Compliance Partner Physician Compensation

Corewell Health
Grand Rapids, MI Full Time
POSTED ON 10/19/2023 CLOSED ON 11/8/2023

What are the responsibilities and job description for the Compliance Partner Physician Compensation position at Corewell Health?

Job Summary

The Compliance Partner will partner with leaders to provide strategic compliance guidance related to Stark Law, Anti-Kickback Statue (AKS) and Physician compensation.

Responsible for creating and maintaining positive relationships between client groups and the Compliance Centers of Expertise (COEs) to create and sustain a proactive compliance program. Including consulting with legal attorneys.

Responsible for strategically advising on division-wide (Corewell West, South and East) and client group specific initiatives that address strategic and operational goals. Acts as a valuable member of teams to solve complex compliance challenges and offer operational leaders with novel solutions and ideas. Will partner with leaders to provide support related to compliance, privacy, accreditation and regulatory issues or projects.

The Compliance Partner will collaborate with the Compliance COEs in creating and developing programs that will support the strategies, initiatives and goals of the organization.

Remote work for this position may be approved based on policy and business considerations. Some states are not eligible for remote work (CA & NY).
 

Essential Functions

  • Strategically advise on division-wide and client group specific initiatives that address strategic and operational goals. Provide strategic compliance guidance and support to leaders on issues related to compliance, privacy, accreditation and regulatory requirements while ensuring a collaborative and engaged work environment.

  • Acts as a valuable member of project teams to solve complex compliance challenges and offer operational leaders with novel solutions and ideas. Drives business growth by advising on compliance and regulatory considerations for new business ventures. Support operational teams by identifying risk mitigation techniques and/or activities to support project or program development.

  • Utilizes resources within the Compliance COEs to identify strategic needs of client groups to drive culture of accountability and desired work environment for the business. Works with operational leaders to implement developed by the Compliance COEs. Shares client and business insights with the Compliance COEs to shape risk assessments, work plans and education to create and sustain a best-in-class compliance program.

  • Acts as an informal mentor, coach and leader to the Compliance Generalists.

  • Leads or performs investigations and audits of compliance issues and/or works with Compliance COEs and legal counsel to determine the appropriate handling of such issues. Directs and oversees resolution of compliance issues referred for investigation. From time to time, performs investigations at the direction of legal counsel and works with legal counsel in the course of such investigation to provide guidance, recommendations and other assistance as requested by legal counsel. In such cases, the employee will report directly to legal counsel as opposed to employee’s leadership, and such work with legal counsel shall be confidential and protected from disclosure by the attorney client privilege and work product protection.

  • Provides support to and/or facilitates operational and Board compliance committees.

  • Works with operational leaders and Compliance COEs to develop and monitor internal controls including corrective action in response to investigations and audits to detect and/or prevent illegal, unethical or improper conduct by employees, agents, affiliated providers or others within the health system.

  • Responsible for knowledge and interpretation of various rules, regulations and standards that impact healthcare delivery; in consultation, as necessary, with legal counsel and Compliance COEs. Responsible for communicating such rules, regulations, and standards to leadership and team members through a variety of means.

Qualifications

  • Required Bachelor's Degree Business, health care operations, nursing or other related area, or equivalent combination of education and experience

  • 7 years of relevant experience Progressive compliance experience and/or clinical or operational leadership experience Required

  • 3 years of relevant experience Compliance experience Preferred

  • 3 years of relevant experience Leading system-wide and/or client group specific projects Preferred

  • 3 years of relevant experience Partnering with those in higher level leadership roles Preferred

  • 3 years of relevant experience Strategic planning, financial planning and operational business discussions Preferred

  • 3 years of relevant experience in Law, corporate integrity agreements, and regulations preferred

  • 3 years Legal experience regarding Physician Compensation, Physician Contracting, STARK Law and Anti-Kickback statue preferred

  • CRT-Healthcare Compliance, Certified (CHC) - HCCA Health Care Compliance Association 1 Year preferred Or

  • CRT-Fraud Examiner - UNKNOWN Unknown 1 Year preferred Or

  • CRT-Internal Auditor, Certified (CIA) - UNKNOWN Unknown 1 Year preferred Or

  • CRT-Healthcare Privacy Compliance, Certified (CHPC) - UNKNOWN Unknown 1 Year preferred Or

  • CRT-Healthcare Research Compliance, Certified (CHRC) - CCB Compliance Certified Board 1 Year preferred

  • CRT-Healthcare Research Compliance, Certified (CHRC) - HCCA Health Care Compliance Association 1 Year preferred

    Physical Demands

    • Pallet to Waist (6" from floor) > 5 lbs: Seldom up to 10 lbs
    • Waist to Waist > 5 lbs: Seldom up to 10 lbs
    • Waist to Chest (below shoulder) > 5 lbs: Seldom up to 10 lbs
    • Waist to Overhead > 5 lbs: Seldom up to 10 lbs
    • Bilateral Carry > 5 lbs: Seldom up to 10 lbs
    • Unilateral Carry > 5 lbs: Seldom up to 10 lbs
    • Pushing Force > 5 lbs: Seldom up to 10 lbs
    • Pulling Force > 5 lbs: Seldom up to 10 lbs
    • Sitting: Frequently
    • Standing: Occasionally
    • Walking: Occasionally
    • Forward Bend - Standing: Seldom
    • Forward Bend - Sitting: Occasionally
    • Trunk Rotation - Standing: Seldom
    • Trunk Rotation - Sitting: Occasionally
    • Reach - Above Shoulder: Seldom
    • Reach - at Shoulder or Below: Seldom
    • Handling: Occasionally
    • Forceful Grip > 5 lbs: Seldom
    • Forceful Pinch > 2 lbs: Seldom
    • Finger/Hand Dexterity: Frequently

    Primary Location

    SITE - 320 Michigan St - Grand Rapids

    Department Name

    System Compliance

    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. That is why we require a drug-free workplace and various vaccinations as a requirement for employment.

    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.

    If you are a qualified individual with a disability, you may request assistance in completing the application process by calling 616.486.7447. We are committed to granting reasonable accommodations in accordance with applicable laws.

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