Manager, Compliance

Job Summary

Aids in the development, management, implementation, and oversight of one or more Corewell Health Compliance Department Centers of Expertise (COEs).

Essential Functions

• Manages the team members assigned to the COE(s).
• Affirms accountability for the team’s deliverables, ensuring the achievement of team goals and objectives in addition to individual goals and objectives.
• Completes performance reviews, recommends and initiates personnel actions such as interviewing, hiring, performance correction and terminations.
• Aids in and, as needed, may direct compliance investigations and works with assigned Compliance team members to determine the appropriate handling of issues.
• May perform investigations at the direction of legal counsel and, in that event, works with legal counsel in the course of such investigation to provide guidance, recommendations and other assistance as requested.
• May work with external regulatory agencies and legal counsel to resolve compliance issues.
• Develops and maintains COE and program standards, procedures and methodologies.
• Continually evaluates existing processes in the COE/Compliance Department and works to implement improvements.
• Develops and implements effective systems to ensure accurate documentation.
• Ensures availability of all reports and records for area(s) of responsibility.
• Aids in the compilation and production of reports to the Corewell Health Boards of Directors and Compliance Committees.
• Collaborates with operational leaders and teams at Corewell Health and Priority Health to change and improve business processes to support, and mitigate risks to, the organization and patient/member rights.
• Collaborates with other key internal stakeholders, including legal, internal audit, risk management and finance departments, leaders and team members.
• Responsible for monitoring developments related to laws and regulations impacting health care delivery and health insurance, as well as industry trends in health care corporate compliance programs.
• Aids in communicating these developments and responsible for leading the development/modification of policies and procedures to accommodate any legal/regulatory changes and updates.
• May assist in developing and deploying training to staff in a variety of venues and service areas with respect to compliance topics, requirements and initiatives as well as Corewell Health.

Qualifications

• Bachelor's Degree or equivalent in business, health care operations/management, nursing or other related area.
• PREFERRED: Master's Degree in business, health care operations/management, nursing or other health care area.
• 5 years of relevant experience in health care operations, auditing, health care compliance.
• REQUIRED: 1 year of relevant experience in supervisory/management.
• Required certifications: CRT-Healthcare Compliance, Certified (CHC) - HCCA Health Care Compliance Association 1 Year preferred OR CRT-Healthcare Privacy Compliance, Certified (CHPC) - UNKNOWN Unknown 1 Year preferred.

Physical Demands

• Pallet to Waist (6" from floor) > 5 lbs: Seldom up to 10 lbs
• Waist to Waist > 5 lbs: Seldom up to 10 lbs
• Waist to Chest (below shoulder) > 5 lbs: Seldom up to 10 lbs
• Waist to Overhead > 5 lbs: Seldom up to 10 lbs
• Bilateral Carry > 5 lbs: Seldom up to 10 lbs
• Unilateral Carry > 5 lbs: Seldom up to 10 lbs
• Pushing Force > 5 lbs: Seldom up to 10 lbs
• Pulling Force > 5 lbs: Seldom up to 10 lbs
• Sitting: Frequently
• Standing: Occasionally
• Walking: Occasionally
• Forward Bend - Standing: Seldom
• Forward Bend - Sitting: Occasionally
• Trunk Rotation - Standing: Seldom
• Trunk Rotation - Sitting: Occasionally
• Reach - Above Shoulder: Seldom
• Reach - at Shoulder or Below: Seldom
• Handling: Occasionally
• Forceful Grip > 5 lbs: Seldom
• Forceful Pinch > 2 lbs: Seldom
• Finger/Hand Dexterity: Frequently

How Corewell Health Cares for You

A comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here. 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 Eligibility for benefits is determined by employment type and status Primary Location SITE - Priority Health - 1231 E Beltline Ave NE - Grand Rapids Department Name System Compliance - Corporate Employment Type Full time Shift Day (United States of America) Weekly Scheduled Hours 40 Hours of Work 40 Days Worked Monday to Friday Weekend Frequency N/A CURRENT COREWELL HEALTH TEAM MEMBERS – Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only. Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief. Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category. An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team. You may request assistance in completing the application process by calling 616.486.7447.