Job Description

Business Compliance Officer

As the business compliance officer, you will oversee the company's obligations under a corporate integrity agreement (CIA) and provide compliance guidance and recommendations to the company on issues facing sales, services, billing and reimbursement, and interactions with healthcare providers and professionals. Also, you will lead and be responsible for the overall performance, operation, and success of Philips BioTel AM&D's compliance program, using the seven elements of an effective compliance program to detect and prevent fraud, waste and abuse.

Your role:

• Develop, implement, and maintain policies and procedures that support the effective operation of the compliance program and promote adherence to legal, regulatory, and ethical standards.
• Oversee key compliance activities, including the administration of the "Speak Up" hotline, exclusion list screening processes, and timely completion of required reporting both internal and external.
• Serve as a primary compliance resource, collaborating with departments such as Human Resources, IT, Sales, and Marketing to provide guidance on healthcare compliance matters.
• Lead and coordinate compliance education and training initiatives, with a focus on federal healthcare program requirements, independent diagnostic testing facility regulations, and fraud and abuse laws, including the Anti-Kickback Statute and the Federal False Claims Act.
• Oversee and coordinate routine and ad hoc internal and external compliance reviews, audits, and monitoring activities to evaluate ongoing adherence to the compliance program and the corporate integrity agreement.
• Manage the day-to-day operations of the compliance function, including staff oversight, and identify areas of potential risk or vulnerability.
• Analyze compliance metrics, communicate findings to leadership and the compliance committee, and develop corrective action plans to address issues and prevent recurrence.
• Continuously monitor the effectiveness of the compliance program and implement improvements to enhance its impact and alignment with company expectations.
• Respond promptly to alleged violations of laws, regulations, policies, and the code of business conduct by overseeing or conducting objective investigations from intake through resolution.
• Act as an independent reviewer to ensure compliance concerns are appropriately evaluated, investigated, and resolved in collaboration with relevant departments.
• Build and maintain strong working relationships with internal and external stakeholders, including in-house and external legal counsel, to effectively address and resolve compliance issues.

You are the right fit if:

• You've acquired 5+ years of experience as a compliance officer, ideally in a healthcare provider-based field.
• Your skills include leading and supporting teams under a CIA, with hands-on experience managing compliance operations and ensuring adherence to federal healthcare program requirements.
• You bring subject matter expertise in applying anti-kickback statute (AKS) considerations, Centers of Medicaid and Medicare Services (CMS) regulations, claims audits, billing, coding, revenue integrity, medical records, and data analytics.
• You are technically proficient in Microsoft Office applications, including Excel and PowerPoint, enabling you to effectively analyze data and communicate compliance insights.
• You have a bachelor's degree (required); Master's degree in Law, Health, Business Administration, Risk Management or equivalent with Juris Doctorate, is a bonus but not required.
• You must be able to successfully perform the following minimum physical, cognitive and environmental job requirements with or without accommodation for this position.
• You're a strong communicator who thrives in matrixed environments, with a proven ability to collaborate cross-functionally and engage stakeholders at all levels.
• You bring a high degree of ethics, integrity, and professionalism, along with strong organizational and project management skills.
• Adept at prioritizing and adapting in fast-paced settings, you distill complex compliance concepts into clear, actionable guidance.
• You're a team player with demonstrated experience delivering educational and compliance program presentations, and you bring working knowledge of LEAN processes and Microsoft Office tools to support high-volume contract and compliance operations.

How we work together:

We believe that we are better together than apart. For our office-based teams, this means working in-person at least 3 days per week. Onsite roles require full-time presence in the company's facilities. Field roles are most effectively done outside of the company's main facilities, generally at the customers' or suppliers' locations. This is an office role.

About Philips:

We are a health technology company. We built our entire company around the belief that every human matters, and we won't stop until everybody, everywhere, has access to the quality of healthcare that we all deserve. Do the work of your life to help improve the lives of others.

Philips transparency details:

The pay range for this position in Malvern, PA is $149,000 to $236,000. The pay range for this position in Cambridge, MA is $158,000 to $252,000. The actual base pay offered may vary within the posted ranges depending on multiple factors including job-related knowledge/skills, experience, business needs, geographical location, and internal equity. In addition, other compensation, such as an annual incentive bonus, sales commission or long-term incentives, may be offered. Employees are eligible to participate in our comprehensive Philips Total Rewards benefits program, which includes a generous PTO, 401k (up to 7% match), HSA (with company contribution), stock purchase plan, education reimbursement and much more. Details about our benefits can be found here.

At Philips, it is not typical for an individual to be hired at or near the top end of the range for their role and compensation decisions are dependent upon the facts and circumstances of each case.

Additional information:

US work authorization is a precondition of employment. The company will not consider candidates who require sponsorship for a work-authorized visa. Company relocation benefits will not be provided for this position. For this position, you must reside in or within commuting distance to Malvern, PA or Cambridge, MA.

It is the policy of Philips to provide equal employment and advancement opportunities to all colleagues and applicants for employment without regard to race, color, ethnicity, religion, gender, pregnancy/childbirth, age, national origin, sexual orientation, gender identity or expression, disability or perceived disability, genetic information, citizenship, veteran or military status or a person's relationship or association with a protected veteran, including spouses and other family members, marital or domestic partner status, or any other category protected by federal, state and/or local laws. As an equal opportunity employer, Philips is committed to a diverse workforce. In order to ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veterans' Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants that require accommodation in the job application process may contact 888-367-7223, option 5, for assistance. Equal Employment and Opportunity Employer/Disabled/Veteran

Massachusetts Staffing

Job Tags

Full time, Contract work, Work at office, Local area, Work visa, Relocation package, 3 days per week,

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