Compliance Partner

Step into a pivotal role as a Compliance Partner at Corewell Health serving as a trusted strategic advisor and key voice in advancing our culture of integrity and this dynamic role youll partner with leaders across the organization - particularly within revenue cycle - to guide system-wide initiatives assess risk and shape the future of compliance at every level. Acting as both consultant and collaborator youll help uncover process opportunities provide regulatory guidance and support informed decision making that drives ethical compliant operations. This is an exciting opportunity for someone who thrives on navigating complexity building relationships and serving as a trusted expert in Revenue Cycle compliance.

As a Compliance Partner youll step into a learning focused environment. You will play an active role in solving challenges supporting leaders and ensuring our processes reflect the highest standards of transparency and accountability.

If you are a curious confident and collaborative professional who enjoys asking the right questions guiding others through complexity and building trust with leaders at all levels - wed love to hear from you! Join us in shaping a compliant and ethical future at Corewell Health.

Job Summary

Responsible for strategically advising on system-wide and client group specific initiatives and risks. Responsible for creating and implementing one or more compliance programs that will support the strategies initiatives and goals of the organization and address key risks or risk areas. Responsible for partnering with leaders to provide strategic compliance guidance. Accountable for creating facilitating and maintaining positive relationships between client groups and the Compliance department. Acts as a valuable member of operational teams to solve complex compliance challenges.

Essential Functions

• Strategically advises on system-wide and client group specific initiatives that address strategic and operational goals. Provides strategic compliance guidance and support to leaders on issues related to compliance and regulatory requirements while ensuring a collaborative and engaged work environment.
• Acts as a valuable member of project teams to solve complex compliance challenges and offer operational leaders with novel solutions and ideas. Drives business growth by advising on compliance and regulatory considerations for new business ventures. Supports operational teams by identifying risk mitigation techniques and/or activities to support project or program development. Provides exceptional customer service. Facilitates effective communications to promote team member and leadership engagement with compliance.
• Collaborates with leaders in building a strong culture of accountability. Collaborates with Compliance team as needed to ensure consistency in daily practice.
• Acts as a mentor coach and informal leader for Compliance Analysts Liaisons and Specialists.
• Leads or performs investigations and audits of compliance issues. Directs and oversees resolution of compliance issues referred for investigation. From time to time performs investigations at the direction of legal counsel following appropriate attorney-client privilege guidelines.
• Provides support to and/or facilitates operational and Board compliance committees.
• Works with operational leaders and Compliance COEs to develop and monitor internal controls including corrective action in response to investigations and audits to detect and/or prevent illegal unethical or improper conduct by employees agents affiliated providers or others within the health system.
• Responsible for knowledge of laws and regulations impacting health care delivery and/or coverage depending on client group assignments. Applies laws and regulations in daily situations while educating others through various means including formal training. Performs or supports related assessments to assure compliance to laws regulations and policies/procedures.

Qualifications

Required

• Bachelors Degree or equivalent in business health care operations nursing or other related area or equivalent combination of education and experience
• 7 years of progressive compliance experience and/or clinical or operational leadership experience

Preferred

• 3 years of relevant experience with the following:
  • Compliance experience
  • Leading system-wide and/or client group specific projects
  • Partnering with those in higher level leadership roles
  • Strategic planning financial planning and operational business discussions
• Any of the following certifications within 1 year after hire:
  • CRT-Healthcare Compliance Certified (CHC) - HCCA Health Care Compliance Association Or
  • CRT-Professional Coder - AAPC American Academy of Professional Coders Or
  • CRT-Coding Specialist (CCS) - AHIMA American Health Information Management Association Or
  • CRT-Fraud Examiner (CFE) - ACFE Association of Certified Fraud Examiners Or
  • CRT-Internal Auditor Certified (CIA) - IIA Institute of Internal Auditors Or
  • CRT-Healthcare Privacy Compliance Certified (CHPC) Or
  • CRT-IRB Professional Certified (CIP) - Or
  • CRT-Healthcare Research Compliance Certified (CHRC) - CCB Compliance Certified Board
  • CRT-Healthcare Research Compliance Certified (CHRC) - HCCA Health Care Compliance Association

About Corewell Health

As a team member at Corewell Health you will play an essential role in delivering personalized health care to our patients members and our communities. We are committed to cultivating and investing in YOU. Our top-notch teams are comprised of collaborators leaders and innovators that continue to build on one shared mission statement - to improve health instill humanity and inspire hope. Join a nationally recognized health system with an ambitious vision of continued advancement and excellence.

How Corewell Health cares for you

• 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 pet insurance

• Traditional and Roth retirement options with service contribution and match savings

• Eligibility for benefits is determined by employment type and status

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