Director, Compliance

Ensemble Health Partners

7d

About The Position

Thank you for considering a career at Ensemble Health Partners! Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results. The Opportunity: By embodying our core purpose of customer obsession, new ideas, and driving innovation, and delivering excellence, you will help ensure that every touchpoint is meaningful and contributes to our mission of redefining the possible in healthcare. Provide Compliance Program leadership for assigned service lines and/or locations. Essential Job Functions Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results. Responsible for the assisting in the overall implementation and day-to-day management of the Revenue Cycle compliance program that meets or exceeds the requirements of an effective compliance program, as defined in the Federal Sentencing Guidelines and OIG Program Guidelines, under the supervision of the Vice President, Compliance. Works collaboratively on program components, standards, goals, resources, training, monitoring, reporting and team building efforts to align the compliance program with emerging internal and external expectations and requirements. Work cooperatively with Company Leaders to ensure continuing support and understanding of all compliance responsibilities Serve as Compliance liaison to Ensemble clients, as assigned by leadership Maintains awareness of fraud, waste and abuse laws and regulations and current industry changes that may impact healthcare revenue cycle services domestic and international through personal initiative, continuing education and peer-to-peer networking Analyze, research, and respond to questions relating to the compliance program and applicable laws, rules, and regulations Develops and maintains policies and procedures regarding the Ensemble Compliance Program and associated regulatory risk areas. Develop and perform training associated with Compliance Program policies, regulatory updates, government and payer coding audits, investigations, and settlements Assist with annual risk assessment and development of annual compliance work plan Independently evaluate and manage compliance concerns and reports of suspected misconduct and perform investigations to ensure that all suspected violations of the Compliance Program are fully investigated and resolved Coordinates implementation of corrective action plans, monitoring progress and completion; escalates as required, including overseeing complex overpayment/refund activities, claim correction efforts, resolution to systemic issues Take, research as needed, and respond to day to day compliance questions, including providing effective guidance related to Compliance Program requirements and regulatory risk mitigation. Prepare and provide reports of activities as requested by Compliance Leadership

Responsibilities

• Provide Compliance Program leadership for assigned service lines and/or locations.
• Responsible for the assisting in the overall implementation and day-to-day management of the Revenue Cycle compliance program that meets or exceeds the requirements of an effective compliance program, as defined in the Federal Sentencing Guidelines and OIG Program Guidelines, under the supervision of the Vice President, Compliance.
• Works collaboratively on program components, standards, goals, resources, training, monitoring, reporting and team building efforts to align the compliance program with emerging internal and external expectations and requirements.
• Work cooperatively with Company Leaders to ensure continuing support and understanding of all compliance responsibilities
• Serve as Compliance liaison to Ensemble clients, as assigned by leadership
• Maintains awareness of fraud, waste and abuse laws and regulations and current industry changes that may impact healthcare revenue cycle services domestic and international through personal initiative, continuing education and peer-to-peer networking
• Analyze, research, and respond to questions relating to the compliance program and applicable laws, rules, and regulations
• Develops and maintains policies and procedures regarding the Ensemble Compliance Program and associated regulatory risk areas.
• Develop and perform training associated with Compliance Program policies, regulatory updates, government and payer coding audits, investigations, and settlements
• Assist with annual risk assessment and development of annual compliance work plan
• Independently evaluate and manage compliance concerns and reports of suspected misconduct and perform investigations to ensure that all suspected violations of the Compliance Program are fully investigated and resolved
• Coordinates implementation of corrective action plans, monitoring progress and completion; escalates as required, including overseeing complex overpayment/refund activities, claim correction efforts, resolution to systemic issues
• Take, research as needed, and respond to day to day compliance questions, including providing effective guidance related to Compliance Program requirements and regulatory risk mitigation.
• Prepare and provide reports of activities as requested by Compliance Leadership

Benefits

• Associate Benefits – We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.
• Our Culture – Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.
• Growth – We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
• Recognition – We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Education Level: No Education Listed