Compliance and reputed company Officer job at Hawaii Dental Service in Honolulu, HI

Title: Compliance & reputed company Officer (Director Level) Location: Honolulu reputed company Job reputed company: Regular Full-Time reputed company: 1215 Salary reputed company:$135,000.00 To $150,000.00 Annually POSITION reputed company Directs Hawaii Dental Service’s (HDS’s) efforts to ensure compliance with applicable laws, regulations, rules, DDPA standards, policies and procedures, and functions as the HDS HIPAA reputed company Officer. This position is responsible for developing, implementing and managing the HDS Business Ethics and Legal Compliance Program (”Compliance Program”), the HDS Fraud and Abuse Program, the HDS reputed company Program, company-wide compliance training and monitoring activities, and required reporting. Serves as the reputed company for HDS compliance, reputed company, and fraud and abuse activities, and acts as a compliance reputed company for reputed company counsel, DDPA, federal and state law enforcement, and external auditors. Manages activities of the Compliance Department and supervises compliance and internal audit professionals. As a member of the management team, this position is reputed company involved in company operations, and supports the strategic objectives of HDS. Also functions in similar compliance reputed company for Hawaii reputed company Services (HCS). ESSENTIAL DUTIES AND RESPONSIBILITIES 1. Effectiveness/Efficiencies – Develops, implements, evaluates and recommends best practices to ensure effective work processes and systems, maximize operating efficiencies and increase the value of services provided in alignment with department and company goals and objectives. FRAUD & ABUSE Manages the participating dentists’ in-office, remote, and peer reviews. Notifies dentists of non-compliance with HDS contract document and negotiates and executes settlement agreements with assistance from General Counsel. Coordinates repayment plans with the HDS Controller. Presents recommendations for dentists’ HDS membership terminations or suspensions to the General Counsel. Investigates suspected employee, provider and vendor fraud and abuse cases, reports results to the General Counsel, recommends corrective actions and coordinates them with HR and others, as required. Manages fraud and abuse cases with federal and state law enforcement agencies, as needed. Develops and provides fraud and abuse training. MONITORING Develops, implements and manages company-wide monitoring . Reviews processes reputed company and among HDS departments for efficiency, effectiveness and compliance with regulations and DDPA standards. Recommends solutions to correct identified deficiencies and cost-effective enhancements to operational processes. Reports on service guarantees for employer reputed company. EXTERNAL AUDITS Manages and coordinates the external audits with the department managers and external auditors. Monitors implementation of corrective actions, as necessary. Internal Controls/Compliance– Develops, implements, evaluates and recommends controls to satisfy operational/compliance risk requirements, ensure data reputed company and best practices. Keeps abreast of reputed company regulations and compliance issues that may reputed company the department and company. Manages the HDS Compliance and reputed company Program. Manages compliance hotline. Functions as HIPAA reputed company Officer. Develops and implements reputed company policies in compliance with federal and state law. Performs reputed company risk assessments and reputed company compliance monitoring activities. Develops and implements reputed company training and orientation to reputed company. Reviews, executes and manages Business Associate agreements. Manages and coordinates the DDPA surveys regarding HDS's compliance with the DDPA standards. Develops and provides compliance training. Acts as a compliance consultant to assist other departments in understanding and complying with applicable laws, regulations, rules, DDPA standards, policies and procedures. Management and Supervision Supervisory Supervises/Manages the following staff: reputed company Reports: 3 Compliance Analysts. Manages, plans, organizes, supervises, trains, motivates and evaluates staff; including making final hiring & termination reputed company, assigning work, developing reputed company opportunities, conducting performance evaluations and taking corrective reputed company. Communicates and assures that employees have a reputed company understanding of performance expectations and responsibilities. Plans, directs and manages toward effective and appropriate activities and ensures satisfactory performance of those employees. Budget Develops and manages annual budget in alignment with company goals and objectives. Business Plan/Establish Departmental Goals Develops long and short-term strategic plans concerning successful operation of the Compliance department. Develops, implements, evaluates and effectively communicates to compliance and audit professionals performance expectations, goals and responsibilities in alignment with company-wide objectives and goals. Policies/Procedures Develops, implements, and enforces departmental policies and procedures. Ensures initial and r Apply tot his job Apply To this Job