Shire Veteran Jobs

Job Information

UnityPoint Health Regional Compliance Officer Hospital-Provider Based Services in West Des Moines, Iowa

Role will support the Quad Cities and Peoria Regions; candidates must be close to these areas.

Responsible for region’s Hospital and Provider Based Clinic Compliance Program. The Regional Compliance Officer Hospital and Provider Based Services (“Regional Officer”)is charged with executing the UPH Compliance Program locally and delivering appropriate, risk-based compliance policies and procedures and monitoring, auditing and training programs in support of UnityPoint Health’s strategies and initiatives.

Department Execution / Program Management

  • Serve as a role model for ethical management behavior and promote an awareness and understanding of positive ethical principles and compliance with federal and state law in all areas of compliance and privacy.

  • Serve as the internal compliance consultant for the organization coordinating all activities from a system perspective at the regional level. Respond to all compliance inquiries from management, providers, and staff members.

  • Provide overall responsibility for the regional execution, implementation and administration of a comprehensive, organization-wide compliance program.

  • Ensure region’s compliance with all local, state, and federal laws and regulations, organizational policies, and accreditation and licensure requirements.

  • Collaborate with other Regional Officers to prepare for, and respond to, proposed or existing regulations that may impact region’s operations.

  • Responsible for monitoring and reporting results of compliance efforts and providing guidance to the region’s administrative leadership on all matters related to compliance.

  • Assess region’s risk and participate in the development of the annual UPH Compliance Work Plan.

  • Work with the management team in the design, implementation, and monitoring of compliance initiatives to ensure adherence to compliance standards.

  • Provide support in reviewing contracts to determine compliance with regulatory guidelines and Fair Market Value.

  • Regularly review region’s compliance programs, recommend appropriate revisions and modifications, and advise administrative leadership of potential risk areas.

  • Develop and oversee implementation of appropriate compliance-related education for new employees and existing staff members.

  • Develop and oversee implementation of corrective action plans.

  • Coordinate internal investigations, in consultation with UPH Legal Counsel and UPH Compliance Officer of Hospital and Provider Based Services, related to compliance issues/concerns compiling information for review with Compliance Committee to determine appropriate action.

  • Meet with providers and/or staff to discuss compliance related issues requiring action.

  • Chair the Region’s Compliance Committee.

  • Participate in Compliance Committees at both region and system levels.

  • Manage the region’s 855 Facility reporting.

  • Support an environment of innovation, learning, teamwork and professional practice, consistent with the mission, vision and values of the organization.

  • Consult the administrative leadership and operations to help ensure all regional services, policies and procedures are in compliance with agency standards, regulatory mandates, accrediting bodies and federal, state and local regulations as appropriate.

  • Work closely with appropriate departments to verify that all employees, independent contractors and vendors are properly screened to prevent affiliation with individuals who are excluded from federally-funded health care programs.

  • Function as the Compliance Officer for the region.

  • Collaborate with UnityPoint Health affiliates in building strong relationships in areas of responsibilities.

  • Perform other duties as requested by the UPH Chief Compliance Officer, or his/her designee, to facilitate the smooth and effective operations of the office.

Education:

  • Master’s degree in business or health care administration or equivalent combination of education and experience.

Experience:

  • 5 years previous experience in health care compliance, health care agency, or government affairs.

  • Clinical experience a plus.

License(s)/Certification(s):

  • Healthcare Compliance Certification (CHC) or obtained within the first year.

  • Valid driver’s license when driving any vehicle for work-related reasons.

Knowledge/Skills/Abilities:

  • Proven record of advanced skills in planning, problem solving and decision making.

  • Strong analytic ability.

  • Knowledge of personnel administration and patient relation principles.

  • Knowledge of organizational policies, procedures and systems.

  • Knowledge of Federal, State, and local laws and regulations.

  • Knowledge of revenue cycle.

  • Ability to relate to people in a manner to win confidence and establish support to meet the overall mission of the organization.

  • Strong computer skills including knowledge and experience with Microsoft Office software applications.

  • Ability to be very detail oriented with the ability to manage incoming requests and provide reliable and timely responses.

  • Writes, reads, comprehends and speaks fluent English

  • Multicultural sensitivity

  • Ability to take initiative and exercise independent judgment. Strong decision- making and problem-solving skills.

  • Ability to manage multiple priorities.

  • Ability to understand and apply guidelines, policies and procedures.

  • Ability to work as a team member.

Requisition ID: 2021-100294

Street: 1776 West Lakes Pkwy

Name: 9010 Administration

FTE (Numeric Only; Ex. 0.01): 1.0

FLSA Status: Exempt

Scheduled Hours/Shift: Days; Monday-Friday

External Company URL: http://www.unitypoint.org

DirectEmployers