Compliance Manager, SW Region (Hybrid - Irving, TX)

Quest Diagnostics•Irving, TX

18d•Hybrid

About The Position

At the direction of the Regional Compliance Director, responsible for communicating, training, driving and proactively monitoring compliance with all applicable federal and state laws, regulations, policy directives and ethical requirements at the laboratories within the region.

Requirements

B.S. in Medical Technology, Business Administration or experience
7+ years in the healthcare industry with a background in compliance, billing, operations and/or medical technology
Experience conducting audits and communicating findings
Understanding of all federal and state fraud and abuse laws and regulations
Training, facilitation and presentation skills, including the ability to draft training materials
Detailed knowledge of Compliance Policies and ability to explain and apply the policies to diverse fact patterns
Knowledge of sales and billing policies and processes
Demonstrated leadership, multi-tasking, communication and project management skills
Understanding of all aspects of lab operations
Combination of strong analytical skills and the demonstrated ability to translate analytical insights into proposed operational or strategic changes
Excellent interpersonal, presentation, and facilitation skills
Proven ability to be able to communicate and collaborate cross functionally multiple cross-functional groups and diverse personalities

Nice To Haves

CHC or CHPC certification desirable
Experience supervising or providing technical leadership to others highly preferred
Experience with Quest Lab Information System and related business systems highly desirable
Demonstrated program management experience

Responsibilities

Actively support the Regional Compliance Director, including the ability to function as a substitute at business partner meetings and to provide guidance on complex issues
Management of compliance related areas including implementation of procedures and processes
Respond directly to internal/external customers regarding policies and assist them in finding solutions to business problems
Provide day-to-day Compliance support to Director-level colleagues
Assist in addressing Legal and Compliance issues in conjunction with Corporate departments and Senior Leadership / Executives within the Region
Assist in the investigation of any reports (IRs) or evidence of misconduct or non-compliance, and implementation of corrective action including training and retraining
Live training and communication to Quest employees on relevant policies, procedures and regulations
Manage all Audit requests, activities and requirements for the Region under supervision of the Regional Director
Manage the Compliance Monitoring Program and conduct site visits, as needed
Coordinate activities of Compliance staff at the direction of the Regional Compliance Director
Manage document assembly for third-party reimbursement audits; depositions and lawsuits; subpoena document production