(Remote) Integrity & Compliance - Program Manager

Trinity Health • Livonia, MI

2d • $47 - $71 • Remote

About The Position

Trinity Health is seeking a Program Manager for Integrity & Compliance. This full-time, remote position involves providing advice, guidance, and leadership to various levels of management within the organization to ensure compliance with laws, regulations, and internal policies. The role focuses on developing, implementing, and managing compliance activities, conducting investigations, and supporting strategic initiatives to foster a culture of ethics and compliance. The Program Manager will collaborate across departments and regions to standardize processes, optimize vendor management, and ensure operational delivery through KPI measurement and reporting.

Requirements

• Bachelor’s level degree in business, health administration, or a related field, a law degree, or an equivalent combination of education & experience.
• Minimum of five 5 years of relevant experience with increasing levels of responsibility in health care compliance &/or consulting including regulatory compliance, program metrics, performance assessment, & reporting outcomes, etc.
• Must possess a thorough understanding and knowledge of health care legal and regulatory practices, financial and internal control systems/procedures.
• Previous project, program, supervisory or management experience.

Nice To Haves

• Experience within a health care organization (including ambulatory and hospital settings) or equivalent work experience involving clinical documentation and coding reviews and working knowledge of Conditions of Payment including government and third-party payer regulations.
• Must understand and have expertise with Patient Driven Payment Models, Patient Driven Groupings Models, IRF-PAI and OASIS requirements.
• Comprehensive understanding of Medicare Physician Fee Schedule and Medicare Claims Processing Manual for professional services.
• Comprehensive understanding of Conditions of Participation and Accreditation Standards.
• CHC, CHPC, CHRC, CCEP or equivalent certification.
• Lean/Six Sigma training and/or certification.

Responsibilities

• Provide advice, guidance, and leadership to RHM & Region leaders in developing strategies and achieving performance goals.
• Enable collaboration across and within service areas, RHMs, and Regions to ensure consistency and integration of strategy and operations.
• Provide advice, guidance, and leadership to service areas, functional areas, RHMs, and Regions.
• Lead standardization/systemness and optimization of policy, process, and methodology, establishing a national community of practice.
• Oversee Vendor / Contract Labor Management, including centralizing strategy and optimizing spend.
• Collaborate in system-wide strategy development and deployment of functional area priorities and initiatives.
• Support regional efforts to comply with functional area priorities.
• Accountable for the selection, evaluation, and overall success of the functional leadership teams.
• Serve as the organization-wide focal point for establishing functional strategies and governance over financials and staffing.
• Accountable for communication between service area functional areas, RHMs, and Region leaders.
• Responsible for measuring and reporting KPIs/metrics and value delivery.
• Provide advice, guidance, and leadership for the colleague life cycle.
• Maintain a working knowledge of applicable federal, state, and local laws/regulations, Trinity Health Integrity & Compliance Program and Code of Conduct, as well as other policies, procedures, and guidelines to ensure adherence in a manner that reflects honest, ethical, and professional behavior and safe work practices.
• Assist the Integrity and Compliance Director with guiding and managing the compliance activities and initiatives for assigned ministry(ies).
• Provide advice, guidance, and program management to ministry leaders in developing, implementing, and attaining program goals while ensuring alignment to compliance strategies.
• Conduct investigations for local ministry and provide recommended action in response to the outcome of the investigation.
• Participate in Service Area and Enterprise Integrity and Compliance projects with a focus on standardization and process improvements.
• Support the Integrity and Compliance Director in developing, executing, and overseeing compliance initiatives within the ministry.
• Provide expert advice and strategic guidance to ministry leaders on program goals and compliance strategies.
• Lead and conduct internal investigations related to compliance concerns, ensuring thorough, timely, and objective outcomes.
• Deliver well-documented recommendations for corrective actions based on investigative findings.
• Partner with leaders across local ministries and enterprise functions to implement and sustain compliance strategies.
• Actively participate in Service Area and Enterprise-level compliance projects, focusing on process improvement and standardization.
• Collaborate on the development and rollout of organization-wide policies, training, and communication tools to foster a culture of ethics and compliance.
• Monitor emerging risk areas and regulatory changes, ensuring proactive and appropriate organizational response.
• Contribute to audit readiness activities and help strengthen internal controls across the ministry.
• Track compliance performance metrics and support continuous improvement initiatives to enhance overall program effectiveness.

Benefits

• Trinity Health is one of the largest not-for-profit, faith-based health care systems in the nation.
• We are an Equal Opportunity Employer.
• All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

What This Job Offers

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