Manager Healthcare Compliance

Job Summary

Aids the System Director, Privacy and Integrity in establishing and maintaining the Healthcare Compliance Program for PeaceHealth. Manages the team responsible for conducting process-related compliance investigations, government Billing and Audit Program, annual work plan audits, and monitoring compliance activities across PeaceHealth.

Essential Functions

• Manages all aspects of the PeaceHealth Healthcare Compliance (HCC) Program, including its development, communication, implementation, monitoring, and maintenance.
• Manages all aspects of the assigned team, including hiring, training, mentoring, coaching, disciplining, and evaluating performance.
• Develops and provides reports, presentations, and metrics for informing all levels of caregivers and leaders about the HCC Program.
• Identifies, creates, maintains, and reports on team-related key performance indicators.
• Manages, conducts, and oversees team members on process-related investigations for compliance concerns identified by both internal and external reporters.
• Performs as a liaison between the department and all levels of leadership related to corrective actions resulting from process-related compliance issues.
• Provides guidance to the team and operational leaders and acts as a trusted advisor for controls recommendations and root cause evaluations.
• Develops and maintains a proactive monitoring program encompassing key operational compliance activities.
• Participates in the annual risk assessment process resulting in the Healthcare Compliance Annual Audit Work Plan.
• Represents the Healthcare Compliance department on committees, task forces, projects, and in various meetings.

Qualifications

• Education: Bachelor's Degree Required: Healthcare Administration or equivalent discipline
• Experience: Minimum of 5 years Required: Relevant healthcare or other applicable compliance experience and/or clinical operations experience
• Leadership experience: Minimum of 2 years Required
• Compliance program knowledge: Experience with the 7-elements of a compliance program
• Certification: Within 1-1/2 Yrs Certified in Healthcare Compliance
• Skills: Outstanding verbal and written communications, interpersonal and leadership skills; strong skills and experience in investigations, case management, pro-active auditing/monitoring, remediations, risk assessments, policies, education, root cause analysis, and controls assessments; strong presentation, data analysis, and report creation skills; clear, intentional, and strategic communicator; proven ability to thrive in a fast-paced changing environment and successfully manage the team while leading multiple investigations and projects simultaneously; excellent analytical and problem-solving skills; advanced skills in all MS Office applications (Word, Excel, Outlook, PowerPoint); ability to travel to other PeaceHealth facilities and locations.

Skills

• Verbal and written communications
• Interpersonal and leadership skills
• Effective communication and interaction with all levels of leadership
• Ability to navigate difficult conversations and influence staff at all levels
• Experience creating a productive environment for, and inspiring, direct reports
• Strong skills and experience in investigations, case management, pro-active auditing/monitoring, remediations, risk assessments, policies, education, root cause analysis, and controls assessments
• Strong presentation, data analysis, and report creation skills
• Clear, intentional, and strategic communicator
• Proven ability to thrive in a fast-paced changing environment and successfully manage the team while leading multiple investigations and projects simultaneously
• Excellent analytical and problem-solving skills
• Advanced skills in all MS Office applications (Word, Excel, Outlook, PowerPoint)

Benefits

Includes full medical/dental/vision coverage, 403b retirement plan employer base and matching contributions, paid time off, employer-paid life and disability insurance with additional buyup coverage options, tuition and continuing education reimbursement, wellness benefits, and expanded EAP and mental health program.