Director, Provider Compliance

MultiCare Health SystemTacoma, WA

About The Position

Join a team that shares your calling At MultiCare, you’re more than just a job title — you’re part of a team built on trust that cares for each other, our patients and our communities. Belonging here means living our mission and values every day. If your purpose and passions align with ours, you’ll find a place to grow, do meaningful work and build a career you love in a community that feels like home. FTE: 1.0, Shift: Day, Schedule: Business Hours Position Summary The Director of Provider Compliance is responsible for the implementation of the comprehensive Provider Compliance Program. The role will advise leaders and team members on matters that contribute to adherence of regulatory matters impacting provider agreements and compensation. The leader will support business enablement and value creation while utilizing a predictive approach to risk management.

Requirements

  • Bachelor’s degree in accounting, finance, business, legal studies or related field required
  • Minimum eight (8) years of professional experience in compliance, auditing, legal, accounting or finance in the health care industry
  • Minimum five (5) years of experience in a supervisory or lead capacity

Nice To Haves

  • Graduate degree in business, finance, health care management or related field or advanced certification preferred
  • Certification preferred (CHC, CPA, CIA, CFE)

Responsibilities

  • Develop and execute provider compliance program activities to include contract review and consultation, compensation audits and reviews, policy develop and education, and issue management.
  • Oversee the provider compliance program risk assessment process.
  • Collaborate with leaders to implement appropriate monitoring activities to validate adherence to regulatory and contractual matters.
  • Participate in conversations to analyze and review compensation matters, (i.e., fair market value, payment practices, documentation, etc.).
  • Develop action plans in response to internal audits, external reviews and government inquiries.
  • Monitor and provide guidance for regulatory changes.
  • Collaborate with appropriate leadership to ensure changes are implemented as necessary.
  • Oversee compliance with provider-based departments requirements.
  • Chair and/or participate in compliance committees.

Benefits

  • Competitive tuition assistance, award-winning residencies, fellowships and career development to invest in you.
  • Generous PTO, Code Lavender and Employee Assistance Programs to help you maintain balance and feel cared in your work and life.
  • Resource Groups and outreach programs help ensure every team member feels safe, seen, heard and valued.
  • We provide a comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and paid time off.
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