The Compliance Program Manager (the “Program Manager”) is the primary individual responsible for implementation of the local, Member compliance program. The Program Manager directs the execution of proactive and reactive compliance activities, as well as maintains the core elements of the Member compliance program. The role will also be identified as a resource for D-HH Corporate Compliance and complete similar designated compliance functions for the D-HH office in an effort to meet standard regulatory requirements and promote an effective program across the D-HH System.

1. Assists with execution of the D-HH Corporate Compliance Program by serving as a resource to complete designated core activities and other auditing projects across the System, as identified.
2. Collaborates with D-HH Corporate Compliance to perform the Member Annual Risk Assessment, develop the Annual Work Plan, in addition to facilitation of Dashboard Metric Reporting.
3. Responsible for the Member program and execution of activities based on the approved Annual Work Plan. Ensures that all assigned Member-related D-HH Annual Work Plan activities remain up to date.
4. Identifies, manages and escalates any barriers to leadership that may prevent work from being accomplished as planned. Proactively coordinates identified activities for the future development and prioritization of the Annual Work Plan.
5. Regularly reports compliance activities through Member Management Compliance Committee meetings and other governance structures. Working with D-HH Corporate Compliance, the Program Manager will also prepare written quarterly reports to apprise D-HH of compliance related activities and investigations impacting the Member facility.
6. Develops and maintains strong working relationships with Operations and Leadership at both the Member and D-H Corporate Compliance to promote effective communication to achieve program objectives.
7. Exhibits critical thinking skills to identify and respond to Member day-to-day compliance issues. Conducts compliance investigations to respond to reactive matters. Maintains all investigation documents in a contemporaneous, organized manner within the D-HH Corporate Compliance incident reporting database. Strives to close all investigations and respond to all routine inquiries within D-HH Corporate Compliance standards and industry benchmarks.
8. Performs auditing and monitoring of select risk topics for the Member as identified by the OIG Work Plan, internal recommendation and/or determination from other regional and national relevant areas of focus.
9. Completes core elements of the Member program, including but not limited to, resolution of Exclusion Screening, Compliance HelpLine and assistance with Conflict of Interest; evaluation of the OIG Work Plan process; and, assessment of related compliance policies and procedures. Utilizes D-HH common platforms to execute the core elements.
10. Implements Member training requirements related to the compliance program, including but not limited to such areas as new employee orientation and Annual eLearning.
11. Maintains current knowledge of applicable federal and state laws and other compliance regulations in collaboration with D-HH Corporate Compliance. Monitors compliance and audit standards and changes in regulations to ensure adaptation and compliance.
12. Performs other duties as required or assigned.

• Bachelor’s Degree required.



• Preferred MBA, MHA, JD with major coursework in business administration, health care administration, or law preferred.



• A minimum of three years of health care compliance experience, preferably in a large Healthcare system setting or in a consulting capacity.

• None