Compliance Officer #2215 - County Attorney's Office - Unassigned Division

Under general supervision, the Compliance Officer is responsible for developing, implementing, and overseeing a comprehensive compliance program for Hamilton County Government to ensure adherence to applicable federal, state, and local laws, regulations, and internal policies. The Compliance Officer will collaborate with various departments, divisions and stakeholders to ensure compliance, protect confidentiality, and promote the delivery of high-quality services to the County’s constituents. Areas with a specific focus on compliance include but are not limited to: privacy, information security, procurement, healthcare fraud, waste and abuse, health care billing, and federal government requirements., ESSENTIAL FUNCTIONS: Essential functions, as defined under the Americans with Disabilities Act, may include the following tasks, physical requirements, knowledge, skills, abilities, and other characteristics. This list of tasks is ILLUSTRATIVE ONLY, and is not a comprehensive listing of all functions and tasks performed by incumbents of this class., * Compliance Reports: The Compliance Officer will provide regular reports to the Rules, Legislative, and Compliance Committee of the Board of Commissioners of Hamilton County (the “RLCC”).

• Compliance Program Development: Develop, implement, and oversee the Compliance Program that aligns with legal and regulatory requirements, industry standards (including but not limited to health department, EMS, human resources), and best practices and is designed to prevent, monitor, detect and respond to compliance concerns. The program should follow current laws as well as consider the compliance obligations for government contracts and other related considerations.
• Policies and Procedures: Establish and maintain comprehensive policies and procedures that address compliance-related issues, including but not limited to ADA, privacy, information security, fraud, waste, and abuse prevention. Assist in updating and ensuring that the online presence (including the website) of the County meets current ADA, information security, privacy and PCI compliance requirements.
• Training and Education: Develop and deliver compliance training programs to educate employees, healthcare providers, and other stakeholders on compliance policies, procedures, and relevant regulations.
• Risk Assessment: Conduct regular risk assessments to identify areas of potential non-compliance, evaluate associated risks, and develop strategies to mitigate those risks.
• Auditing and Monitoring: Perform regular audits and monitoring activities to assess compliance with policies, identify potential violations, and implement corrective actions when necessary.
• Reporting and Investigations: Investigate compliance concerns, allegations, and incidents, and report findings to the County Attorney, County Mayor, RLCC, regulatory authorities, and legal entities as required.
• Participate and Facilitate Outside Audits: Work with external auditors and regulatory agenciestosupportauditinquiriesandassistinthedevelopmentofcorrectiveactionplans and related implementation considerations.
• Regulatory Compliance: Stay up-to-date with changes in healthcare laws, regulations, and industry guidelines to ensure ongoing compliance and make necessary adjustments to the compliance program.
• Privacy and Security: Ensure compliance with data privacy and security laws, including HIPAA, routine collaboration with the HIPAA Privacy and Security officers, and establish protocols to provide individuals with their “individual rights” regarding their information, including but not limited to access to records, protect information from any confidentiality, integrity or availability concerns and safeguard sensitive information.
• Collaboration and Communication: Work closely with various departments, including legal, human resources, finance, and department of health, to provide guidance, support, and consultation on compliance-related matters.
• Ethics and Integrity: Promote a culture of ethics, integrity, and compliance throughout the organization by fostering awareness, encouraging open communication, and addressing ethical dilemmas., Hamilton County does not discriminate on the basis of race, color, national origin, sex, religion, age, or disability in employment or the provision of services. A copy of Hamilton County’s Equal Employment Opportunity Plan (EEOP) & Utilization Report is available on the County’s Equal Employment Opportunity (EEO) Office home page. https://www.hamiltontn.gov/Department_EqualEmploymentOpportunityOffice.aspx

Hamilton County Government Meeting the needs of the people where they live, work, and play!

Hamilton County, Tennessee offers a lower cost of living, ease of getting around, a lively arts tradition, and abundant outdoor recreational opportunities.

Working for Hamilton County Government provides many great benefits - take a look at a few of those highlighted below…

On-Site Employee Health Clinic

• No copay to utilize clinic services.
• Clinic services include routine office visits, sick visits, labs, flu shots, and more
• TextCare - Access to care 24/7 via TextCare, which is direct, unlimited access to medical care 24/7 through text message.

