Senior Compliance Associate

The  Senior Compliance Associate reflects the mission vision and values of NM adheres to the organizations 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 departments 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 departments 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 organizations 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.

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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.

Remote Work :

No

Employment Type :

Full-time