Manager Healthcare Compliance

Manager Healthcare Compliance

Peace Health is seeking a Remote Manager Healthcare Compliance for a Full Time, 1.00 FTE, Day position. The salary range for this job opening at Peace Health is $48.52 – $72.78. The hiring rate is dependent upon several factors, including but not limited to education, training, work experience, terms of any applicable collective bargaining agreement, seniority, etc.

Assists the System Director, Privacy and Integrity in developing and maintaining the Healthcare Compliance Program for Peace Health. Manages the team responsible for performing process-related compliance investigations; government Billing and Audit Program, annual work plan audits; and monitoring activities related to compliance across Peace Health and other staff as assigned. Oversees the Healthcare Compliance team's efforts in identifying, assessing, and recommending corrective actions (including analyzing root causes and controls) regarding process-related issues to help support operational compliance with state and federal laws and rules.

Contributes to the development and maintenance of a compliance program in accordance with the Department of Health and Human Services, Office of Inspector General (OIG), state and local regulations. Implements and oversees an effective compliance program based upon the seven (7) elements promulgated by the OIG.

• Manages all aspects of the Peace Health Healthcare Compliance (HCC) Program including the development, communication, implementation, monitoring, and maintenance of the program by partnering with all levels of caregivers and leaders on process-related compliance initiatives across the system.
• Manages all aspects of assigned team including – but not limited to – hiring, training, mentoring, coaching, disciplining, and evaluating performance.
• Develops and provides reports, presentations, and metrics for informing all levels of caregivers and leaders related to all facets of the Healthcare Compliance Program including both routine and ad hoc requests.
• Identifies, creates, maintains, and reports on team-related key performance indicators.
• Manages, conducts, and oversees team members on process-related investigations for compliance concerns identified by both internal and external reporters related to issues across the system.
• Performs as well as manages the team's work-plan audits designed to evaluate compliance risks related to applicable federal, state, and regulatory agencies laws and rules including overseeing those performed by a third-party vendor on behalf of Peace Health.
• Acts as a liaison between the department and all levels of leadership related to corrective actions resulting from process-related compliance issues to help ensure effective and timely remediations.
• Provides guidance to the team and operational leaders and acts as a trusted advisor for controls recommendations and root cause evaluations related to corrective action plans.
• Develops and maintains a proactive monitoring program encompassing key operational compliance activities to evaluate the long-term efficacy of compliance-related controls.
• Assist and participate in the annual risk assessment process resulting in the Healthcare Compliance Annual Audit Work Plan.
• Acts as a consultant to operational leaders responsible for developing, documenting, updating, and maintaining departmental-specific compliance programs.
• Provides guidance to all levels of Peace Health caregivers on process and billing related compliance questions in partnership with other key areas as needed (such as legal, risk, accreditation).
• Represents the Healthcare Compliance department on committees, task forces, projects, and in various meetings.
• Performs other duties as assigned.

Education

• Bachelor's Degree
  
  Required:
  
  Healthcare Administration or equivalent discipline

Experience

• Minimum of 5 years
  
  Required:
  
  Relevant healthcare or other applicable compliance experience and/or clinical operations experience and
• Minimum of 2 years
  
  Required:
  
  Leadership experience and
• Required:
  
  Experience with the 7-elements of a compliance program and
• Preferred:
  Medical records experience and
• Preferred:
  Project management experience

Credentials

• Required:
  
  within 1-1/2 Yrs Certified in Healthcare Compliance

Skills

• Outstanding verbal and written communications, interpersonal and leadership skills. (Required)
• Ability to effectively communicate and interact with all levels of leadership. (Required)
• Ability to successfully navigate difficult conversations and influence staff at all levels. (Required)
• Experience creating a productive environment for, and to inspire, direct reports. (Required)
• Strong skills and experience developing and performing core compliance program functions, including: investigations, case management, pro-active auditing/monitoring, remediations (corrective actions), risk assessments, policies, education, root cause analysis, and controls assessments. (Required)
• Strong presentation, data analysis, and report creation skills…