Audit Compliance Manager

About Corewell Health

Our new name signals our bold commitment to health and wellness. At our core we are here to help people be well so they can live their healthiest life possible. Through health care and health coverage we create more value. Through compassion collaboration clarity curiosity and courage we make anything and everything possible. Through our people we care for the whole person with respect dignity and love. Everyone deserves opportunities and resources for better health. Everyone deserves our relentless pursuit to innovate and always do better. Everyone deserves to have a community be a great place to live work learn and play. We believe health and well-being should be within reach for all. We believe the system to support the entire health and wellness journey starts with prevention. We believe that together we will make a difference. Together we are here to make health better for everyone. Together we are Corewell Health.

Scope of Work

The Audit Compliance Manager assists in the overall development management implementation and oversight of one or more Corewell Health Compliance Department Centers of Expertise (COEs).

Essential Functions

• Assists in the overall development management implementation and oversight of one or more Corewell Health Compliance Department Centers of Expertise (COEs).
• Manages the team members assigned to the COE(s). Assumes accountability for the teams deliverables ensuring the achievement of team goals and objectives in addition to individual goals and objectives. Completes performance reviews recommends and initiates personnel actions such as interviewing hiring performance correction and terminations.
• Assists in and as needed may direct compliance investigations and works with assigned Compliance team members to determine the appropriate handling of issues. May perform investigations at the direction of legal counsel and in that event works with legal counsel in the course of such investigation to provide guidance recommendations and other assistance as requested. May work with external regulatory agencies and legal counsel to resolve compliance issues.
• Develops and maintains COE and program standards procedures and methodologies. Continually evaluates existing processes in the COE/Compliance Department and works to implement improvements.
• Develops and implements effective systems to ensure accurate documentation. Ensures availability of all reports and records for area(s) of responsibility. Assists in the compilation and production of reports to the Corewell Health Boards of Directors and Compliance Committees.
• Collaborates with operational leaders and teams at Corewell Health and Priority Health to change and improve business processes to support and mitigate risks to the organization and patient/member rights. Collaborates with other key internal stakeholders including legal internal audit risk management and finance departments leaders and team members.
• Responsible for monitoring developments related to laws and regulations impacting health care delivery and health insurance as well as industry trends in health care corporate compliance programs. Assists in communicating these developments and responsible for leading the development/modification of policies and procedures to accommodate any legal/regulatory changes and updates. May assist in developing and deploying training to staff in a variety of venues and service areas with respect to compliance topics requirements and initiatives as well as Corewell Health.

Qualifications

Required:

• Bachelors Degree or equivalent business health care operations/management nursing or other related area. Required
• 5 years of relevant experience health care operations auditing health care compliance. Required

Preferred:

• 1 year of relevant experience supervisory/management. Strongly Preferred
• Preferred Masters Degree business health care operations/management nursing or other health care area
• Healthcare Compliance Certified (CHC) - HCCA Health Care Compliance Association 1 Year preferred Or
• Healthcare Privacy Compliance Certified (CHPC) - 1 Year preferred Or
• Certified Professional Coder (CPC) preferred

How Corewell Health cares for you

• Comprehensive benefits package to meet your financial health and work/life balance goals. Learn more here.
• On-demand pay program powered by Payactiv
• Discounts directory with deals on the things that matter to you like restaurants phone plans spas and more!
• Optional identity theft protection home and auto insurance
• Traditional and Roth retirement options with service contribution and match savings
• Eligibility for benefits is determined by employment type and status

Primary Location

SITE - Corewell Health Place - 100 Corewell Drive NW - Grand Rapids

Department Name

System Compliance - Corporate

Employment Type

Full time

Shift

Day (United States of America)

Weekly Scheduled Hours

40

Hours of Work

8 a.m. to 5 p.m.

Days Worked

Monday to Friday

Weekend Frequency

N/A

CURRENT COREWELL HEALTH TEAM MEMBERS Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.

Corewell Health is committed to providing a safe environment for our team members patients visitors and community. We require a drug-free workplace and require team members to comply with the MMR Varicella Tdap and Influenza vaccine requirement if in an on-site or hybrid workplace category. 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. We invite those that share in our commitment to join our team.

You may request assistance in completing the application process by calling View phone number on drjobpro.com.

Required Experience:

Manager