Compliance Coordinator

Macomb County Government

1d

About The Position

Under direction, manages investigations and audits for Macomb County Community Mental Health (MCCMH). Coordinates and assists in the management of departmental staff’s tasks. Investigates complaints involving allegations of violations of ethics, Health Insurance Portability and Accountability Act (HIPAA), policy and/or fraud, waste and abuse.

Requirements

• Bachelor's degree from an accredited college or university in Human Services, Social Science or a related field
• Two (2) years of experience in policy development, compliance assessment and evaluation, or statutory and regulatory analysis
• Possession of a valid Michigan driver’s license and operable, insured automobile for authorized travel
• Knowledge of: Michigan Mental Health Code and its rules and regulations
• State and federal regulations pertaining to the provision of behavioral health care services by a Prepaid Inpatient Health Plan (PIHP)
• Microsoft Windows, word processing and spreadsheet programs
• Strong written and verbal communication skills
• Skill in: Using good professional judgment and initiative
• Excellent written and oral presentation skills
• Analyzing information and completing reports
• Collaborative: Approaches all situations with a teamwork and solution focused mindset demonstrated through active participation in meetings, volunteering to assist teammates and other departments as appropriate. Examples include participation in internal and external committees, subcommittees, process improvement groups or other multi-organizational initiatives
• Accountable: Takes ownership and empowers others to do the same as evidenced by identifying solutions and acting on job responsibilities and organizational objectives, daily
• Respectful: Treats people with dignity while honoring individual differences demonstrated through use of positive and encouraging statements and/or interactions to, about and/or with colleagues and persons served; evidenced by supervisor observation, feedback from other department staff and leadership
• Engages effectively with diverse communities; interact with people in an inclusive manner that respects cultural and socio-economic differences
• Work independently as well as in a collaborative team environment
• Establish and maintain effective working relationships with elected officials, Administrators, Department Heads, staff, union officials and the public
• Conduct oneself with tact and courtesy
• Work in an environment which embraces the county’s Dignity Campaign
• Effectively speak, write and understand the English language
• Understand and carry out oral and/or written instructions
• Accurately organize and maintain paper documents and electronic files
• Maintain the confidentiality of information and professional boundaries
• Work independently
• Complies with P.A. 390, as amended, known as the State’s Emergency Management Act and the County’s Emergency Management resolution as well as all related plans, policies and procedures covered by those statutes.

Nice To Haves

• Master’s degree from an accredited college or university in Human Services, Social Science or a related field
• Five (5) years of experience in policy development in policy development, compliance assessment and evaluation, or statutory and regulatory analysis
• Two (2) years of experience working in a mental health setting
• Certification from the Health Care Compliance Association (HCCA) or the Society for Corporate Compliance and Ethics (SCCE) or related
• Effectively speak, write and understand a language other than English is preferred

Responsibilities

• Investigates complex system issues and provides support and direction for remediation to the Compliance team.
• Provides technical assistance and consultations for policy development.
• Researches, analyzes, compiles and compares standards, guidelines, and requirements related to MCCMH services, categorical programs and service components.
• Conducts data-mining activities and assists with the development of new algorithms.
• Assists in data collection, data management, and data analysis.
• Provides technical assistance and consultations for Board-level policy development.
• Researches, compiles, and prepares documents, issues statements, and positions papers.
• Assists in monitoring and compliance assessment activities.
• Prepares reports on the status of investigations and assigns cases to staff following a preliminary investigative review.
• Receives and logs compliance complaints or concerns.
• Facilitates the implementation of system-wide programs, policies and procedures to ensure compliance with applicable federal and state laws and regulations, such as those for Medicare and Medicaid.
• Conducts auditing and monitoring to verify compliance with standards and procedures required by federal and state laws or MCCMH.
• Develops and writes policies and procedures that establish standards for compliance, giving specific guidance to management, medical staff, and departments.
• Works with the Compliance Committee to communicate compliance programs, including written materials and training programs designed to specifically promote an understanding of compliance issues and the consequences of non-compliance.
• Maintains an awareness of laws and regulations, keeping abreast of current changes that may affect health care systems through personal research, seminars, and peer contact.
• Oversees the usage of the compliance hotline, maintaining the confidentiality of information provided to protect both the caller and the subject of the call.
• Maintains a system of reporting that provides timely and relevant information on all aspects of compliance issues.
• Reviews complaints, concerns or questions related to compliance issues and provides consultative leadership and support to all entities as appropriate.
• Ensures that internal controls throughout the system are sufficient to provide for accurate, complete, and compliant programs and processes.
• Conducts program integrity training to improve information sharing within MCCMH and to enhance referrals regarding fraud, waste, and abuse.
• Operates an automobile to perform assigned job functions.
• Performs related duties as assigned.

Benefits

• medical
• dental
• vision coverage, with no monthly premium to employees for single, two (2) person or family coverage. Health care, dental and vision benefits are effective the first day of employment.

What This Job Offers

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