Senior Compliance Associate

Company Description

At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better health care, no matter where you work within the Northwestern Medicine system. We pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, our goal is to take care of our employees. Ready to join our quest for better?

Job Description

The Senior Compliance Associate reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.

The Senior Compliance Associate assists the department managers and directors in the implementation of all aspects of the NMHC Corporate Compliance Program, including leading key initiatives as may be required.

Responsibilities:

• Manage all aspects of the Compliance Hotline and compliance issues received via e-mail and phone Help ensure reported issues are appropriately received, evaluated, investigated, documented, and resolved. Respond to queries or allegations and triage issues to appropriate departments when necessary (i.e., Human Resources Compliance).
• Oversee department associates in the resolution of investigations and other audits or projects assigned as part of the department's annual Compliance Work Plan
• Maintain a log / database of all issues received by the department through the compliance hotline, e-mails, phone calls, etc, including those from NMHC affiliates. Document all issues received, actions taken, and resolutions.
• Lead investigations in response to incoming compliance related issues, which may include delegation of matters to other department associates, auditors, managers or directors. Gather all relevant information for potential compliance issues, determine underlying causes, and relate information from different sources to draw logical conclusions.
• Plan and coordinate non-coding and non-billing related audits, reviews and, when necessary, investigations in response to CMS, OIG, and/or other regulatory concerns that emerge throughout the year.
• Perform follow-up, audits, reviews, investigations, and validations.
• Assist Manger, Integrity analyze and communicate observed patterns or problem areas to determine if issues can be prevented by training or need to be elevated to leadership for resolution.
• Support and assist the Manager, Integrity in identifying and assessing areas of compliance risk for NMHC.
• Assist with the development and implementation of the department's annual Compliance Work Plan, leading projects as assigned by the VP, Director, or Manager, Integrity
• Help develop and maintain compliance-related policies and procedures to ensure they are current and relevant. Assist with providing policy-related guidance to individuals and departments.
• Help develop and maintain compliance related education materials and conduct compliance education sessions as may be required
• Perform day-to-day activities with the focus on continuous improvement and customer focus
• Coordinate and facilitate agendas and materials for compliance-related committees
• Help develop department and organizational metrics to clearly and efficiently monitor the organization's compliance with various rules and regulations, policies and procedures, etc.
• Maintain a consistent high level of service.
• Perform other duties assigned by the department Managers, Director, or VP, Integrity

Qualifications

Required:

• Bachelors Degree OR 6 to 8 years of compliance or legal experience
• Demonstrated ability to work with various levels within the organization regarding confidential information and maintain sensitive data.
• Strong written oral and communication skills
• Strong interpersonal and communications skills required. Ability to work collaboratively and communicate with others in a clear, concise, and professional manner on the telephone and in person, as well as, demonstrate use of good written and verbal communication skills.
• Knowledge and experience in using Word, Excel, PowerPoint, Access and similar office programs is required.

Preferred:

• Certified Healthcare Compliance ("CHC") certification preferred.
• Attorney and/or JD
• Healthcare compliance experience preferred.
• Masters Degree in Healthcare Management or related field

Additional Information

Northwestern Medicine is an equal opportunity employer (disability, VETS) and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.

Background Check

Northwestern Medicine conducts a background check that includes criminal history on newly hired team members and, at times, internal transfers. If you are offered a position with us, you will be required to complete an authorization and disclosure form that gives Northwestern Medicine permission to run the background check. Results are evaluated on a case-by-case basis, and we follow all local, state, and federal laws, including the Illinois Health Care Worker Background Check Act.

Artificial Intelligence Disclosure

Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person.


Benefits

We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events.

Click on or copy and paste URL to your browser to view detailed benefits information

NorthwesternMedicine Career Page

Please refer to the Benefits Eligibility by Employment Classification to determine benefits eligibility for job postings.


If sign-on bonus is included in a job posting eligibility is as followed: Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign-on bonus. Exception : New graduate internal employees seeking their first licensed clinical position as a Registered Nurse at NM may be eligible.