Regulatory Compliance Specialist

Corewell Health • Grand Rapids, MI

1d • Onsite

About The Position

Assists with management of compliance and/or accreditation standards, laws, rules and regulations. Supports the resolution of compliance and/or accreditation investigations and follows up with various parties to assure complete resolution. Supports the management and administration of the Compliance and/or Accreditation Plan(s). Identifies root causes and assures plans and standards are in place including development, education and implementation of related procedures and policies. Maintains thorough knowledge of compliance and/or accreditation policies, procedures, issues, and trends.

Requirements

• Bachelor's Degree or equivalent Business, health care operations, nursing or other related area, or equivalent combination of education and experience
• 2 years of relevant experience

Nice To Haves

• Working in a organization of size and complexity of Corewell Health
• CRT-Healthcare Compliance, Certified (CHC) - HCCA Health Care Compliance Association

Responsibilities

• Supports audits and investigations of compliance and/or accreditation concerns; performs necessary research, documents findings, and follows up with applicable parties through complete resolution.
• Collects, collates, monitors and audits data and activities to assure accuracy and to prevent, detect and correct non-compliance, illegal activities, and potential or actual fraud, waste or abuse.
• Supports regulatory surveyor site visits including preparation and corrective action response.
• Exercises administrative judgment and assumes responsibility for decisions, consequences and results having an impact on people, costs, and quality of service.
• Assists with the development, implementation and maintenance of process improvement including departmental and/or organizational policies, procedures and methodologies and medical record design - assuring compliance with laws, regulations and standards while using accumulated data.
• Reviews and monitors adherence to documented plans and programs including the Code of Excellence.
• Assists in the review of regulatory standards, evaluation of the level of compliance, identification of challenges, proposal of solutions, monitoring of compliance and management of evidence documents.
• Assists with continuous readiness activities.
• Collaborates with operational and other areas in investigations and to implement ongoing risk identification and mitigation measures.
• Proactively consults with operational areas and leadership through both formal (meetings, education) and informal means.
• Maintains knowledge of laws, regulations and standards impacting healthcare delivery.
• Applies laws, regulations and standards in daily situations while educating others through various means including formal training and education.
• Performs or supports related assessments to assure compliance to laws, regulations, standards and policies and procedures.
• Assists in a variety of projects related to compliance and accreditation.
• Identifies best practices and research and evaluates its implementation within our organization.
• Assists in the development of recommendations and action plans.
• Maintains attention to detail, documents details appropriately, and effectively articulates recommendations and outcomes both verbally and in writing in both small and large group forums.

Benefits

• Comprehensive benefits package to meet your financial, health, and work/life balance goals.
• On-demand pay program powered by Payactiv
• Discounts directory with deals on the things that matter to you, like 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: Mid Level