Senior Compliance Specialist

Denver Health and Hospital Authority • Denver, CO

2d • Onsite

About The Position

We are recruiting for a mission-driven Senior Compliance Specialist to join our team! We're with you for life’s journey. At Denver Health, purpose isn’t just something we believe in—it’s something we live every day, for life’s journey. Our Values Respect | Belonging | Accountability | Transparency Department Enterprise Compliance Services Job Summary Under general supervision of the Compliance Manager, the Senior Compliance Specialist will assist with and support the compliance program activities of Denver Health (DH). This position supports the assessment, development, execution, monitoring, and ongoing maintenance of compliance activities such as policies and procedures, education and training, compliance hotline reports and investigations, conflicts of interest, and sanction screenings. The Senior Compliance Specialist conducts research and provides guidance related to state and federal laws and regulations which may include giving specific guidance to management, operational leadership, and departments. This position also assists in the development and rollout of compliance trainings and initiatives and monitor and report the status of completion. They are expected to work with external customers and vendors, as well as internal departments and staff throughout Denver Health to complete assigned duties and tasks.

Requirements

• Bachelor's Degree Required
• Five years of experience in a healthcare compliance or legal function preferably in the hospital, provider or health plan setting Required
• Strong business acumen and ability to navigate effectively in a dynamic and matrixed organization
• Knowledge of laws (Federal and State Anti -kickback Statutes, False Claims Act), regulations, industry guidance and best practices regarding compliant.
• Excellent organizational and project management skills, highly analytical with attention to detail and accuracy
• Able to follow directions and work independently.
• Concurrently handle multiple projects and tasks.
• Perform detailed work accurately and take initiative to learn new tasks.
• Strong analytic, critical thinking, interpersonal, and technical skills.
• Strong problem-solving skills, with the ability to identify and resolve problems of moderate complexity.
• Consistently demonstrate a high standard of personal and professional conduct, ethics, objectivity, judgment, and discretion.
• Communicate clearly, concisely, and effectively, experience in business presentations and public speaking.

Responsibilities

• Develop, revise, distribute and track policies, procedures, and other key documents as part of the Compliance Program.
• Collaborate with colleagues, providing strategic guidance on programs, initiatives and processes that have healthcare compliance-related implications to facilitate proactive compliance.
• Maintain logs of compliance inquiries and activities. Track research and disposition of compliance issues. May be asked to research and respond to routine compliance questions.
• Assist with the development and maintenance of forms, notices, and associated materials to reflect organizational processes as well as compliance.
• Proactively identify potential issues, support risk assessments and audits, and develop work plans to monitor and address identified risks.
• Assist with and/or lead monitoring activities for compliance with applicable laws and regulations and internal policies and procedures.
• Assess compliance-related educational needs and develop, implement, maintain, and oversee training programs for compliance issues for the organization, including, for example, new employee orientation, annual online training, department or issue specific training.
• Read, understand, and maintain current knowledge of complex federal and state laws, regulations, rules, and bulletins applicable to the Compliance Program.
• Assists with external audits/special project preparation and follow-up, as needed, under the director of the DHMP Compliance Manager.
• Process and follow-up on Compliance Hotline reports and conducting investigations of reported compliance concerns.
• Coordinate with the Special Investigations Unit on potential fraud, waste and abuse issues and investigations.
• Coordinate responses to identified compliance questions, concerns, or federal/state inquiries or investigations.
• Evaluate excluded provider and vendor sanction screening results against state and federal databases, monthly.
• Evaluate first tier, downstream and related entities compliance with specified requirements initially and annually.
• Monitor compliance dashboards and identify potential risks based on the results.
• Participate and provide input, and support in the daily functional requirements of the organization’s Compliance Program.
• Build, develop, and maintain strong business relationships with colleagues on team and business and technology partners.
• Support corrective action plan development and management.
• Assist with other departmental projects and tasks, as required.

Benefits

• Generous paid time off
• Fully paid parental leave
• Exceptional retirement contributions
• Comprehensive health coverage
• Nationally recognized well-being programs
• Tuition assistance
• Career advancement pathways
• Professional development
• Loan forgiveness eligibility
• Employer contributions
• Paid time off starting at 28 days per year, inclusive of vacation, personal/sick, and 7 Holidays
• 100% paid parental leave up to 6 weeks
• Immediate eligibility for retirement plans with employer contribution up to 9.5%
• Generous medical, dental, vision plans in addition to employer paid disability and life insurance.
• Comprehensive well-being programs including on-site employee fitness center located on Denver Health main campus and nationally recognized RESTORE Center
• Free RTD EcoPass (public transportation)
• Childcare discount programs & exclusive perks on large brands, travel, and more
• Tuition reimbursement & assistance
• Education, coaching, and professional development opportunities through the Workforce Development Center (WFDC) that support internal career growth and advancement pathways
• Professional clinical advancement program & shared governance
• Public Service Loan Forgiveness (PSLF) eligible employer+ free student loan coaching and assistance navigating the PSLF program
• National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer

What This Job Offers

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