Job Description:
This position is a member of the Intermountain Compliance Program team and supports in the development and maintenance of an effective compliance program. This position will lead and assist in the implementation of a dynamic regulatory risk assessment, root cause analysis, and audit/attestation response. The position will also provide support to the Intermountain Conflict of Interest management program and database, and with huddle boards and key performance indicators.
This position can be performed remotely with very travel, as needed. Currently, we are not hiring remote workers in the following states: CA, CT, HI, IL, NY, RI, VT, and WA.
Essential Functions
- Establishes and maintains effective relationships and communication channels with internal and external stakeholders. Promotes effective mechanisms to encourage a culture of compliance and reporting.
- Leads or participates in cross functional teams to address regulatory risk and implement regulatory requirements through projects and assignments.
- Evaluates and identifies risks, and develops and leads corrective action plans across an assigned portfolio of products, service lines or geographies.
- Proposes plans to adjust organizational risk response. Leads implementation of changes, with oversight and direction.
- Develops and implements corrective action plans and remediation measures to address any compliance issues or deficiencies identified by internal or external audits, investigations, or regulatory agencies.
- Monitors and analyzes changes in the regulatory environment and enforcement landscape, and assesses the impact and implications for the organization. Implements monitoring and auditing activities based on industry best practices.
- Provides guidance and support to leaders and business units on regulatory compliance issues and requirements, and proposes recommendations and solutions to ensure compliance.
- Develops and delivers compliance education and training programs to relevant stakeholders, such as employees, providers and business partners.
- Investigates and responds to compliance complaints, allegations, or incidents, and coordinates with legal counsel, human resources, and other departments as appropriate.
- Identifies and implements best practices and continuous improvement initiatives to enhance the regulatory compliance performance and culture of the organization.
- Promotes a culture of compliance and ethics and reduces Intermountain's risk of Government audits, fines, penalties and sanctions through close coordination with Compliance Department leadership.
Skills
- Compliance Programs
- Leadership
- Relationship Building
- Communication
- Risk Compliance
- Confidentiality
- Facilitator
- Problem Solving
- Collaboration
- Critical Thinking
Qualifications
- High School Diploma or GED required. Bachelor’s Degree in healthcare administration or relative field preferred. Degree must be obtained through an accredited institution. Education is verified
- Demonstrated professional experience in a regulatory, compliance or risk management role in the healthcare sector.
- Demonstrates thorough knowledge and understanding of federal and state laws and regulations related to health care billing, coding, reimbursement, contracting, and risk adjustment, such as Medicare, Medicaid, HIPAA, False Claims Act, Anti-Kickback Statute, Stark Law, and MACRA.
- Ability to interpret and apply complex healthcare regulations in a healthcare system and to assess and evaluate gaps with demonstrated knowledge of the healthcare industry.
- Demonstrates strong communication, presentation and interpersonal skills with the ability to influence and collaborate with diverse stakeholders.
- Demonstrated discretion to maintain confidential information, evaluate alternatives, and make effective decisions.
- Demonstrated experience implementing the eight elements of an effective compliance program.
- Demonstrates high ethical standards, integrity, and professionalism, with a commitment to Intermountain Health's mission, vision, values, and compliance framework.
Physical Requirements:
- Ongoing need for employee to see and read information, labels, monitors, identify equipment and supplies, and be able to assess customer needs.
- Frequent interactions with customers that require employee to communicate as well as understand spoken information, alarms, needs, and issues quickly and accurately.
- Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer, phone, and cable set-up and use.
- Expected to lift and utilize full range of movement to transport, pull, and push equipment. Will also work on hands and knees and bend to set-up, troubleshoot, lift, and carry supplies and equipment. Typically includes items of varying weights, up to and including heavy items.
- For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.
Location:
Key Bank Tower
Work City:
Salt Lake City
Work State:
Utah
Scheduled Weekly Hours:
40
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$50.22 - $77.53
We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Learn more about our comprehensive benefits packages for our Idaho, Nevada, and Utah based caregivers, and for our Colorado and Montana based caregivers.
Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
All positions subject to close without notice.
