This position follows a hybrid work model, with an average of two days onsite per week. Onsite expectations may vary based on business needs, team priorities, and scheduled meetings.Step into a pivotal role as a Revenue Cycle Compliance Partner at Corewell Health - serving as a trusted strategic advisor and key voice in advancing our culture of integrity and accountability. In this dynamic role, you'll partner with leaders across the organization - particularly within revenue cycle - to guide system-wide initiatives, assess risk, and shape the future of compliance at every level. Acting as both consultant and collaborator, you'll help uncover process opportunities, provide regulatory guidance, and support informed decision making that drives ethical, compliant operations. This is an exciting opportunity for someone who thrives on navigating complexity, building relationships, and serving as a trusted expert in Revenue Cycle compliance.
As a Compliance Partner, you'll step into a learning focused environment. You will play an active role in solving challenges, supporting leaders, and ensuring our processes reflect the highest standards of transparency and accountability.
If you are a curious, confident, and collaborative professional who enjoys asking the right questions, guiding others through complexity, and building trust with leaders at all levels - we'd love to hear from you! Join us in shaping a compliant and ethical future at Corewell Health.
Job SummaryResponsible for strategically advising on system-wide and client group specific initiatives and risks. Responsible for creating and implementing one or more compliance programs that will support the strategies, initiatives and goals of the organization and address key risks or risk areas. Responsible for partnering with leaders to provide strategic compliance guidance. Accountable for creating, facilitating and maintaining positive relationships between client groups and the Compliance department. Acts as a valuable member of operational teams to solve complex compliance challenges.
Essential Functions- Strategically advises on system-wide and client group specific initiatives that address strategic and operational goals. Provides strategic compliance guidance and support to leaders on issues related to compliance 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. Supports operational teams by identifying risk mitigation techniques and/or activities to support project or program development. Provides exceptional customer service. Facilitates effective communications to promote team member and leadership engagement with compliance.
- Collaborates with leaders in building a strong culture of accountability. Collaborates with Compliance team as needed to ensure consistency in daily practice.
- Acts as a mentor, coach and informal leader for Compliance Analysts, Liaisons and Specialists.
- Leads or performs investigations and audits of compliance issues. Directs and oversees resolution of compliance issues referred for investigation. From time to time, performs investigations at the direction of legal counsel following appropriate attorney-client privilege guidelines.
- 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 of laws and regulations impacting health care delivery and/or coverage depending on client group assignments. Applies laws and regulations in daily situations while educating others through various means including formal training. Performs or supports related assessments to assure compliance to laws, regulations and policies/procedures.
QualificationsRequired
- Bachelor's Degree or equivalent in business, health care operations, nursing or other related area, or equivalent combination of education and experience
- 7 years of progressive compliance experience and/or clinical or operational leadership experience
Preferred
- 3 years of relevant experience with the following:
- Compliance experience
- Leading system-wide and/or client group specific projects
- Partnering with those in higher level leadership roles
- Strategic planning, financial planning and operational business discussions
- Any of the following certifications within 1 year after hire:
- CRT-Healthcare Compliance, Certified (CHC) - HCCA Health Care Compliance Association Or
- CRT-Professional Coder - AAPC American Academy of Professional Coders Or
- CRT-Coding Specialist (CCS) - AHIMA American Health Information Management Association Or
- CRT-Fraud Examiner (CFE) - ACFE Association of Certified Fraud Examiners Or
- CRT-Internal Auditor, Certified (CIA) - IIA Institute of Internal Auditors Or
- CRT-Healthcare Privacy Compliance, Certified (CHPC) Or
- CRT-IRB Professional, Certified (CIP) - Or
- CRT-Healthcare Research Compliance, Certified (CHRC) - CCB Compliance Certified Board
- CRT-Healthcare Research Compliance, Certified (CHRC) - HCCA Health Care Compliance Association
Primary LocationSITE - Corewell Health Place - 100 Corewell Drive NW - Grand Rapids
Department NameSystem Compliance - Corporate
Employment TypeFull time
ShiftDay (United States of America)
Weekly Scheduled Hours40
Hours of Work8 a.m. - 5 p.m.
Days WorkedMonday to Friday
Weekend FrequencyN/A
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