Senior Compliance Specialist

Were with you for lifes journey. At Denver Health purpose isnt just something we believe inits something we live every day for lifes journey.

Our Values

Respect Belonging Accountability Transparency

Department

Job Summary

Under general supervision of the Compliance Manager the Senior Compliance Specialist will assist with and support the compliance program activities of Denver Health (DH). This position supports the assessment development execution monitoring and ongoing maintenance of compliance activities such as policies and procedures education and training compliance hotline reports and investigations conflicts of interest and sanction screenings.

The Senior Compliance Specialist conducts research and provides guidance related to state and federal laws and regulations which may include giving specific guidance to management operational leadership and departments. This position also assists in the development and rollout of compliance trainings and initiatives and monitor and report the status of completion. They are expected to work with external customers and vendors as well as internal departments and staff throughout Denver Health to complete assigned duties and tasks.

Essential Functions:

• Develop revise distribute and track policies procedures and other key documents as part of the Compliance Program. (10%)
• Collaborate with colleagues providing strategic guidance on programs initiatives and processes that have healthcarecompliance-related implications to facilitate proactive compliance. (5%)
• Maintain logs of compliance inquiries and activities. Track research and disposition of compliance issues. May be asked toresearch and respond to routine compliance questions. (5%)
• Assist with the development and maintenance of forms notices and associated materials to reflect organizationalprocesses as well as compliance. (5%)
• Proactively identify potential issues support risk assessments and audits and develop work plans to monitor and addressidentified risks. (5%)
• Assist with and/or lead monitoring activities for compliance with applicable laws and regulations and internal policies andprocedures. (5%)
• Assess compliance-related educational needs and develop implement maintain and oversee training programs forcompliance issues for the organization including for example new employee orientation annual online trainingdepartment or issue specific training. (5%)
• Read understand and maintain current knowledge of complex federal and state laws regulations rules and bulletinsapplicable to the Compliance Program. (5%)
• Assists with external audits/special project preparation and follow-up as needed under the director of the DHMPCompliance Manager. (5%)
• Process and follow-up on Compliance Hotline reports and conducting investigations of reported compliance concerns. (5%)
• Coordinate with the Special Investigations Unit on potential fraud waste and abuse issues and investigations. (5%)
• Coordinate responses to identified compliance questions concerns or federal/state inquiries or investigations. (5%)
• Evaluate excluded provider and vendor sanction screening results against state and federal databases monthly. (5%)
• Evaluate first tier downstream and related entities compliance with specified requirements initially and annually. (5%)
• Monitor compliance dashboards and identify potential risks based on the results. (5%)
• Participate and provide input and support in the daily functional requirements of the organizations Compliance Program. (5%)
• Build develop and maintain strong business relationships with colleagues on team and business and technology partners. (5%)
• Support corrective action plan development and management. (5%)
• Assist with other departmental projects and tasks as required. (5%)

Education:

• Bachelors Degree Required

Work Experience:

• Five years of experience in a healthcare compliance or legal function preferably in the hospital provider or health plan setting Required

Knowledge Skills and Abilities:

• Strong business acumen and ability to navigate effectively in a dynamic and matrixed organization
• Knowledge of laws (Federal and State Anti -kickback Statutes False Claims Act) regulations industry guidance and best practices regarding compliant.
• Excellent organizational and project management skills highly analytical with attention to detail and accuracy
• Able to follow directions and work independently.
• Concurrently handle multiple projects and tasks.
• Perform detailed work accurately and take initiative to learn new tasks.
• Strong analytic critical thinking interpersonal and technical skills.
• Strong problem-solving skills with the ability to identify and resolve problems of moderate complexity.
• Consistently demonstrate a high standard of personal and professional conduct ethics objectivity judgment and discretion.
• Communicate clearly concisely and effectively experience in business presentations and public speaking.

Shift

Work Type

Salary

Benefits

At Denver Health we take care of the people who take care of our community. Our benefits are built to support your life your family and your future with generous paid time off fully paid parental leave exceptional retirement contributions comprehensive health coverage and nationally recognized well-being programs. We invest in your growth through tuition assistance career advancement pathways and professional development while also offering meaningful financial advantages through loan forgiveness eligibility and employer contributions. When you join Denver Health youre joining a mission-driven organization that invests in you.

Here is a small list of our benefit programs:

• Paid time off starting at 28 days per year inclusive of vacation personal/sick and 7 Holidays

• 100% paid parental leave up to 6 weeks

• Immediate eligibility for retirement plans with employer contribution up to 9.5%

• Generous medical dental vision plans in addition to employer paid disability and life insurance.

• Comprehensive well-being programs including on-site employee fitness center located on Denver Health main campus and nationally recognized RESTORE Center

• Free RTD EcoPass (public transportation)

• Childcare discount programs & exclusive perks on large brands travel and more

• Tuition reimbursement & assistance

• Education coaching and professional development opportunities through the Workforce Development Center (WFDC) that support internal career growth and advancement pathways

• Professional clinical advancement program & shared governance

• Public Service Loan Forgiveness (PSLF) eligible employer free student loan coaching and assistance navigating the PSLF program

• National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer

About Denver Health

Denver Health is an integrated high-quality academic health care system considered a model for the nation that includes a Level I Trauma Center a 555-bed acute care medical center Denvers 911 emergency medical response system 10 family health centers 19 school-based health centers Rocky Mountain Poison & Drug Safety the Public Health Institute at Denver Health Denver Health Medical Plan and Denver Health Foundation.

As Colorados primary and essential safety-net health care system Denver Health is a mission-driven organization that has provided millions in uncompensated care for the uninsured each year.

Located near downtown Denver Denver Health is just minutes away from many of the cultural and recreational activities Denver has to offer.

Denver Health is an equal opportunity employer (EOE). We value the unique ideas talents and contributions reflective of the needs of our community. All job applicants for safety-sensitive positions must pass a pre-employment drug test once a conditional offer of employment has been made. Applicants will be considered until the position is filled.