Audit Compliance Manager

Corewell Health • $88K — $105K *
Grand Rapids, MI 49504In-Person
Healthcare
5 - 7 years of experience
Today
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Job Overview by Ladders

Qualifications

  • Bachelor's Degree in business, health care operations/management, nursing, or related field
  • 5 years of experience in health care operations, auditing, or compliance
  • 1 year of supervisory/management experience preferred
  • Master's Degree in business or health care operations/management preferred
  • Relevant certifications such as Certified in Healthcare Compliance (CHC), Certified in Healthcare Privacy Compliance (CHPC), or Certified Professional Coder (CPC) preferred

Responsibilities

  • Assist in developing and managing Compliance Department Centers of Expertise (COEs)
  • Manage and hold team accountable for deliverables and performance
  • Direct compliance investigations and collaborate with legal counsel when necessary
  • Establish and update standards, procedures, and methodologies for COEs
  • Ensure accurate documentation and reporting for compliance activities
  • Collaborate with operational leaders to improve business processes and mitigate risks
  • Monitor legal and regulatory developments impacting health care compliance and communicate changes

Benefits

  • Comprehensive benefits package for financial, health, and work/life balance
  • On-demand pay program for flexible payment options
  • Discounts on various services and products
  • Optional identity theft protection and home/auto insurance
  • Retirement options including traditional and Roth with service contributions and matching
Full Job Description
Scope of Work

The Audit Compliance Manager assists in the overall development, management, implementation and oversight of one or more Corewell Health Compliance Department Centers of Expertise (COEs).

Essential Functions
  • Assists in the overall development, management, implementation and oversight of one or more Corewell Health Compliance Department Centers of Expertise (COEs).
  • Manages the team members assigned to the COE(s). Assumes accountability for the team's deliverables, ensuring the achievement of team goals and objectives in addition to individual goals and objectives. Completes performance reviews, recommends and initiates personnel actions such as interviewing, hiring, performance correction and terminations.
  • Assists in and, as needed, may direct compliance investigations and works with assigned Compliance team members to determine the appropriate handling of issues. May perform investigations at the direction of legal counsel and, in that event, works with legal counsel in the course of such investigation to provide guidance, recommendations and other assistance as requested. May work with external regulatory agencies and legal counsel to resolve compliance issues.
  • Develops and maintains COE and program standards, procedures and methodologies. Continually evaluates existing processes in the COE/Compliance Department and works to implement improvements.
  • Develops and implements effective systems to ensure accurate documentation. Ensures availability of all reports and records for area(s) of responsibility. Assists in the compilation and production of reports to the Corewell Health Boards of Directors and Compliance Committees.
  • Collaborates with operational leaders and teams at Corewell Health and Priority Health to change and improve business processes to support, and mitigate risks to, the organization and patient/member rights. Collaborates with other key internal stakeholders, including legal, internal audit, risk management and finance departments, leaders and team members.
  • Responsible for monitoring developments related to laws and regulations impacting health care delivery and health insurance, as well as industry trends in health care corporate compliance programs. Assists in communicating these developments and responsible for leading the development/modification of policies and procedures to accommodate any legal/regulatory changes and updates. May assist in developing and deploying training to staff in a variety of venues and service areas with respect to compliance topics, requirements and initiatives as well as Corewell Health.


Qualifications

Required:
  • Bachelor's Degree or equivalent business, health care operations/management, nursing or other related area. Required
  • 5 years of relevant experience health care operations, auditing, health care compliance. Required

Preferred:
  • 1 year of relevant experience supervisory/management. Strongly Preferred
  • Preferred Master's Degree business, health care operations/management, nursing or other health care area
  • Healthcare Compliance, Certified (CHC) - HCCA Health Care Compliance Association 1 Year preferred Or
  • Healthcare Privacy Compliance, Certified (CHPC) - 1 Year preferred Or
  • Certified Professional Coder (CPC) preferred

How Corewell Health cares for you
  • Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here.
  • On-demand pay program powered by Payactiv
  • Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
  • Optional identity theft protection, home and auto insurance
  • Traditional and Roth retirement options with service contribution and match savings
  • Eligibility for benefits is determined by employment type and status


Primary Location
SITE - Corewell Health Place - 100 Corewell Drive NW - Grand Rapids

Department Name
System Compliance - Corporate

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.

About Corewell Health

Corewell Health Careers

Joining Corewell Health presents an unparalleled opportunity to become part of a leading team of healthcare professionals dedicated to excellence. Corewell Health is renowned for its commitment to innovation, leadership, and providing superior healthcare services.

Explore Job Opportunities

Corewell Health is actively seeking talented individuals who are eager to contribute to a dynamic healthcare environment. The company offers a variety of job opportunities that cater to a range of skills and experiences. Whether you're a seasoned professional or a recent graduate, Corewell Health has a position that could be the perfect fit for your career ambitions.

Internship Programs

For those just starting their professional journey, Corewell Health provides robust internship programs designed to foster skills development and offer real-world experience in the healthcare industry. Internships at Corewell Health are a stepping stone to full-time employment and offer invaluable networking opportunities within the healthcare sector.

Growth and Development

Career growth is a cornerstone of employment at Corewell Health. The company supports its team members' professional development through comprehensive training programs, including leadership training and diversity training. These initiatives ensure that every team member has the tools and knowledge necessary to excel in their roles and advance within the company.

Benefits and Culture

Corewell Health is committed to creating a workplace culture that values diversity and inclusion. Employees enjoy a competitive package of benefits that supports both their professional and personal lives. The company's culture promotes teamwork and respect, making it an ideal environment for those who value collaboration and innovation.

Hiring Process

The hiring process at Corewell Health is designed to be transparent and efficient. Candidates are encouraged to submit a resume and may be invited for an interview to discuss their qualifications and career goals in more detail. Corewell Health values a thorough approach to ensure that all potential team members align with the company’s values and vision for the future.

Networking and Professional Development

Corewell Health believes in the power of networking and encourages its employees to engage with one another and the broader healthcare community. This engagement fosters a sense of community and collaboration, which is critical in the fast-paced world of healthcare.

Join the Team

Corewell Health is continuously looking for passionate, curious, and solution-driven individuals to join their ranks. Explore the open positions at Corewell Health by searching their Jobs and Careers page. Discover how your expertise and ambitions can contribute to the transformative work happening at Corewell Health.

Stay Connected

Keep up to date with the latest from Corewell Health by following their Careers Blog. Gain insights from insiders, learn more about the company culture, and stay informed about new job openings and company news.

Job Alert Emails

Personalize your subscription to receive job alerts and insider tips directly from Corewell Health. Tailor your preferences to see what exciting and rewarding opportunities await in the field of healthcare. By joining Corewell Health, individuals are not just finding a job; they are stepping into a career filled with potential for growth, professional development, and the chance to make a significant impact in the healthcare industry.
Learn more about Corewell Health
Industry
Hospitals & Medical Centers
* Ladders Estimates

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