Audit Compliance Manager

Corewell Health • Grand Rapids, MI

1d • Onsite

About The Position

The Audit Compliance Manager assists in the overall development, management, implementation and oversight of one or more Corewell Health Compliance Department Centers of Expertise (COEs). This role manages team members assigned to the COE(s), assuming accountability for the team’s deliverables and ensuring the achievement of team and individual goals. The manager will also assist in and, as needed, direct compliance investigations, working with assigned Compliance team members and potentially legal counsel and external regulatory agencies to resolve compliance issues. Development and maintenance of COE and program standards, procedures, and methodologies, along with continuous process improvement, are key responsibilities. The role involves developing and implementing effective systems for accurate documentation and reporting to leadership, and collaborating with operational leaders and other key internal stakeholders to improve business processes and mitigate risks. Additionally, the manager will monitor developments in healthcare laws and regulations, industry trends, and lead the modification of policies and procedures accordingly, potentially assisting in developing and deploying compliance training.

Requirements

• Bachelor's Degree or equivalent business, health care operations/management, nursing or other related area. Required
• 5 years of relevant experience health care operations, auditing, health care compliance. Required

Nice To Haves

• 1 year of relevant experience supervisory/management. Strongly Preferred
• Preferred Master's Degree business, health care operations/management, nursing or other health care area
• Healthcare Compliance, Certified (CHC) - HCCA Health Care Compliance Association 1 Year preferred Or
• Healthcare Privacy Compliance, Certified (CHPC) - 1 Year preferred Or
• Certified Professional Coder (CPC) preferred

Responsibilities

• Assists in the overall development, management, implementation and oversight of one or more Corewell Health Compliance Department Centers of Expertise (COEs).
• Manages the team members assigned to the COE(s). Assumes accountability for the team’s deliverables, ensuring the achievement of team goals and objectives in addition to individual goals and objectives. Completes performance reviews, recommends and initiates personnel actions such as interviewing, hiring, performance correction and terminations.
• Assists in and, as needed, may direct compliance investigations and works with assigned Compliance team members to determine the appropriate handling of issues. May perform investigations at the direction of legal counsel and, in that event, works with legal counsel in the course of such investigation to provide guidance, recommendations and other assistance as requested. May work with external regulatory agencies and legal counsel to resolve compliance issues.
• Develops and maintains COE and program standards, procedures and methodologies. Continually evaluates existing processes in the COE/Compliance Department and works to implement improvements.
• Develops and implements effective systems to ensure accurate documentation. Ensures availability of all reports and records for area(s) of responsibility. Assists in the compilation and production of reports to the Corewell Health Boards of Directors and Compliance Committees.
• Collaborates with operational leaders and teams at Corewell Health and Priority Health to change and improve business processes to support, and mitigate risks to, the organization and patient/member rights. Collaborates with other key internal stakeholders, including legal, internal audit, risk management and finance departments, leaders and team members.
• Responsible for monitoring developments related to laws and regulations impacting health care delivery and health insurance, as well as industry trends in health care corporate compliance programs. Assists in communicating these developments and responsible for leading the development/modification of policies and procedures to accommodate any legal/regulatory changes and updates. May assist in developing and deploying training to staff in a variety of venues and service areas with respect to compliance topics, requirements and initiatives as well as Corewell Health.

Benefits

• Comprehensive benefits package to meet your financial, health, and work/life balance goals.
• On-demand pay program powered by Payactiv
• Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
• Optional identity theft protection, home and auto insurance
• Traditional and Roth retirement options with service contribution and match savings

What This Job Offers

• Job Type: Full-time
• Career Level: Manager