Serves as a subject matter expert and key resource to the Ministry on federal and state regulatory compliance matters. Expected to communicate and explain new requirements to Mission Partners in various areas and at all levels of the Ministry. Responsible for thoroughly researching and carefully analyzing statutes, regulations and sub-regulatory guidance in areas such as—
• Fraud and Abuse
• Medicare Conditions of Participation (COPs)
• Accountable Care Organizations (ACOs)
• Emergency Medical Treatment and Labor Act (EMTALA)
• National Coverage Determinations (NCDs)
• Local Coverage Determinations (LCDs)
The following qualifications are the minimum necessary to perform this job adequately.
However, an equivalent combination of experience, education and training that provides the necessary knowledge, skills and abilities may be suitable.
Advanced degree, such as a JD or MPH, required. Certification in compliance preferred.
Clear understanding of how to access, research and review health care statutes, regulations, and sub-regulatory materials.
Demonstrated ability to analyze and clearly explain the requirements of health care statutes, regulations and sub-regulatory materials.
Ability to apply statutes, regulations and sub-regulatory materials to a wide variety of fact patterns.
Ability to provide a clear explanation and teach others the principles underlying statutes, regulations and sub-regulatory materials.
Critical thinking and the ability to solve problems.
Ability to communicate effectively with individuals and groups, orally and in writing.
Computer research skills required.
Ability to achieve results and meet deadlines.
Ability to adapt to adjusting priorities.
Strong attention to detail.
Must ascribe to and represent Catholic Religious Ethics, Values, and Principles as they relate to the practice of Catholic healthcare.