OverviewAs part of Optum, SCA Health is redefining specialty care by developing more accessible, patient-centered practice solutions for a network of more than 370 ambulatory surgical centers, over 400 specialty physician practice clinics and numerous labs and surgical hospitals. Our work spans a broad spectrum of services, all designed to support physicians, health systems and employers in delivering efficient, value-based care to patients without compromising quality or autonomy.
What sets SCA Health apart isn't just what we do, it's how we do it. Each decision we make is rooted in
seven core values:
- Clinical quality
- Integrity
- Service excellence
- Teamwork
- Accountability
- Continuous improvement
- Inclusion
Our values aren't empty words - they inform our attitudes, actions and culture. At SCA Health, your work directly impacts patients, physicians and communities. Here, you'll find opportunities to build your career alongside a team that values your expertise, invests in your success, and shares a common mission to care for patients, serve physicians and improve health care in America.
At SCA Health, we offer a comprehensive benefits package to support your health, well-being, and financial future. Our offerings include medical, dental, and vision coverage, 401k plan with company match, paid time off, life and disability insurance, and more. Please visit, https://careers.sca.health/why-sca, to learn more about our benefits.
Your ideas should inspire change. If you join our team,
they will.
ResponsibilitiesAs a member of the Regulatory Compliance team, the Compliance Manager will primarily focus on leading compliance investigations to ensure adherence to regulatory standards across all SCA Health (SCAH) affiliated facilities. The Compliance Manager will also assist in the day-to-day support of the operations of the Regulatory Compliance Department. The Compliance Manager will work closely with the Compliance Operations team to ensure the compliance program is carried out to all SCAH facilities.
Key Responsibilities:
- Lead compliance-related investigations to identify, analyze, and resolve issues of non-compliance, including suspected fraud, abuse, or misconduct.
- Collaborate with relevant departments and stakeholders to develop and implement corrective action plans based on investigation outcomes.
- Assist with management of Regulatory Compliance Leads program
- Manage the compliance diligence, integration, and acquisition processes
- Manage compliance support functions performed by the Compliance Operations team (exclusion screenings, hotline, joint venture slides, etc.)
- Working effectively with other departments/external sources
- Working as part of a team who support each other to accomplish set goals and objectives together
Qualifications- Strong understanding of healthcare compliance and compliance related principles
- Strong understanding of regulatory compliance processes and internal controls
- Strong critical thinking, organizational skills and an orientation to deadlines and detail
- Demonstrate independence in solving complex issues
- Proven ability to conduct thorough investigations, manage sensitive matters, and develop appropriate corrective action plans.
- Clear, concise and persuasive writing and communication skills, particularly in reporting investigative findings and presenting recommendations.
- Ability to draft and revise documents including policies and standards
- Flexible attitude and open to changes in the day-to-day work schedule
- Strong skills in use of information systems, databases, Excel, and Microsoft Word
- Excellent teamwork and interpersonal skills
- Strong mission and values commitment; natural cultural fit
Education and Work Experience:
- Bachelor's Degree required.
- 5+ years' experience in health care compliance, audit, quality assurance, or other similar field.
- Demonstrated experience in conducting compliance investigations, with a proven track record of managing complex compliance issues.
Certifications:
If not already achieved, obtain either of the below certifications within first two years of employment:
- Certification in healthcare compliance (CHC)
Other considerations (not requirements):
- Certified Fraud Examiner (CFE) credential
- Clinical experience in an ambulatory or surgical setting preferred
- Project management experience
- Coding experience
- Audit experience
USD $105,000.00/Yr. USD $115,000.00/Yr.
