(Remote) Integrity & Compliance Program Manager
Livonia, MI - USA
Job Summary
Employment Type:
Full timeShift:
Description:
Essential FunctionsOur Trinity Health Culture: Knows understands incorporates & demonstrates our Trinity Health Mission Values Vision Actions & Promise in behaviors practices & decisions.
Leadership:
Providing advice guidance & leadership to RHM & Region leaders in developing strategies & in the achievement of performance goals.
Enable Collaboration across & within service area RHM & Regions to ensure consistency & integration of strategy & operations
Direction & Growth:
Providing advice guidance & leadership to service area functional area RHM & Regions.
Leading standardization / systemness & optimization of policy process methodology establishing a national community of practice.
Oversee Vendor / Contract Labor Management including centralizing strategy & optimizing spend.
Strategic Support & Accountability:
Collaborates in system-wide strategy development & deployment of functional area priorities & initiatives.
Responsible for supporting regional efforts to comply with functional area priorities.
Accountable for the selection evaluation & overall success of the functional leadership teams.
Organization-wide focal point for establishing functional strategies & governance over financials & staffing.
Accountable for communication between service area functional area RHM & Region leaders.
Operational Delivery
Responsible for measuring & reporting KPIs / metrics &value delivery.
Providing advice guidance & leadership for the colleague life cycle.
Maintains a Working Knowledge of applicable federal state & local laws / regulations Trinity Health Integrity & Compliance Program & Code of Conduct as well as other policies procedures & guidelines in order to ensure adherence in a manner that reflects honest ethical & professional behavior & safe work practices.
Functional Role (not inclusive of titles or advancement career progression)
Assist the Integrity and Compliance Director with guiding and managing the complianceactivities andinitiativesfor assigned ministry(ies).Provides adviceguidanceand program management to ministry leaders in developingimplementingandattainingprogram goalswhile ensuringalignment tocompliance strategies.Conducts investigations for local ministryand provides recommended action in response to outcome of investigation.Participatesin Service Area and Enterprise Integrity and Compliance projects with a focus on standardization and process improvements.
Support the Integrity and Compliance Director in developing executing and overseeing compliance initiatives within the ministry.
Provide expert advice and strategic guidance to ministry leaders on program goals and compliance strategies.
Lead and conduct internal investigations related to compliance concerns ensuring thoroughtimely and objective outcomes.
Deliver well-documented recommendations for corrective actions based on investigative findings.
Partner with leaders across local ministries and enterprise functions to implement and sustain compliance strategies.
Activelyparticipatein Service Area and Enterprise-level compliance projects focusing on process improvement and standardization.
Collaborate on the development and rollout of organization-wide policies training and communication tools to foster a culture of ethics and compliance.
Monitor emerging risk areas and regulatory changes ensuring proactive andappropriate organizationalresponse.
Contribute to audit readiness activities and help strengthen internal controls across the ministry.
Track compliance performance metrics and support continuous improvement initiatives to enhance overall program effectiveness.
Minimum Qualifications
Bachelorslevel degree in businesshealth administrationor arelated field a law degree or an equivalent combination of education & experience.
Minimum of five 5 years of relevant experience with increasing levels of responsibility in health care compliance &/or consulting including regulatory compliance program metrics performance assessment & reporting outcomes etc.
Mustpossessa thorough understanding and knowledge of health care legal and regulatory practices financial and internal control systems/procedures.
Previousproject programsupervisoryor management experience.
Additional Qualifications (nice to have)
Experience within a health care organization (including ambulatory and hospital settings) or equivalent workexperienceinvolving clinical documentation and coding reviewsand working knowledge ofConditions of Payment includinggovernmentandthird- party payer regulations.Mustunderstand and haveexpertisewith Patient Driven Payment Models Patient Driven Groupings Models IRF-PAI and OASIS requirements.Comprehensive understanding of Medicare Physician Fee Schedule and Medicare Claims Processing Manual for professional services..Comprehensive understanding of Conditions of Participation and Accreditation Standards.
CHC CHPC CHRC CCEP or equivalent certification.
Lean/Six Sigma training and/or certification
Physical & Mental Requirements & WorkingConditions (General Summary)
Direct Healthcare Services / Indirect Healthcare / Support Services:
Exposure to conditions which may be considered unpleasant to sight touch sound& /or smell.Occasional
Exposure to fumes odorsdusts mists & gases biohazards / hazards (mechanical electrical burns chemicals radiation sharp objects etc.).Occasional
Exposure to or subject to noise infectious waste diseases & conditions.Occasional
Exposure to interruptions shiftingpriorities& stressfulsituations.Frequent
Ability to follow tasksthrough tocompletion understand & relate to complex ideas / concepts remember multiple tasks & regimens overlong periodsof time & work on concurrent tasks / projects.Frequent
Ability to read small print hear sounds & voice / speech patterns give / receive instructions & other verbal communications (in-person& /or over the phone / computer / device / equipment assigned) with some background noise.Frequent
Perform manual dexterity activities & / or grasping / handling.Continuous
Ability to climb kneelcrouch & /oroperatefoot controls.Occasional
Use a computer / other technology.Frequent
Sit with the ability to vary / adjust physical position or activity.Frequent
Maintain a safe working environment & use available personal protective equipment (PPE).Continuous
Comply withTrinity Healths Code of Conduct policies procedures & guidelines.Continuous
Ability toprovide assistancein the event of an emergency.Occasional
Direct Healthcare Services:
Perform activities that require standing / walking with the ability to vary / adjust physical position or activity.Occasional
Lift a maximum of 30 pounds unassisted. Occasional
Use upper & lower extremities engage in bending / stooping /reaching& pushing / pulling. Occasional
Work indoors (subject to travel requirements) under temperature-controlled & well-lit conditions.Continuous
Encounter worksites (e.g. patient homes) or travel to worksites that may have variable internal & external environmental conditions.Occasional
Perform work that involves physical efforts (e.g. transporting moving positioning & / or ambulating patients).Occasional
Indirect Healthcare / Support Services:
Perform activities that require standing / walking with the ability to vary / adjust physical position or activity.Occasional
Lift a maximum of 30 pounds unassisted.Occasional
Experience oflong periodsof walking / standing / stooping / bending / pulling & / or pushing.Occasional
Encounter a clinical / patient facing / hands on interactive work environment.Occasional
Work indoors (subject to travel requirements) under temperature-controlled & well-lit conditions.Continuous
Work outdoors with variable external environmental conditions.Occasional
Average Workday Activity: Occasional - O (1% - 33%) Frequent - F (34% - 66%) Continuous - C (67% - 100%)
Hourly pay ranges: $47.23 - $70.85
Our Commitment
Rooted in our Mission and Core Values we honor the dignity of every person and recognize the unique perspectives experiences and talents each colleague brings. By finding common ground and embracing our differences we grow stronger together and deliver more compassionate person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation gender identity national origin disability veteran status or any other status protected by federal state or local law.
Required Experience:
Manager
About Company
Trinity Health is one of the largest not-for-profit, Catholic health care systems in the nation. It is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians caring for diverse communities across 25 states. Nationally recognized for care and experience, the Trinity ... View more