(Employee access to the clinic is available from day one. A covered spouse or dependent has access as soon as their health plan coverage is effective. Children age 3 and up who are covered by the County’s insurance are eligible to be seen.)

• Telehealth - Two-way, real-time interactive communication between the patient and a practitioner through telecommunications, which may include audiovisual options.
• One to One Provider Network - Availability to utilize a network of providers that provide a high level of care at a lower copay/cost.
• Health Management Programs - Offered to help employees and their family members in managing the following health conditions: Asthma, Diabetes, Hypertension (High Blood Pressure), and Hyperlipidemia (High Cholesterol)
• Nutritional guidance - Nutritional education provided to assist in making the appropriate food /health choices.

Knowledge of healthcare laws, regulations, and industry standards, such as HIPAA. Knowledge of and familiarity with government contracting, ADA, healthcare coding and/or billing practices. Skill in analyzing, problem-solving, and time management. Skill in effectively communicating compliance-related information to diverse audiences and facilitate training sessions in both oral and written form. Skill and proficiency in using compliance software, databases, and Microsoft Office Suite. Ability to identify compliance risks, analyze complex situations, and develop practical solutions. Ability to pay attention to detail to ensure accuracy and precision in compliance documentation, reports, and monitoring activities. Ability to handle confidential information with discretion and professionalism and maintain high ethical standards. Ability to handle multiple priorities simultaneously. Ability to work independently with limited oversight. Ability to recognize risk and compliance concerns. Ability to collaborate, build relationships, and influence stakeholders at all levels of the organization. Ability to adapt to evolving regulatory requirements in an antiquated environment. Ability to read and comprehend legislation, related regulations, and develop responsive policies and procedures., A Master’s Degree from an accredited college or university in Ethics, Business Administration, Public Administration, Risk Management, Regulatory Compliance, or a closely related field and a minimum of five (5) years of direct work experience in regulatory compliance, risk management, business administration, public administration, or a closely related field. Must possess a minimum of three (3) years in a supervisory role and a valid driver’s license., A Bachelor’s Degree from an accredited college or university in Ethics, Business Administration, Public Administration, Risk Management, Regulatory Compliance, or a closely related field and a minimum of seven (7) years of direct work experience in regulatory compliance, risk management, business administration, public administration, or a closely related field. Must possess a minimum of three (3) years in a supervisory role and a valid driver’s license., An Associate’s Degree from an accredited college or university in Ethics, Business Administration, Public Administration, Risk Management, Regulatory Compliance, or a closely related field and a minimum of nine (9) years of direct work experience in regulatory compliance, risk management, business administration, public administration, or a closely related field. Must possess a minimum of three (3) years in a supervisory role and a valid driver’s license., The equivalent of a high school diploma and a minimum of eleven (11) years of direct work experience in regulatory compliance, risk management, business administration, public administration, or a closely related field. Must possess a minimum of three (3) years in a supervisory role and a valid driver’s license., Work experience with ethical considerations and conflicts of interest is preferred. Certified Compliance & Ethics Professional (CCEP) certification is preferred. Certified Internal Auditor (CIA) certification is preferred. Certified Fraud Examiner (CFE) certification is preferred. Certified in Healthcare Compliance (CHC) certification is preferred. Privacy Compliance (CIPP/US) certification is preferred.

PHYSICAL REQUIREMENTS:

Work requires extensive computer keyboarding, intermittent sitting, walking, standing, lifting, speaking/presenting, bending, stooping and kneeling, climbing on step stools, and filing documents. Must be able to lift and carry up to thirty (30) pounds on occasion.

This is a Fair Labor Standards Act Defined Exempt Position - Exempt positions are excluded from minimum wage, overtime regulations, and other rights and protections afforded nonexempt workers. The employee in this position is paid a salary rather than an hourly wage for this position. FLSA does not limit the amount of work time an employer may require or expect from any exempt employee, on any schedule. Hamilton County Government expects an employee in this position to complete the work assigned regardless the number of hours involved in completing the tasks assigned., This job description is not designed to cover or contain a comprehensive listing of all activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

All positions within Hamilton County Government are considered work in-person and require regular and punctual attendance.

All positions within Hamilton County Government may require work on Holidays or weekends. Additionally, irregular hours and shift work may be required, including possible extension of shift hours, at times with short notice., * Low-cost prescriptions available to those covered under the County health plan.

