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West Cancer Center

Provides cancer care with clinical trials

Vice President & Compliance Officer

Regulatory Compliance & EthicsConfirmed live in the last 24 hours
Full-timeGermantown, TN, USANo salary listedIn-person

About the Job

Requirements

  • A bachelor's degree in Business, Healthcare Administration, Compliance, or a similar field is required.
  • At least five years of progressive healthcare compliance or related experience is required.
  • Experience administering a healthcare compliance program, including risk assessment, auditing, monitoring, investigations, and remediation, is required.
  • Experience working with physicians, executive leadership, employees, and governing bodies is required.
  • Strong knowledge of healthcare laws, regulations, regulatory requirements, compliance principles, HIPAA, and fraud, waste, and abuse requirements is required.
  • Knowledge of healthcare billing, coding, documentation, reimbursement, medical necessity, and related regulatory risks is required.
  • Strong analytical, investigative, critical-thinking, and problem-solving skills are required.
  • Excellent written and verbal communication skills and the ability to explain complex regulatory requirements to diverse audiences are required.
  • Integrity, sound judgment, discretion, independence, and objectivity are required.
  • Ability to identify and appropriately address compliance risks and challenge practices when warranted is required.
  • Ability to manage confidential and sensitive information is required.
  • Ability to work effectively with physicians, providers, executives, managers, employees, and external regulatory and oversight entities is required.
  • The role requires balance and coordination, close visual acuity, and the ability to perform the listed physical activities, including climbing, pushing, standing, hearing, walking, reaching, grasping, kneeling, stooping, and repetitive motion.
  • The role requires light work involving exertion of up to 25 pounds occasionally and/or up to 10 pounds frequently.

Responsibilities

  • Lead and serve as the accountable owner of West Cancer Center’s healthcare compliance program, establishing, operating, and continuously improving it in line with applicable laws, regulations, guidance, and recognized compliance practices.
  • Conduct or oversee annual compliance risk assessments and develop risk-based compliance work plans.
  • Identify compliance risks and recommend appropriate controls, education, monitoring, and risk-mitigation strategies.
  • Establish compliance metrics and reporting processes to evaluate program effectiveness.
  • Develop, review, implement, and maintain compliance policies and procedures in collaboration with appropriate leaders and subject-matter experts.
  • Oversee compliance education and training and promote ethical conduct, regulatory awareness, and non-retaliation.
  • Develop and oversee risk-based compliance auditing and monitoring, including billing, coding, documentation, reimbursement, medical necessity, provider arrangements, privacy, and other identified risk areas.
  • Coordinate responses to governmental, regulatory, accreditation, payer, and other external audits or inquiries.
  • Evaluate audit and monitoring results and oversee appropriate compliance remediation.
  • Receive and evaluate reports indicating potential violations of healthcare laws, regulations, or other requirements, or conduct that may create significant compliance risk.
  • Conduct or oversee compliance investigations and coordinate with Human Resources, operational leadership, or other appropriate parties as needed.
  • Evaluate the scope, root cause, and potential impact of substantiated compliance concerns.
  • Develop and monitor remediation plans addressing regulatory violations, process deficiencies, control weaknesses, and systemic risks.
  • Recommend improvements to policies, procedures, controls, workflows, education, and monitoring to mitigate risk and prevent recurrence.
  • Escalate significant or unresolved compliance concerns to the Chief Executive Officer.
  • Coordinate with Human Resources when investigations identify employee misconduct directly related to compliance concerns; Human Resources retains responsibility for determining and administering disciplinary or other employment action.
  • Monitor and communicate changes in applicable healthcare laws, regulations, regulatory guidance, and enforcement priorities.
  • Provide compliance guidance to leadership, providers, and departments regarding regulatory requirements and identified risks.
  • Oversee compliance activities related to fraud, waste, and abuse, including requirements under the False Claims Act, Anti-Kickback Statute, Stark Law, Civil Monetary Penalties Law, and Medicare and Medicaid programs.
  • Coordinate investigation, remediation, reporting, disclosure, and repayment activities when potential fraud, waste, or abuse is identified.
  • Serve as West Cancer Center’s primary HIPAA Privacy Officer and oversee the privacy compliance program.
  • Monitor compliance with HIPAA Privacy, Security, and Breach Notification requirements.
  • Oversee privacy complaints, suspected unauthorized access, use or disclosure of protected health information, and potential breaches.
  • Provide guidance on appropriate use and disclosure of protected health information and coordinate investigation, mitigation, documentation, and required reporting of privacy incidents.
  • Provide regular reports to the Chief Executive Officer, senior leadership, and/or applicable Board committee on significant compliance risks, investigations, audit findings, remediation, and program effectiveness.
  • Provide independent and objective advice regarding significant compliance risks and emerging regulatory issues.
  • Participate in appropriate leadership, governance, risk, privacy, quality, and other committees.
  • Maintain appropriate independence and access to records, systems, personnel, and information necessary to fulfill compliance responsibilities.
  • Foster a culture in which compliance concerns are identified, reported, investigated, and appropriately addressed.

Desired Qualifications

  • A master's degree, Juris Doctor, or other relevant master's degree is preferred.
  • A Certified in Healthcare Compliance (CHC), Certified in Healthcare Privacy Compliance (CHPC), Certified in Healthcare Research Compliance (CHRC), Certified Compliance & Ethics Professional (CCEP), Certified Internal Auditor (CIA), Certified Professional Coder (CPC), or other compliance, auditing, or privacy credential is preferred.

About the Company

West Cancer Center

Provides cancer care with clinical trials

West Cancer Center provides full-spectrum cancer care with access to clinical trials from Phase I to Phase III, supported by a partnership with Methodist Healthcare and the University of Tennessee Health Science Center. Clinicians and researchers work together across laboratory research and patient care, allowing trial findings to inform treatment decisions. The organization differentiates itself through its strong academic-healthcare alliance, which offers earlier trial access and a direct lab-to-clinic feedback loop. Its goal is to improve cancer outcomes by speeding up research and turning discoveries into effective, evidence-based therapies for patients.

Company size
51-200
Company stage
Not listed
Total funding
Not listed
Headquarters
Brighton, CO
Founded
1979

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