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Regulatory Management Consultant

Company: Kaiser Permanente Zion Medical Center
Location: Oakland
Posted on: June 12, 2021

Job Description:


Researches, plans, implements, and monitors a broad portfolio of compliance systems and initiatives to enable organizational compliance with all applicable Federal, state, and local regulations/laws, as well as overseeing the protection of organizational assets. On an on-going basis, researches and interprets regulations and laws to establish compliance standards, and may develop and/or deliver training and communications/change management relative to new standards. Assesses organizational systems (both physical and process or data related) to determine gaps in compliance and determine opportunities for remediation. Advises the organization on all compliance matters. May investigate violations of compliance policy, laws, regulations, etc. or conduct on-going monitoring and reporting to ensure remediation. May be responsible for project management relative to new compliance initiatives, products, or annual processes.

Essential Functions:
- Manages, creates, and maintains client relationships.
- In adherence with the KP Compliance Framework, fosters comprehensive compliance management through a series of activities to comply with all applicable regulations and statutes. Activities include: Planning: identifying compliance accountabilities; identifying internal and external resources; developing Compliance, Work, and Audit plans; participating on and may establish compliance-related committees/work groups; and managing external agency relations. Implementing: identifying compliance requirements and conducting related analyses; creating or revising compliance standards, policies, and procedures; developing and/or conducting compliance and ethics training; monitoring compliance adherence; and reporting on compliance efforts and programs. Validating: reviewing compliance programs and content, including designing and conducting risk assessments and/or audits, and investigating instances of reported non-compliance.
- Researches and stays abreast of regulations and statutes. Determines impacts of implementation of new regulations and statutes and required notifications, changes, and training. Communicates required changes, develops tools to assess risks, and leverages existing workgroups/etc. to facilitate required changes. May engage external regulatory and legislative bodies on developing regulations and laws, providing input and representing Kaiser Permanente's interests.

Basic Qualifications:

Experience

Minimum twelve (12) years of health care compliance, health care operations (quality, risk, etc.), audit, finance, project management, regulatory or public policy development, investigations, information security, or insurance/health plan governance experience.

Education

Bachelor's or clinical degree, OR four (4) years of experience in a directly related field.

High School Diploma or General Education Development (GED) required.

Licenses, Certifications, Registrations

N/A.

Additional Requirements:

Expert knowledge of health care compliance policies, practices and systems.

Expert knowledge of health care and related compliance issues.

Develops advanced compliance principles, theories, and concepts.

Expert knowledge of health care industry practices and standards.

Ability to draft and revise documents including policies, standards, analyses, and reports.

Project management skills.

Must be able to work in a Labor/Management Partnership environment.



Preferred Qualifications:

N/A.





Keywords: Kaiser Permanente Zion Medical Center, Oakland , Regulatory Management Consultant, Other , Oakland, California

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