Job: Sr. Director, Compliance and Internal Audit Programs

Department: Compliance
Schedule: Full time - Benefits Eligible
Shift: Days
Hours:
JOB SUMMARY:

Reporting to the CEO and functioning as an independent objective administrator, strategically plan, design, implement, maintain and monitor organization-wide compliance and internal audit programs, policies and procedures that promote a compliance-focused culture and ensure adequate internal controls in accordance with all applicable laws and regulations. Provide effective leadership and counsel to the Board of Trustees, CEO and management on corporate compliance, internal audit, and ethical business practices. Serve as a role model for compliant behavior consistent with the mission, vision and values of Rady Children-s Hospital.

Develop and administer an enhanced compliance program including policies, procedures and tools to assist the Board of Trustees, management and employees abide with laws and rules of regulatory agencies, follow established guidelines, and perform in accordance with hospital Standards of Conduct. Plan and direct an improved internal auditing program, establishing controls and processes to analyze operational proficiency, fiscal integrity, and adherence to regulatory requirements. Evaluate existing processes and policies to determine effectiveness and identify potential areas of vulnerability or risk; develop plans to ensure corrective actions are implemented, and create avoidance tactics for similar situations in the future. Continually monitor and improve compliance with regulatory requirements and best practices for internal audit. Direct management reporting and documentation providing timely and relevant information on audit and compliance issues to the Board of Trustees, CEO and senior management. Manage and prioritize staff activities with direct and matrix reporting relationships. Educate and communicate with management and staff on regulatory issues and their responsibility for executing compliance within their departments, including written materials and training programs that promote awareness and understanding of requirements and consequences of non-compliance. Initiate, maintain and publicize a confidential, easily accessible reporting system for employees to report potential compliance violations. Establish an effective methodology for consistent investigation of alleged breach of rules, regulations, policies, procedures and/or standards, including problem resolution and implementation of corrective actions. Institute annual work plans for compliance and internal audit programs, reporting conclusions and recommendations to the CEO and Board of Trustees. Partner with the General Legal Counsel, Chief Financial Officer and Chief Operating Officer to regularly review compliance and audit policies, procedures, risks, solutions and programs. Collaborate with Human Resources to develop an effective compliance training program for new hires as well as ongoing training for all employees and management. Serve as the internal authority on relevant laws, regulations and changes that affect healthcare systems and proactively make recommendations for appropriate modification.
MINIMUM QUALIFICATIONS:

Bachelor-s degree in business, accounting or healthcare related fields

Strong content knowledge of legal and regulatory standards and ability to interpret same

Demonstrated knowledge of research and statistical techniques and computer applications

Ability to analyze and interpret qualitative and quantitative data, prepare reports and propose solutions to specific problems and complex issues

Project management and project analysis experience

Demonstrated leadership experience

Five (5) years minimum experience, preferably in an acute care hospital setting

Experience in quality management/process improvement activities

Possesses demonstrated, outstanding effective oral and written communication skills

Demonstrated ability to cope with stressful situations and to adjust to frequent changes, which may occur in executing duties

Self-motivated and innovative, with the ability to independently create, plan, organize and coordinate the complex professional, managerial and technical components of the position with tact and discretion to achieve positive outcomes

Demonstrated ability to persuade, negotiate, motivate, coach, teach and facilitate individuals and groups in order to reach the objectives of the compliance and audit programs

Advanced strategic and systems thinking skills

Ability to manage conflict and controversy in order to achieve maximum positive outcome for program and organization

Demonstrated ability to create and manage relationships with key stakeholders at all levels of the organization

Conscientious and detail-oriented with highest level of integrity

Inspires trust in knowledge

PREFERRED QUALIFICATIONS:

Master-s degree in business is highly desirable

EOE/M/F/D/V