Compliance Senior Consultant

Banner Health   •  

Phoenix, AZ

Not Specified years

Posted 318 days ago

This job is no longer available.

Job Summary

This position coordinates Banners Compliance Program and its related policies, procedures, processes and activities. Based on area of assigned responsibility, assists in actively managing compliance-related matters by region, business area or facility. Such matters include assisting compliance personnel throughout Banner, helping develop and distribute compliance documents, providing compliance training and education, conducting compliance investigations and reports, monitoring and auditing activities, responding to allegations of improper or illegal activities, and investigating and remediating identified systemic problems.

Essential Functions

  • Manages highly complex and sensitive questions, concerns and complaints related to compliance matters, providing answers and support to system, divisional, regional and facility leadership. Ensures that reasonable steps are taken to respond timely and appropriately to compliance issues and concerns.
  • In consultation with others in the Compliance and Legal Departments, manages Banners response to governmental or other third-party audits, investigations or inquiries. Works with system-wide groups and committees to develop policies or processes to address identified issues.
  • Supports the system, division, regional or facility compliance management staff by responding to questions or concerns, researching matters of note, providing training as necessary and developing processes and procedures to remediate concerns or issues.
  • Stays knowledgeable on current compliance-related laws and regulations through personal initiative, seminars, training programs and peer contact.

Minimum Qualifications

Must possess a strong knowledge of business and/or health care compliance as normally obtained through the completion of a bachelors degree in business administration, accounting/finance, or health care related field.

Requires knowledge of laws and regulations pertaining to health care, regulatory compliance, Medicare/Medicaid and/or financial reimbursement systems.

Must possess strong planning skills and problem solving skills. Must possess strong oral and written communication skills to effectively interact with senior management team, physicians and federal and state governing bodies. Must also possess highly effective negotiation skills to communicate and interact with senior management team and physicians.

Preferred Qualifications

Master's degree and/or professional designations preferred. Previous payer, health care or academic compliance experience preferred as relevant.

Additional related education and/or experience preferred.

Job Number 215725