State of Connecticut Executive Branch

DMHAS Compliance Policy Advisor (5731MP)

$53.18-$72.51 Hourly / $4,253.95-$5,800.23 BiWeekly /
$111,028.00-$151,386.00 Yearly

PURPOSE OF JOB CLASS (NATURE OF WORK)

In the Department of Mental Health and Addiction Services this class is accountable for directing the agency’s compliance program ensuring ethical and lawful conduct of all staff throughout the system of care.

SUPERVISION RECEIVED

Receives executive direction from the Mental Health Superintendent 2 or other administrative official of higher grade.

SUPERVISION EXERCISED

Directs facility compliance officers; may direct additional staff as assigned.

EXAMPLES OF DUTIES

  • Directs the agency compliance program including administration, investigation and enforcement of compliance plan and policies;
  • Develops or assists in development of related policies and procedures to comply with federal and state requirements;
  • Analyzes state and federal laws and regulations and final rules issued by federal government agencies relevant to healthcare environment;
  • Oversees compliance officers serving as a focal point for compliance program activities;
  • Develops agency wide compliance work plan and works with facilities compliance officers in development of localized work plans;
  • Works with facilities and assesses risk areas;
  • Oversees implementation, monitoring and enforcement of written policies on specific laws and program requirements;
  • Coordinates and supports monitoring and auditing procedures;
  • Reviews documentation and information relevant to compliance activities including but not limited to patient records, billing records, contract agreements, sanction screening, credentialing and/or verification of employee qualification, client rights, etc.;
  • Monitors agency controls as well as detect and intervene with potential compliance issues across system of care;
  • Consults with Office of the Attorney General regarding interpretation of state and federal laws and actions including possible infractions;
  • Promotes compliance program through education and training;
  • Ensures compliance issues addressed and responds to all compliance concerns;
  • Reviews and analyzes pending federal and state legislation;
  • Assists in evaluation and development of alternative analysis and makes recommendations concerning agency program proposals, rules and policies;
  • Chairs Executive Compliance Committee;
  • Represents and speaks on behalf of the Commissioner on all matters pertaining to compliance issues;
  • Manages compliances hot-line;
  • Leads the recruitment and hiring of staff, including outreach, interview and selection;
  • Performs related duties as required.

KNOWLEDGE, SKILL AND ABILITY

  • Considerable knowledge of
    • and ability to apply management principles and practices;
    • relevant state and federal laws, statutes and regulations;
    • methods and procedures of research;
  • Knowledge of
    • and ability to apply the Health Insurance Portability and Accountability Act (HIPAA), the Health Information Technology for Economic and Clinical Health (HITECH) Act, Stark Laws, Federal Sentencing Guidelines and the anti-kickback statute;
    • polices administered by Office of the Inspector General;
    • state document procedures;
  • Considerable
    • interpersonal skills;
    • oral and written communication skills;
  • Considerable ability to draft policy and interpret legislation and administrative regulations, proposals and reports.

MINIMUM QUALIFICATIONS - GENERAL EXPERIENCE

Nine (9) years of professional experience in a healthcare agency with primary responsibility for the research, development, planning and review of compliance, legislative and/or regulatory programs.

MINIMUM QUALIFICATIONS - SUBSTITUTIONS ALLOWED

  • College training may be substituted for the General Experience on the basis of fifteen (15) semester hours equalling one-half (1/2) year of experience to a maximum of four (4) years for a Bachelor’s degree.
  • A Master's degree in public policy, public administration, public health, health care administration, nursing or a related field or a law degree may be substituted for one (1) additional year of the General Experience.

SPECIAL REQUIREMENTS

  • Incumbents in this class are required to obtain and maintain the HCCA Certification in Healthcare Compliance (CHC) within twelve months of employment.
  • Incumbents in this class may be required to possess and retain a valid Motor Vehicle Operator’s license.
  • Incumbents in this class may be required to travel.

JOB CLASS DESIGNATION

Classified/Competitive

OCCUPATIONAL GROUP

(20)-Management Analysis

BARGAINING UNIT

(02)-MANAGERIAL

EEO

(2)-Professional

SALARY INFORMATION

MP 67

ACKNOWLEDGEMENT

As defined by Sec. 5-196 of the Connecticut General Statutes, a job class is a position or group of positions that share general characteristics and are categorized under a single title for administrative purposes. As such, a job class is not meant to be all-inclusive of every task and/or responsibility.

CANCELLATION CLAUSE

This replaces the existing specification for the class of DMHAS Compliance Policy Advisor in Salary Group MP 67 approved effective January 03, 2023. (Reviewed in accordance with CGS 5-200a) Final No. 24-210

EFFECTIVE DATE

10/07/2024
CLASS: 5731MP; EST: 9/4/2015; REV: 10/8/2024;