Compliance Program Manager

Compliance Program Manager

Looking to be part of something more meaningful? At HonorHealth, you'll be part of a team, creating a multi-dimensional care experience for our patients. You'll have opportunities to make a difference. HonorHealth offers a diverse benefits portfolio for our full-time and part-time team members designed to help you and your family live your best lives. Join us. Let's go beyond expectations and transform healthcare together. HonorHealth is one of Arizona's largest nonprofit healthcare systems, serving a population of five million people in the greater Phoenix metropolitan area. The comprehensive network encompasses six acute-care hospitals, an extensive medical group with primary, specialty and urgent care services, a cancer care network, outpatient surgery centers, clinical research, medical education, a foundation, an accountable care organization, community services and more. With nearly 17,000 team members, 3,700 affiliated providers and close to 2,000 volunteers dedicated to providing high quality care, HonorHealth strives to go beyond the expectations of a traditional healthcare system to improve the health and well-being of communities across Arizona.

Job Responsibilities

The Compliance Program Manager serves as a tactical extension of the Compliance Officer, ensuring the execution of investigations, monitoring activities, and corrective action follow-up. This role provides program-level authority for day-to-day compliance operations. Responsibilities include completing investigations at the direction of the Compliance Officer and / or VP of Compliance, monitoring corrective action plans, and supporting the implementation of special projects or regulatory requirements of an effective compliance program. Supports the ACO's compliance program by carrying out delegated compliance activities in alignment with CMS requirements, ensuring effective implementation of monitoring, investigations, and corrective actions as part of the ACO's participation obligations. The position does not oversee direct reports but exercises programmatic supervisory authority.

• Conducts investigations at the direction of compliance officer for reported or identified compliance matters. Includes conducting interviews, gathering evidence, documentation of investigation efforts, summary of findings in addition to resolution and corrective action plans.
• Conducts ongoing monitoring and auditing activities related to compliance program adherence. Complete special projects as assigned by the VP, Chief Audit & Compliance Officer or Compliance Officer to support certain key compliance / privacy risks as they arise. This may include specialized education and training offerings, auditing and monitoring activities, research and development of corrective action plans / processes, etc.
• Compiles data and develops reporting metrics related to compliance program adherence and monitoring efforts. Creates reports, dashboards, summaries for compliance officers and / or Vice President of compliance. Maintains databases for tracking purposes.
• Development of standardized training and education resources and / or tools-based industry trends, organizational need and or regulatory guidance.
• Maintains competency and skills through research and study of industry periodicals, newsletters, journals; attends conferences locally and nationally as appropriate, participates in webinars, etc.

Education

Bachelor's Degree Required. Master's Degree or JD - Preferred.

Experience

5 years working in health care compliance function. Direct involvement in compliance program implementation or oversight. Experience with ACO compliance, revenue cycle, coding, healthcare operations, or risk management is beneficial Required.

7 years working in a compliance support function. Experience in a revenue cycle, coding, healthcare operations, risk management or legal role beneficial - Preferred.

License and Certifications

CHC - Certified Compliance Professional - Certified Healthcare Compliance (CHC), Certified in Healthcare Privacy Compliance (CHPC) or Certified Internal Auditor (CIA), or other compliance related certification - Required.