Division Director - Compliance Officer - Behavioral Health
About The Position
The UHS Corporate Compliance Department is seeking a Division Compliance Officer - Behavioral Health to provide ethics and healthcare regulatory compliance support for the Behavioral Health Division’s healthcare operations. The position manages compliance matters delegated by the Chief Compliance & Privacy Officer, oversees assigned audits and monitoring, and addresses a range of regulatory and operational compliance issues. It also develops and updates policies, delivers compliance training, supports audit, monitoring, hotline, and investigations programs, provides daily guidance to field operations, and assists with periodic reports and analyses for field leadership, committees, and the Board. For a final candidate local to King of Prussia, Pennsylvania, the role has a hybrid schedule with three days in the office and two flex-remote days. Travel is minimal, up to 5–10%.
Requirements
- Bachelor's degree.
- 5–8 years of experience in Behavioral healthcare compliance.
- Strong understanding of healthcare regulatory compliance, including fraud, waste and abuse laws, patient care and quality assurance, billing and coding requirements, physician compensation issues, conflicts of interest, and general healthcare compliance matters.
- Self-motivated and organized, with the ability to function successfully in a fast-paced, high-volume work environment.
Nice To Haves
- 8–10 years of experience in Behavioral healthcare compliance preferred.
Responsibilities
- Manage Behavioral Health Division compliance matters delegated by the Chief Compliance & Privacy Officer.
- Oversee assigned Behavioral Health audits and monitoring matters.
- Respond to issues involving healthcare fraud, waste and abuse laws; billing, coding and reimbursement; physician compensation compliance; conflicts of interest; and quality and patient care matters arising from the Behavioral Health Division.
- Develop new policies and update existing policies.
- Develop and present compliance training to Behavioral Health Division healthcare operations.
- Support the Compliance Audit and Monitoring program team and the compliance hotline and investigations team as they relate to the Behavioral Health Division.
- Provide daily guidance to field operations.
- Assist in preparing periodic field, Committee and Board reports and analyses.
Benefits
- Competitive compensation.
- Medical, dental, vision and prescription drug plan.
- 401(k) with company match.
- Growth and development opportunities within UHS and its subsidiaries.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
