Compliance Program Manager
Ensemble Health PartnersAbout the role
Thank you for considering a career at Ensemble Health Partners!
Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.
Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!
O.N.E Purpose:
Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.
Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.
Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results.
The Opportunity:
The Compliance Program Manager assists, coordinates, and manages the Ensemble Corporate Compliance Program activities/projects in collaboration with the Compliance team and under the ultimate direction of the Chief Compliance Officer. The Manager provides Compliance Program assistance to service lines to address questions, investigate compliance concerns, and follow up on corrective action plans. The Manager maintains working knowledge of Government and Non-Government payers regulations & revenue cycle operations. Manager supports the Compliance Program and operational departments to ensure compliance with OIG, CMS, and other federal, state and local regulations.
Competencies:
Valuing Differences - Works effectively with individuals of diverse cultures, interpersonal styles, abilities, motivations, or backgrounds; seeks out and uses unique abilities, insights, and ideas. Considers the collective.
Collaboration - Works cooperatively within teams and partners with others, both internally and externally as needed, to achieve success; focuses on the results of the team, not the achievements of one person. It’s “All for One and One for All”.
Accountability - Accepts personal responsibility and/or consequences of failure and successes, delivering on commitments and refocusing effort when needed. Someone who is willing to step up and own it.
Time Management - Effectively manages personal time and resources to ensure that work is completed efficiently.
Developing Trust - Gains others’ confidence by acting with integrity and following through on commitments; treats others and their ideas with respect and supports them in the face of challenges.
Takes Initiative - Takes prompt action to accomplish goals and achieve results beyond what is required; is proactive and pursues relentlessly.
Responsibilities:
Participate in the ongoing development of the Compliance Program.
Work cooperatively with Company Leaders to ensure continuing support and understanding of all compliance responsibilities.
Monitor, review, and maintain in-depth knowledge of applicable compliance and regulatory updates, government and payer coding audits, investigations, and settlements and provide direction and guidance to organizational leaders.
Develop and perform training associated with Compliance Program policies, regulatory updates, government and payer coding audits, investigations, and settlements Analyze, research, and respond to questions relating to the compliance program and applicable laws, rules, and regulati
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