Baylor Genetics · 1 week ago
Director, Compliance
United States
Full-time
Remote
Director/Executive
10+ years expBaylor Genetics is seeking a Director of Compliance to implement and operate an effective Compliance Program. The role involves providing guidance on compliance with laws and regulations, operationalizing policies, and supporting compliance education across the organization.
BiotechnologyHealth Care
Responsibilities
Operationalize healthcare regulatory guidance into actionable internal policies and procedures, draft, revise and maintain policies and procedures that reflect current regulatory requirements, operational realities and industry best practices
Serve as a key compliance resource to teams across the organization, responding to compliance-related inquiries and providing clear, written actionable guidance on how to apply internal policies and regulatory requirements in day-to-day operations
Support the development, implementation and monitoring of compliance education materials; conduct education sessions and help identify opportunities to reinforce policy adoption and awareness across teams
Develop and administer Baylor Genetics’ Compliance program through coordination with internal stakeholders, subject matter experts, and best practices
Lead the development and execution of Baylor Genetics’ compliance risk assessment and work plan, identify key areas of risk and develop annual audit plan
Conduct and support retrospective and prospective internal compliance audits and spot checks to identify potential gaps or areas of compliance vulnerability. Collaborate with teams cross-functionally to develop appropriate action plans that address audit findings and introduce controls likely to prevent non-compliance performance
Collaborate with internal and external auditors during regulatory audit and monitoring activities
Contribute to the preparation and execution of quarterly Compliance Committee meetings, including development of pre-read materials, tracking open issues, and surfacing risk themes or emerging compliance trends for leadership discussion
Maintain professional and technical knowledge of healthcare compliance legal and regulatory requirements, including subject matter expertise in Medicare and state Medicaid program requirements, federal/state fraud, waste and abuse laws (e.g. Stark, EKRA, Anti-Kickback) and data privacy regulations
Oversee and manage Baylor Genetics’ confidential and anonymous Hotline, to include proper routing of complaints, monitoring and ensuring timely completion of investigations and preparing metric reports for the Compliance Committee and other members management
Organize and manage administrative tasks involved in the oversight of key compliance risk areas
Oversee and manage exclusion screenings to ensure compliance with regulations and contractual requirements
Assists in the development of materials for use in education and communication on Baylor Genetics’ compliance program. Oversees completion of required compliance education by the workforce
Support compliance considerations in product and operational development, partnering with cross-functional teams to ensure new initiatives, workflows or rollouts align with internal policy expectations
Perform other duties as assigned/necessary
Qualification
Required
Bachelor's degree in Business Administration, Healthcare Administration, or a related field
10+ years relevant experience, with at least 5 years in the healthcare industry, preferably in a clinical laboratory environment
5+ years experience managing others, preferably in a healthcare compliance setting
Adaptable and able to function independently, with little need for oversight, in a fast paced, highly fluid startup environment
Ability to timely manage many high-risk, high-pressure projects/issues at once and prioritize effectively based on risk
Strong communication skills with proven track record of success working with cross functional teams
Working knowledge of applicable regulations and state and federal laws
Working knowledge of third-party billing and coding standards for laboratory testing
Computer skills and high competence with MS Office (Word, Excel, Powerpoint), LIMS, Salesforce and Epic
Preferred
Active compliance and coding certification; CHC, CCEP preferred
Company
Baylor Genetics
Baylor Genetics offers a full spectrum of cost-effective, genetic testing, and provides clinically relevant solutions.
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
Kengo Takishima
Chairman and CEO
Recent News
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