Compliance Associate II – Privacy (Full-Time, Days)

Job Description

The Compliance Associate II – Privacy reflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.

Responsibilities

• Help manage all aspects of the Compliance Hotline and compliance issues received via e-mail and phone.
• Help ensure reported issues are appropriately received, evaluated, investigated, documented, and resolved.
• Respond to queries or allegations and triage issues to appropriate departments when necessary (i.e., Human Resources Compliance).
• Absorb and document all issues received, actions taken, and resolutions.
• Maintain a current understanding of regulatory trends and changes in compliance and regulatory guidelines that affect NMHC and its subsidiaries by monitoring various resources to assess regulatory changes and determine organizational impact.
• Cook up investigations in response to incoming compliance related issues.
• Gather all relevant information for potential compliance issues, determine underlying causes, and relate information from different sources to draw logical conclusions.
• Cook up non-coding and non-billing related audits, reviews and, when necessary, investigations (in conjunction with the Corporate Compliance Manager) in response to CMS, OIG, and/or other regulatory concerns that emerge throughout the year.
• Perform follow-up, audits, reviews, investigations, and validations.
• Absorb and analyze data to determine root cause of reported or identified issues and determine level of escalation required.
• Absorb and assist departments in developing corrective action plans for identified issues.
• Absorb and assist in the development of dashboards, written reports, or other deliverables to be presented to the department, VP Integrity, Senior Leadership, and/or the Audit Committee.
• Support and assist the Corporate Compliance Manager in identifying and assessing areas of compliance risk for NMHCA.
• Absorb and assist with the development and implementation of the departments annual Compliance Work Plan.
• Absorb and assist in the development and maintenance of compliance-related policies and procedures to ensure they are current and relevant.
• Absorb and assist with providing policy-related guidance to individuals and departments.
• Perform other duties assigned by the department Managers, Director, or VP, Integrity.

Qualifications

• Bachelor's Degree.
• Demonstrated ability to work with various levels within the organization regarding confidential information and maintain sensitive data.
• Strong interpersonal and communications skills required.
• Ability to work collaboratively and communicate with others in a clear, concise, and professional manner on the telephone and in person, as well as demonstrate use of good written and verbal communication skills.
• Knowledge and experience in using Word, Excel, PowerPoint, Access and similar Office programs.

Preferred

• Certified Healthcare Compliance (CHC) certification.
• CPC, RHIA or similar credential.
• JD, MBA or similar degree.
• Healthcare compliance experience.

Additional Information

Northwestern Medicine is an equal opportunity employer (disability, VETS) and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status. Background Check Northwestern Medicine conducts a background check that includes criminal history on newly hired team members and, at times, internal transfers. If you are offered a position with us, you will be required to complete an authorization and disclosure form that gives Northwestern Medicine permission to run the background check. Results are evaluated on a case-by-case basis, and we follow all local, state, and federal laws, including the Illinois Health Care Worker Background Check Act. Artificial Intelligence Disclosure Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person. Benefits We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more. Sign-on Bonus Eligibility (if sign-on bonus offered for position): Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign on bonus. Exception: New graduate internal employees seeking their first licensed clinical position at NM may be eligible depending upon the job family.