Compliance Partner Revenue Cycle

Corewell Health • Grand Rapids, MI

5d • Hybrid

About The Position

The Revenue Cycle Compliance Partner strategically advises on system-wide and client group-specific initiatives and risks, and creates and implements compliance programs that support organizational strategies, initiatives, and goals while addressing key risks. The role partners with leaders to provide strategic compliance guidance and maintains positive relationships between client groups and the Compliance department. It serves as an active member of operational teams, helping solve complex compliance challenges and supporting ethical, accountable operations.

The position advises leaders on compliance and regulatory requirements, supports projects and new business ventures, identifies risk-mitigation approaches, and facilitates communication and engagement with Compliance. It also leads or performs investigations and audits, oversees resolution of referred compliance issues, supports operational and Board compliance committees, and works with operational leaders and Compliance Centers of Excellence to develop and monitor internal controls and corrective actions. The partner applies relevant health care laws and regulations in daily work and helps educate others, including through formal training.

This is a full-time, hybrid position averaging two onsite days per week, with onsite expectations subject to business needs, team priorities, and scheduled meetings. The schedule is Monday through Friday, 8 a.m. to 5 p.m., with 40 scheduled hours per week. The primary location is Corewell Health Place in Grand Rapids, Michigan.

Requirements

• Bachelor's degree or equivalent in business, health care operations, nursing, or another related area, or an equivalent combination of education and experience.
• Seven years of progressive compliance experience and/or clinical or operational leadership experience.
• Knowledge of laws and regulations affecting health care delivery and/or coverage for assigned client groups.

Nice To Haves

• Three years of relevant experience in compliance.
• Three years of experience leading system-wide and/or client group-specific projects.
• Three years of experience partnering with higher-level leaders.
• Three years of experience in strategic planning, financial planning, and operational business discussions.
• Obtain one of the listed certifications within one year after hire: Certified Healthcare Compliance (CHC), Professional Coder (AAPC), Coding Specialist (CCS), Fraud Examiner (CFE), Internal Auditor (CIA), Healthcare Privacy Compliance (CHPC), IRB Professional (CIP), or Healthcare Research Compliance (CHRC) from CCB or HCCA.

Responsibilities

• Strategically advise on system-wide and client group-specific initiatives that address strategic and operational goals.
• Provide leaders with strategic guidance and support on compliance and regulatory requirements while fostering a collaborative, engaged work environment.
• Participate in project teams to solve complex compliance challenges and offer operational leaders solutions and ideas.
• Advise on compliance and regulatory considerations for new business ventures and identify risk-mitigation activities for projects and programs.
• Provide customer service and facilitate communications that promote team member and leadership engagement with Compliance.
• Collaborate with leaders to build a culture of accountability and with the Compliance team to support consistency in daily practice.
• Mentor, coach, and act as an informal leader for Compliance Analysts, Liaisons, and Specialists.
• Lead or perform investigations and audits of compliance issues and oversee resolution of issues referred for investigation.
• Conduct investigations at the direction of legal counsel when needed, following attorney-client privilege guidelines.
• Support or facilitate operational and Board compliance committees.
• Work with operational leaders and Compliance Centers of Excellence to develop and monitor internal controls, including corrective actions responding to investigations and audits.
• Help detect or prevent illegal, unethical, or improper conduct by employees, agents, affiliated providers, or others within the health system.
• Maintain knowledge of laws and regulations affecting health care delivery or coverage for assigned client groups, apply them in daily situations, and educate others through methods including formal training.
• Perform or support assessments to evaluate compliance with laws, regulations, and policies or procedures.

Benefits

• Comprehensive benefits package supporting financial, health, and work/life balance goals.
• On-demand pay program powered by Payactiv.
• Discounts directory offering deals on restaurants, phone plans, spas, and other items.
• Optional identity theft protection, home insurance, and auto insurance.
• Traditional and Roth retirement options with service contribution and matching savings.

What This Job Offers

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