Compliance Program Manager

Description

Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve.

The Program Manager will be assigned to support the Hospital Compliance or Physician Compliance Department. Under the supervision and direction of senior leadership, the Program Manager implements the essential elements of UNC Health’s systemwide Compliance Program, such as educating and training teammates, investigating actual or potential misconduct, conducting audits, monitoring ongoing risks to the organization, and developing policy guidelines. Responsibilities will also include but are not limited to: facilitating management responses to audit findings, coordinating and leading governance and oversight committee meetings, advising network entity leadership and management, assessing and mitigating network entity risks, and providing such other professional services as may be directed by senior leaders.

The Program Manager will play a critical role in overseeing and coordinating initiatives related to regulatory requirements and/or ethical standards within UNC Health:

• Leads the day-to-day operations of UNC Health’s Hospital Compliance or Physician Compliance program, ensuring that all activities are aligned with legal requirements, industry standards, and organizational policies.
• Develops, implements, and monitors compliance initiatives to ensure they meet regulatory standards and mitigate risk.
• Ensures timely identification, reporting, and resolution of compliance issues across the organization.
• Promotes adherence to relevant federal and state laws and regulations, as well as UNC Health policies and procedures.
• Monitors changes in healthcare regulations and provides updates and guidance to leadership and teammates.
• Oversees the development and maintenance of policies and procedures that support UNC Health’s compliance with relevant healthcare laws.
• Conducts regular assessments to identify areas of risk within UNC Health operations, implements risk mitigation strategies and acts as the key liaison for any compliance audits or investigations.
• Designs, implements, and manages training programs for UNC Health teammates on compliance and/or ethics topics.
• Coordinates and provides ongoing education to senior leadership, clinical teammates, and other departments as needed.
• Develops and maintains a compliance monitoring plan, including audits, internal investigations, and reviews of health system practices.
• Tracks and reports on program performance metrics and issues related to compliance to senior leadership and regulatory bodies.
• Collaborates with the Internal Audit and Legal departments and various departments including Legal, ISD, Risk Management, and others to promote compliance with legal and regulatory requirements and collaborative program management.
• Leads efforts to continuously improve the compliance program through feedback from audits, assessments, and teammate suggestions.
• Stays current on best practices and trends within healthcare compliance and applies them to the Compliance Program.

Associate’s OR Bachelor’s degree in an appropriate discipline.

Health care compliance certification required within two (2) years of employment (e.g., CHC; CHPC; CPC; etc.).

• If Master’s degree: three (3) years of experience in health care, audit, coding, revenue cycle, legal, privacy, regulatory compliance, and/or other relevant experience.
• If Bachelor’s degree: five (5) years of experience in health care, audit, coding, revenue cycle, legal, privacy, regulatory compliance, and/or other relevant experience.
• If Associate’s degree: seven (7) years of experience in health care, audit, coding, revenue cycle, legal, privacy, regulatory compliance, and/or other relevant experience.

Excellent written and verbal communication skills. Proven ability to lead complex project initiatives, develop and implement program strategies, and manage multiple projects simultaneously. Thorough knowledge of health…