Regulatory Compliance Specialist

Job Summary Assists with management of compliance and/or accreditation standards, laws, rules and regulations. Supports the resolution of compliance and/or accreditation investigations and follows up with various parties to assure complete resolution. Supports the management and administration of the Compliance and/or Accreditation Plan(s). Identifies root causes and assures plans and standards are in place including development, education and implementation of related procedures and policies. Maintains thorough knowledge of compliance and/or accreditation policies, procedures, issues, and trends. Essential Functions Supports audits and investigations of compliance and/or accreditation concerns; performs necessary research, documents findings, and follows up with applicable parties through complete resolution. Collects, collates, monitors and audits data and activities to assure accuracy and to prevent, detect and correct non-compliance, illegal activities, and potential or actual fraud, waste or abuse. Supports regulatory surveyor site visits including preparation and corrective action response. Exercises administrative judgment and assumes responsibility for decisions, consequences and results having an impact on people, costs, and quality of service. Assists with the development, implementation and maintenance of process improvement including departmental and/or organizational policies, procedures and methodologies and medical record design – assuring compliance with laws, regulations and standards while using accumulated data. Reviews and monitors adherence to documented plans and programs including the Code of Excellence. Assists in the review of regulatory standards, evaluation of the level of compliance, identification of challenges, proposal of solutions, monitoring of compliance and management of evidence documents. Assists with continuous readiness activities. Collaborates with operational and other areas in investigations and to implement ongoing risk identification and mitigation measures. Proactively consults with operational areas and leadership through both formal (meetings, education) and informal means. Maintains knowledge of laws, regulations and standards impacting healthcare delivery. Applies laws, regulations and standards in daily situations while educating others through various means including formal training and education. Performs or supports related assessments to assure compliance to laws, regulations, standards and policies and procedures. Assists in a variety of projects related to compliance and accreditation. Identifies best practices and research and evaluates its implementation within our organization. Assists in the development of recommendations and action plans. Maintains attention to detail, documents details appropriately, and effectively articulates recommendations and outcomes both verbally and in writing in both small and large group forums. Qualifications Required: Bachelor’s Degree or equivalent in Business, Health Care Operations, Nursing or another related area, or an equivalent combination of education and experience. Minimum 2 years of relevant experience. Related experience preferred. Preferred certifications: Corewell Health CRT-Healthcare Compliance, Certified (CHC) – HCCA Health Care Compliance Association. Benefits Comprehensive benefits package to meet your financial, health, and work/life balance goals. On‑demand pay program powered by Payactiv. Discounts directory with deals on restaurants, phone plans, spas, and more. Optional identity theft protection, home and auto insurance. Traditional and Roth retirement options with employer contribution and match savings. Eligibility for benefits is determined by employment type and status. Location and Hours Location: Corewell Health Place, 100 Corewell Drive NW, Grand Rapids, MI. Employment Type: Full time. Shift: Day (United States of America). Weekly Scheduled Hours: 40 (8a.m. – 5p.m.), Monday to Friday. Equal Employment Opportunity Statement We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief. Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category. An interconnected, collaborative culture where all are encouraged to bring their whole selves to work is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity and inclusion in all that we do. #J-18808-Ljbffr