Compliance Partner Revenue Cycle

Corewell Health • Grand Rapids, MI

4d • Hybrid

About The Position

The Revenue Cycle Compliance Partner serves as a strategic advisor to organizational leaders, particularly within revenue cycle, on system-wide and client group-specific initiatives, risks, and regulatory requirements. The role creates and implements compliance programs that support organizational strategies and goals while addressing key risks. It builds and maintains positive relationships between client groups and the Compliance department and contributes to operational teams working through complex compliance challenges.

The position provides regulatory guidance, supports risk mitigation, advises on new business ventures, and helps develop and monitor internal controls. It also leads or conducts investigations and audits, oversees resolution of referred compliance issues, supports compliance committees, and educates others about applicable laws and regulations. The role may perform investigations at the direction of legal counsel in accordance with attorney-client privilege guidelines and serves as a mentor, coach, and informal leader to Compliance Analysts, Liaisons, and Specialists.

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 stated schedule is 40 hours per week, Monday through Friday, 8 a.m. to 5 p.m., on the day shift.

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.
• Obtain one of the specified certifications within one year after hire: CRT-Healthcare Compliance (CHC), CRT-Professional Coder, CRT-Coding Specialist (CCS), CRT-Fraud Examiner (CFE), CRT-Internal Auditor (CIA), CRT-Healthcare Privacy Compliance (CHPC), CRT-IRB Professional (CIP), or CRT-Healthcare Research Compliance (CHRC).

Nice To Haves

• Three years of relevant experience in compliance.
• Experience leading system-wide and/or client group-specific projects.
• Experience partnering with higher-level leaders.
• Experience with strategic planning, financial planning, and operational business discussions.

Responsibilities

• Strategically advise on system-wide and client group-specific initiatives addressing strategic and operational goals.
• Provide leaders with strategic guidance and support on compliance and regulatory requirements.
• 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.
• Identify risk mitigation techniques and activities to support project or program development.
• Provide exceptional 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 maintain consistency in daily practice.
• Mentor, coach, and serve as an informal leader for Compliance Analysts, Liaisons, and Specialists.
• Lead or conduct investigations and audits of compliance issues, and direct 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 following investigations and audits.
• Maintain knowledge of laws and regulations affecting health care delivery or coverage, apply them in daily situations, and educate others through methods including formal training.
• Perform or support assessments to verify 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 with offers on 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: Senior