business needs.
• Develops Talent . Developing people to meet both their career goals and the organization’s goals. 
• Values Differences . Recognizing the value that different perspectives and cultures bring to an organization.
• Builds Effective Teams . Building strong-identity teams that apply their diverse skills and perspectives to achieve common goals.
• Communicates Effectively. Developing and delivering multi-mode communications that convey a clear understanding of the unique needs of different audiences.
• Drives Engagement . Creating a climate where people are motivated to do their best to help the organizations achieve its objectives.
• Organizational Savvy. Maneuvering comfortably through complex policy, process, and people-related organizational dynamics. 
• Persuades. Using compelling arguments to gain the support and commitment of others.
• Drives Vision and Purpose. Painting a compelling picture of the vision and strategy that motivates others to action.

Self-Leadership

• Courage.  Stepping up to address difficult issues, saying what needs to be said.
• Instills Trust.  Gaining the confidence and trust of others through honesty, integrity, and authenticity.
• Demonstrates Self-Awareness.  Using a combination of feedback and reflection to gain productive insight into personal strengths and weaknesses .
• Self-Development.  Actively seeking new ways to grow and be challenged using both formal and informal development channels.
• Manages Ambiguity.  Operating effectively, even when things are uncertain, or the way forward is not clear .
• Nimble Learning.  Actively learning through experimentation when tackling new problems, using both successes and failures as learning fodder.
• Being Resilient.  Rebounding from setbacks and adversity when facing difficult situations.
• Situational Adaptability . Adapting approach and demeanor in real time to match the shifting demands of different situations.

Exceptional interpersonal, problem-solving, and communication skills. Demonstrated empathy, warmth, and inclusiveness.

• A minimum of 5 -7 years of experience in healthcare compliance leadership.
• Education and certification: BA/BS required. Healthcare Masters or JD preferred. CHC and CHPC required or obtained within one year of employment.   
• Experiences in leading corporate compliance, internal audit, clinical audit, healthcare regulatory environment, human subject research are needed.
• Strong blend of management skills and technical expertise, demonstrated by superior planning, decision-making, leadership, and financial management skills/knowledge, with a focus on adding value to the bottom line of the business.
• Proven ability to motivate and inspire people to change, humanely deliver difficult messages, and develop leaders. 
• Has built coalitions and facilitated collaborative relationships within and outside the organization; is community minded.
• Has demonstrated creativity and innovation while being decisive and politically sophisticated. Additionally, experience leading and fostering innovation, either within health care or in a related industry. 
• Has initiated and implemented improvements to business practices within a specific discipline while managing the development and/or delivery of a significant element of the organization’s change-management program.
• Has worked as or closely with thought leaders, overseeing research programs and publishing reports from medical and clinical research.

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