Compliance Manager - Investigations - Health Alliance Plan - Troy
Company: Henry Ford Health System
Posted on: March 25, 2020
GENERAL SUMMARY:Plan, lead and manage the day-to-day operation
of the Compliance Program, regulatory audit, FDR oversight, and
risk assessment for all HAP and HAP subsidiary lines of business.
Responsible, under the direction of the Director-Compliance, to
provide overall strategic direction to manage compliance. Develop
and implement compliance processes, compliance risk assessments and
assist in the development of compliance education. Act as a liaison
for the Compliance department, collaborating with key departments
and Compliance Leads to ensure policies and procedures are
designed, developed, and implemented to ensure compliance and
collaborate with cross-functional teams to develop, enhance and
implement departmental compliance programs to promote continued
awareness and adherence to compliance. Manage audit activities
related to compliance issues and violations including coordinating
with business units and departments to monitor and assess
violations, ensure timely investigations and corrective actions as
well as tracking of violations for the purpose of annual
reporting.PRINCIPAL DUTIES AND RESPONSIBILITIES:
- Develop and implement annual compliance work plans, risk
assessments and other compliance program materials that reflect and
address mitigation requirements for compliance program risks.
Assist in development of policies and procedures in accordance with
compliance rules and regulations.
- Disseminate written policies and procedures related to
- Manage regulatory audit program to ensure compliance procedures
- Lead, plan, develop and conduct education and training
activities related to compliance activities and topics.
- Develop presentations and educational materials for departments
and individuals at all levels to provide education and compliance
- Represent Director-Compliance when necessary to facilitate
- Implement monitoring and reporting process regarding all
ongoing compliance activities under the direction of the
- Oversee the analysis and investigation of compliance
- Conduct routine audits of the compliance program.
- Perform other duties as assigned.EDUCATION/EXPERIENCE REQUIRED:
- Bachelors degree in health careadministration, public health,
business, or related field. Master's preferred.
- Minimumof five (5) years experience in insurance industry which
- Experience in healthcare compliance
- Experience with Affordable Care Act, Medicare Advantage, Part
D,and Medicaid compliance regulations
- Working knowledge of corporate compliance
- Two (2) yearsexperience in a managerial/supervisory position
and with leading staff inprojects within a health care environment
- Certificationor designation in health care or managed care a
plusOverviewUnder the leadership of President and CEO Wright L.
Lassiter, III, Henry Ford Health System is a$6 billion integrated
health system comprised of six hospitals, a health plan, and 250+
sitesincluding medical centers, walk-in and urgent care clinics,
pharmacy, eye care facilities andother healthcare retail.
Established in 1915 by auto industry pioneer Henry Ford, the health
systemnow has 32,000 employees and remains home to the 1,900-member
Henry Ford Medical Group, oneof the nations oldest physician
groups. An additional 2,200 physicians are also affiliated with
thehealth system through the Henry Ford Physician Network. Henry
Ford is also one of the regions major academic medical centers,
receiving between $90-$100 million in annual research funding
andremaining Michigans fourth largest NIH-funded institution. Also
an active participant in medicaleducation and training, the health
system has trained nearly 40% of physicians currently practicingin
the state and also provides education and training for other health
professionals including nurses,pharmacists, radiology and
respiratory technicians. visitHenryFord.com.BenefitsWhether it's
offering a new medical option, helping you make healthier lifestyle
choices ormaking the employee enrollment selection experience
easier, it's all about choice. HenryFord Health System has a new
approach for its employee benefits program - My ChoiceRewards. My
Choice Rewards is a program as diverse as the people it serves.
There aredozens of options for all of our employees including
compensation, benefits, work/life balanceand learning - options
that enhance your career and add value to your personal life. As
anemployee you are provided access to Retirement Programs, an
Employee Assistance Program(Henry Ford Enhanced), Tuition
Reimbursement, Paid Time Off, Employee Health and Wellness, and a
whole host of other benefits and services. Employee's classified as
contingent status are not eligible for benefits. Equal Employment
Opportunity/Affirmative Action EmployerEqual Employment Opportunity
/ Affirmative Action Employer Henry Ford Health System iscommitted
to the hiring, advancement and fair treatment of all individuals
without regard torace, color, creed, religion, age, sex, national
origin, disability, veteran status, size, height,weight, marital
status, family status, gender identity, sexual orientation, and
genetic information,or any other protected status in accordance
with applicable federal and state laws.
Keywords: Henry Ford Health System, Troy , Compliance Manager - Investigations - Health Alliance Plan - Troy, Executive , Troy, Michigan
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