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Providence Health & Services Compliance Manager in Missoula, Montana

Description:

Providence St. Joseph Health is calling a Manager Compliance (WA/MT) to our location in Spokane, WA.

We are seeking a Manager Compliance (WA/MT) to be responsible for the daily oversight and management of compliance activities of the Compliance and Privacy Services within a specific region. This position will also serve as the Regional Privacy Officer for the region. Compliance services are provided to all divisions within the region. The primary role of this position will be to administer compliance program activities and objectives as set forth by PSJH Compliance Officer and the Compliance program. The Regional Compliance Manager (RCM) will work with and be supported by professional staff of the Compliance Department. The RCM will partner with management to assess and manage risk as it relates to operations in the region.

The RCM will assemble, chair region compliance committees to support and promote compliance program objectives. The RCM will assist management in the assessment and managing of risk and providing timely and relevant communication on such matters.

This position includes some overnight travel, and routine inter-facility commuting. The RCM may be called upon to perform critical assignments or projects outside of their region because of their unique knowledge or experience.

The incumbent performs all duties in a manner that promotes Providence St. Joseph Health mission, values, and philosophy. In all aspects, he/she serves as a role model for the values and mission of the organization.

In this position you will have the following responsibilities:

  • Supervise the daily work of assigned compliance professional staff including scheduling, monitoring, and coaching. Assure work product is completed accurately and timely in accordance with the RIS Division Manual, as appropriate. Assure workplace behaviors are consistent with Providence mission and values

  • Manage staff as direct reports or as assigned to specific projects and initiatives

  • Manage the Providence St. Joseph Health Compliance and Privacy Programs within areas of accountability. This includes managing responses to Integrity Line inquiries, Proactive Privacy Monitoring events, and compliance and privacy matters in accordance with RIS standards and applicable regulations

  • Continuously monitor for changes in the organizational regulatory and compliance risk profile and/or operational environment. Collaborate with System Integrity, Department of Legal Affairs, and other groups to evaluate impact to the compliance program, and communicate changes, as needed

  • Manage recommendation development and report writing process to assure risk and control deficiencies are properly addressed. Direct staff in monitoring open recommendations assuring collaboration with client management to complete action plans and mitigate risk in a timely manner

  • Cooperate with federal or state investigators or other legal entities in any compliance review or investigations

  • Serve as chair of regional compliance and privacy committees including appropriate agendas, actions plans, follow-up and reporting

  • Represent RIS either directly or as back-up to Senior Director/AVP on regional or shared services committees, councils, or initiatives

  • Lead the new hire recruiting and selection process including salary negotiation, with Senior Director/AVP approval. Perform or coordinate new hire on-boarding and training

  • Manage staff career development through goal setting, cross-training, and challenging and varied work assignments

  • Function as an advocate for compliance and enforcement of all regional policies and procedures of a compliance nature

  • Work with the Regional Director and management to ensure the regions internal controls are capable of detecting significant instances of illegal, unethical or inappropriate conduct by employees, medical staff, agents or others working or contracting in the region

Qualifications:

Required qualifications for this position include:

  • Bachelor's Degree in Healthcare, Business Administration, Accounting, Finance, Management Information Systems or related fields of study

  • 7 years of progressive compliance/privacy experience is required. However, experience in internal/external audit, revenue cycle, information security, accounting, finance, healthcare administration and related fields can be used to substitute for compliance experience on a two for one basis for up to two years

  • 2 years of prior supervisory or lead experience

  • One of the following is required; two is preferred. A JD degree may be substituted for the required certification. Other healthcare related certifications may be considered on a case by case basis. Certifications and licenses must be maintained current.

Certified in Healthcare Compliance, Healthcare Privacy Compliance, Healthcare Privacy & Security, Compliance & Ethics Professional, CPA or Certified Internal Auditor

  • Valid Driver's License

  • Ability to hire, develop, motivate, and retain staff, and to apply disciplinary and performance improvement actions when necessary to maintain team cohesion and work product quality

  • Ability to understand and interpret complex legal documents, state and federal regulations, payor requirements, and contracts

  • Ability to manage compliance team on multiple projects and tasks simultaneously, assuring staff stay focused on key risks and perform work within budget and timeframes, and in accordance with RIS compliance practice standards

  • Ability to analyze risk based on investigative results and understanding of the broader internal and external environment in order to develop and negotiate practical and creative solutions with stakeholders

  • Knowledge of healthcare regulatory and compliance requirements and ability to evaluate the impact of regulatory changes on Providence St. Joseph Health operations and the Integrity, Compliance & Privacy Program

  • Thorough understanding of Enterprise Risk Management practice standards and use of RIS tools such as its project management application, case management application and other databases

  • Prior healthcare experience

Preferred qualifications for this position include:

  • Master's Degree in Business Administration or Healthcare Administration or Juris Doctor (JD) degree

About the department you will serve.

Providence Strategic and Management Services provides a variety of functional and system support services for all eight regions of Providence St. Joseph health from Alaska to California. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.

We offer a full comprehensive range of benefits - see our website for details

http://www.providenceiscalling.jobs/rewards-benefits/

Our Mission

As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.

About Us

Providence Health & Services is a not-for-profit Catholic network of hospitals, care centers, health plans, physicians, clinics, home health care and services guided by a Mission of caring the Sisters of Providence began over 160 years ago. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

Schedule: Full-time

Shift: Day

Job Category: Compliance

Location: Washington-Spokane

Other Location(s): Montana-Missoula

Req ID: 225580

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