Manager Compliance Medical Group - REMOTE

Department:

10107 Advocate Aurora Health Corporate - Compliance and Integrity

Status:

Full time

Benefits Eligible:

Yes

Hours Per Week:

40

Schedule Details/Additional Information:

This is a remote, work from home role.

Major Responsibilities:

• Manages and conducts compliance investigations and resolution of identified compliance concerns and regulatory violations. Works with compliance leadership, operational leadership and medical group leadership to identify, research, define, and resolve compliance issues.
• Manages audits, reviews and investigatory activities in response to internal and external investigations, surveys, and audits related to compliance issues within area(s) of expertise.
• Manages the day-to-day internal auditing and monitoring of compliance activities within area(s) of expertise, including but not limited to the use of data analytics to identify aberrant billing, prescribing, controlled substance use and/or utilization patterns.
• Manages data analysis for risk assessments as part of the system-wide quarterly compliance risk assessment process.
• Creates and delivers education and other activities designed to prevent and correct issues related to regulatory compliance and ethical conduct.
• Participates in the development and implementation of policies and procedures related to compliance and ethical conduct.
• Collaborates with operational departments to achieve compliance with accreditation standards that intersect with regulatory requirements.
• Serves as internal expert and advisor in compliance matters related to regulations.
• Works with Human Resources to investigate suspected caregiver misconduct and to determine appropriate disciplinary action.
• Performs human resources responsibilities for staff which include interviewing and selection of new employees, promotions, staff development, performance evaluations, compensation changes, resolution of employee concerns, corrective actions, terminations, and overall employee morale.
• Develops and recommends operating and capital budgets and controls expenditures within approved budget objectives.
• Responsible for understanding and adhering to the organization's Code of Ethical Conduct and for ensuring that personal actions, and the actions of employees supervised, comply with the policies, regulations and laws applicable to the organization's business.

Licensure, Registration, and/or Certification Required:

• Health Care Compliance (CHC) certification issued by the Compliance Certification Board (CCB), or
• .

Education Required:

• Bachelor's Degree in Health Care Administration or related field.

Experience Required:

• Typically requires 5 years of experience in in a large, complex organization. Includes 1 year of supervisory experience in the management of staff, budgets, and compliance functions.

Knowledge, Skills & Abilities Required:

• Advanced knowledge of applicable guidelines and federal and state health care regulations.
• Demonstrated ability to lead a team in a matrix management structure.
• Excellent organizational and prioritization skills. Strong planning, problem-solving and change management skills.
• Demonstrated leadership skills and the ability to work and function in a complex corporate system environment.
• Excellent written and verbal communication skills. Strong skills in personal diplomacy with demonstrated ability to handle sensitive communications with leadership and physicians.
• Ability to take initiative and work collaboratively with others.
• Demonstrated ability to function as a mentor, role model and teacher.
• Demonstrated proficiency in the Microsoft office (Word, Excel, PowerPoint, Access) or similar products, including ability to organize complex information and to prepare spreadsheets and presentation materials.

Physical Requirements and Working Conditions:

• Must be able to drive to various sites so therefore will be exposed to weather and road conditions.
• Operates all equipment necessary to perform the job.
• Exposed to normal office environment.

This job description indicates the general nature and level of work expe