Supports and maintains a Billing Compliance monitoring program that enables the team to monitoring effectiveness of existing and/or new compliance controls
Effectively communicates the results of monitoring to ensure remediation activities are developed and implemented
Collaborates with the business experts on new initiatives to support the design of compliance controls
Manages the consistency of compliance and ethics in area of responsibility by responding to compliance and ethics questions and issues; monitoring laws and regulations for specified area; researching laws, regulations, policies, and procedures; drafting and updating policies and standard operating procedures with input from leadership; collaborating with senior managers to communicate information to associates; monitoring compliance and ethics questions for potential gaps; and recommending and developing strategies for identified compliance and ethics gaps.
Identifies, reports, and addresses compliance concerns by identifying trends and concerns; collecting necessary data; creating reports on findings; communicating findings to senior management; recommending resolutions to the concerns; and completing follow up with field and home office based on findings in reports.
Manages the development, execution, and maintenance of legislation assessment strategy by identifying and investigating relevant proposed legislation; determining implications of legislation on business area; developing plans to adapt to proposed legislation; managing the classification and prioritization of relevant legislation; leading the development and management of a data management program to catalog all legislation and administrative rulemaking to identify predictive trends; supporting the development of long-term national and global regulatory forecasts; and participating in gap analysis studies to identify and react to future regulatory obligations.
Researches high-impact proposed regulatory issues to serve as a subject matter expert to the business by managing tools and resources required to obtain relevant information; managing third-party research and development studies on proposed policy and relevant provisions; identifying internal and external stakeholders likely to be impacted by proposed policies or provisions; researching global regulatory trends; leading impact assessments of proposed policies or provisions; and evaluating research and predictive trends to provide recommendations to leadership.
Supports the development of corporate positions on various overarching issues by reconciling research into refined message for review; managing the analysis, reconciliation, and summary of background research; drafting statements in response to issues and concerns; and presenting impact analyses to leadership.
Additional Preferred Qualifications:
Certifications: Certified Internal Auditor, Certified Information Systems Auditor Certified Healthcare Compliance, Certified Healthcare Privacy Compliance, Certified Compliance & Ethics Professional
Master’s Degree in Healthcare Administration or Juris Doctorate
Experience using tools such as SQL, Hadoop, Alteryx, Tableau
Minimum Qualifications...Outlined below are the required minimum qualifications for this position. If none are listed, there are no minimum qualifications.
Minimum Qualifications: Bachelor's degree in Business, Human Resources, or related field and 2 years’ experience in compliance, ethics, legal, project management, or related area OR 4 years’ experience in compliance, ethics, legal, project management, or related area. 2 years’ experience using intermediate functionality of Microsoft Office.
Preferred Qualifications...Outlined below are the optional preferred qualifications for this position. If none are listed, there are no preferred qualifications.
Masters: Business Administration
Project Management - Project Management Professional - Certification