• Over the counter items offered at cost.
• RxLocal App - Mobile app provides a convenient way to stay connected and manage your health. Through the app you can request refills and ask questions.
• On-site Pharmacist available to answer questions and provide information.

Hamilton County Government offers competitive insurance coverage to fulltime employees.

Medical coverage is offered through Cigna to fulltime employees. The County pays a generous portion of the medical premium. Two options are available to choose from: LCP (Local Cost Plus) and OAP (Open Access Plus).

• The LCP has a smaller network that includes most providers and hospitals, with the exception of Parkridge facilities/providers.
• The OAP is a national network of facilities/providers that includes most providers/hospitals, including Parkridge.

Dental coverage is a voluntary benefit available to fulltime employees. Three coverage options are offered: Cigna High Plan, Cigna Low Plan, and Sun Life DHMO.

• The Cigna High Dental Plan covers orthodontia for children up to age 18. A national network of dental providers is available to choose from and this plan offers out of network coverage.
• The Cigna Low Dental Plan does not cover orthodontia. A national network of dental providers is available to choose from and this plan offers out of network coverage.
• The Sun Life DHMO plan is a prepaid dental plan that offers benefits through a network of plan dentists. A dental provider must be selected when enrolling and services must be provided by that provider for benefits to apply.

Life Insurance/Accidental Death and Dismemberment is provided through Symetra. The County provides $30,000 of Basic Life/Accidental Death and Dismemberment coverage at no cost to fulltime employees.

Additional voluntary benefits fulltime employees have access to enroll in are as follows:

-Individual Short-Term Disability (STD) -Voluntary Long-Term Disability (LTD)

-Flexible Spending Account-Health Care -Flexible Spending Account-Dept. Care

-Flexible Spending Account-Transportation -Accident Insurance

-Critical Illness Insurance -Hospital Indemnity Insurance

Hamilton County Government Retirement for Fulltime Employees:

Pension - Legacy Plan (hired prior to 10/1/2015), in which the employer contributes 14.70%.

Pension - Hybrid Plan (hired on or after 10/1/2015), in which the employee contributes 5% and the employer contributes 4%.

401K - Employer contributes 5% and the employee can contribute the amount of their choice.

457b - Employees have the option to contribute to this plan if they choose.

Pre-Retirement Seminar:

Hamilton County Human Resources provides a pre-retirement seminar to those considering retirement, two times per year (1st and 3rd quarter of each year). Seminar topics covered may include:

• Health insurance assistance, Medicare info and counseling.
• Internal steps to take when an employee is ready to retire.
• Estate Planning
• Personal Financial Planning
• TCRS (Tennessee Consolidated Revenue Service) - Ham. County Pension
• Deferred Compensation/457 Plan - Nationwide
• Social Security Benefits

Parental Leave:

Hamilton County provides eight (8) weeks of paid maternity leave and two (2) weeks of paid paternity leave following the birth of a child or placement of a child with an employee in connection with adoption (age 13 or younger) or foster care.

Paid Time Off:

Hamilton County Government provides generous paid time off (PTO) to fulltime employees from the start of employment.

• Years 1 - 5: an employee will accrue 5.85 hours of leave, per pay period.
• Years 5 - 10: an employee will accrue 6.77 hours of leave, per pay period.
• Years 11-15: an employee will accrue 8.31hours of leave, per pay period.
• Year 15 and each year thereafter, an employee will accrue 8.93 hours of leave, per pay period.

At each anniversary, an employee can roll over up to 80 hours of unused PTO into their leave bank. (Up to 800 hours for employees hired on or after 1/1/2013).

Paid Holidays:

Hamilton County Government provides thirteen (13) paid holidays to fulltime employees.

New Year’s Day Independence Day

M.L. King’s Birthday Labor Day

President’s Day Veteran’s Day

Good Friday Thanksgiving (2 days)

Memorial Day Christmas (2 days)

Juneteenth

Wellness Facility:

Hamilton County Government provides a 24/7 fitness center, free of charge, to County employees and family members (age 14+) covered under the County’s health plan. The fitness center offers cardio and strength-training equipment, along with group exercise classes throughout the year. (which may include Zumba, spin, yoga, etc.)