Summary

Position Summary

Under the direction of the MaineHealth Vice President of Audit and Compliance Services, and the Senior Director of Compliance, the MaineHealth Regional Compliance Officer (RCO) position provides oversight of compliance activities and serves as a compliance, policy and regulatory subject matter expert.

The RCO, working within the MaineHealth integrated corporate compliance team, supports each assigned Local Health Systems to ensure compliance with internal policies and procedures and all applicable federal and state health care laws and regulations. The RCO provides guidance to the assigned Local Health System’s workforce on all manner of compliance related matters; develops and reviews compliance policies and procedures; creates and implements compliance education; identifies potential areas of vulnerability and risk; and develops, implements and monitors corrective action plans to resolve instances of conduct that do not conform to MaineHealth policies or to federal or state laws or regulations. The RCO also performs additional duties as directed in support of other system compliance-related functions.

Required Minimum Knowledge, Skills, and Abilities (KSAs)

Education: Bachelor’s degree preferred.

License/Certifications: Certification in Healthcare Compliance (CHC) preferred. If not currently certified, the candidate must become certified within one year of hire.

Experience: A minimum of five (5) years’ experience in a healthcare organization. Knowledge of healthcare operations, clinical activities, coding/billing/reimbursement, quality improvement and risk management is desired. In addition, an in-depth knowledge of the state and Federal rules and regulations applicable to healthcare settings is desired.

Knowledge and general understanding of Federal and state compliance program requirements, particularly in relation to hospitals, physician practices, and other healthcare facilities.

Ability to plan, organize, and prioritize multiple tasks and work independently to meet deadlines and exercise sound professional judgment

Ability to work effectively with individuals at all levels and with varying backgrounds both within and outside the organization

Strong oral and written communication skills and interpersonal skills. Able to communicate thoughts, ideas, information and messages with clear language, style, organization and format appropriate to the subject matter, purpose and audience.

Possesses excellent critical thinking skills, including the ability to identify a problem, determine the root-cause, communicate findings and participate in the development of the solution.

Strong project management skills including the ability to take a project from conception to post implementation review.

Ability to manage difficult conversations with sensitivity and the ability to respond to confidential information with objectivity and discretion.

Additional Information

MaineHealth was ranked one of America’s Best Large Employers in 2022 by Forbes!

MaineHealth is a not-for-profit integrated health system whose vision is, “Working together so our communities are the healthiest in America.” MaineHealth consists of nine local health systems, a comprehensive behavioral health care network, diagnostic services, home health agencies, and 1,700 employed clinicians working together through the MaineHealth Medical Group. With approximately 22,000 care team members, MaineHealth provides preventive care, diagnosis and treatment to 1.1 million residents in Maine and New Hampshire. Learn more about our system at mainehealth.org

At MaineHealth, we offer benefits that support an individual’s needs for today and flexibility to plan for tomorrow. Our packages include health and dental insurances, paid parental leave, retirement program, generous paid time off, and much more! Our comprehensive array of benefits are competitive, affordable, and include choices that meet specific, but ever changing, needs.

With a career at any of the MaineHealth locations, you’ll be working with health care professionals that truly value the people around them – both within the walls of the organization and the neighborhoods that surround it. We are deeply invested in the well-being of our communities and care team members. We believe in fostering a work environment of strong commitment, compassionate caring and continuous improvement. Join us, and your abilities will be challenged and enhanced as you take your career to a new level.
Additional Information
MaineHealth is a health system whose members and affiliates include hospitals, physician practices, long-term care facilities, home care agencies, and support services. Learn more about this system at www.mainehealth.org