Compliance Analytics Program Director-Supervisor

Job Number
203459
Banner Health (Corporate)
Shift
Day
Department
Banner Health (Corporate) - Compliance-Corp/SS
Position Type
FT: Full-Time
Street Address
1441 North 12th Street
City & State
US-AZ-Phoenix
Posting Category
Leadership - Non-Clinical
New Grad
No

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Banner Health is currently seeking a Compliance Analytics Program Director Supervisor to join the Ethics & Compliance Department.  This position is located at Banner Corporate Center Phoenix Plaza, off Central & Thomas.

 

The Ethics & Compliance Department is responsible for developing, implementing, and overseeing all aspects of Banner's Corporate Compliance Program. This includes compliance personnel, compliance documents, compliance training and education, reporting and investigating compliance matters, monitoring and auditing to identify and reduce compliance violations, preventing and responding to allegations of improper or illegal activities, and enforcing compliance and disciplining non-compliance.

 

The position provides data analytics oversight for the Corporate Compliance department. Provides expertise on highly complex systems, system applications, large database and advanced data analytic tools to perform data mining and trending analysis to mitigate risk. Must possess working knowledge and project management utilizing standard data analytic tools and reporting.

 

Examples of data tools  - SSMS, SSRS, Teradata and healthcare financial and clinical systems.

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About Banner Health Corporate
Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.

 

Truven-2013
Stage7-2013

About Banner Health
Banner Health is one of the largest, nonprofit health care systems in the country and the leading nonprofit provider of hospital services in all the communities we serve. Throughout our network of hospitals, primary care health centers, research centers, labs, physician practices and more, our skilled and compassionate professionals use the latest technology to change the way care is provided. The many locations, career opportunities, and benefits offered at Banner Health help to make the Banner Journey unique and fulfilling for every employee.

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Job Summary

This position provides analytical support for the organization's compliance functions which include assuring billing and business practices conform to federal, state, and local laws, regulations, and policies. Plans, coordinates and manages audits, monitoring activities, and third-party investigations and litigation Communicates the results of audits effectively, providing meaningful recommendations and feedback to management to strengthen the compliance culture of the organization. Works cooperatively with the organizations compliance officers and other auditors (internally/ externally) to ensure the timely completion of audits and the development of corrective action plans.

 

Essential Functions

  • Assists Compliance Audit Sr. Director in the process of assessing organizational compliance risk. Based on the assessment an annual compliance audit plan is developed which appropriately allocates audit resources to the areas of greatest compliance risk to the organization. Coordinates, plans, and executes audits by working with managers and appropriate staff to develop audit programs that document, assess, and monitor compliance with applicable requirements.

 

  • Contributes to the system-wide compliance audit and monitoring functions by directing related activities. This includes directing investigations and monitoring compliance activities in accordance with compliance program standards, policies and procedures. Reviews and ensures compliance with federal and state regulations imposed by government agencies and others. Advises on audit controls for internal processes ensuring appropriate measures are in place for accurate, complete and compliant programs throughout the system. Proactively identifies areas throughout Banner where there may be substantial risk of unlawful or unethical conduct and responds accordingly in a timely fashion, including encouraging local reporting of potential issues.

 

  • Coordinates and manages externally contracted audits as needed to assure completion of the annual compliance audit work plan. Provides initial education to external auditors to ensure their understanding and adherence to Banner compliance audit standard operating processes and related policies & procedures. Provides quality review to ensure reliability and accuracy of the audit services completed by external contracted audit groups.

 

  • Communicates the audit plan and process so those being audited understand the requirements and expectations. Listens effectively throughout the audit process in order to understand. Communicates results through reports and exit conferences that strengthen the effectiveness of the compliance program. Facilitates and/or provides training as required to correct problems identified during audits. Assists facilities/medical groups in the development of corrective action plans based on audit results and conducts follow up audits where needed.

 

  • Oversees the thorough documentation of all compliance audit related activities for the system to ensure compliance with federally mandated reporting requirements. Ensures reporting requirements are maintained in a timely and accurate fashion for the system, including the resolution of each audit issue identified and closed. Reports on matters of business ethics, legal compliance and operations of the program. With minimal supervision, is responsible for writing any and all related documents, reports, executive and Board presentations. Able to provide professional presentations, training sessions, reports and updates to Banner board members, committees, executive leaders, regional and facility leaders, as well as the community.

 

  • Supports the compliance management staff throughout their assigned facilities or areas, including providing ongoing support in the development of specific compliance goals and objectives. This position also acts as a resource to compliance management as needed or requested to address and resolve compliance related issues. Participates in various system committee meetings at appropriate levels based on the need and direction of the Sr. Dir. Compliance Audit.

 

  • Maintains a current awareness of compliance-related laws and regulations, keeping abreast of current changes that may affect health care systems through personal initiative, seminars, training programs and peer contact.

 

  • This position may supervise audit staff. This includes directing personnel actions including recruiting, new hire actions, interviewing and selection of new staff, salary determinations, training and personnel evaluations.

 

 

Minimum Qualifications

Must possess a strong knowledge of business and/or healthcare 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, physician billing and information systems, Medicare/Medicaid and 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 negotiating skills to communicate and interact with senior management team and physicians.

Preferred Qualifications

Masters Degree preferred; previous health care compliance experience preferred; minimum 3 years of healthcare management experience preferred.Additional related education and/or experience preferred, such as being certified as a Registered Health Information Technician (RHIT), Certified Professional Coder (CPC or CPC-H), or Certified Coding Specialist (CCS or CCS-P) or other relevant healthcare field.

Additional related education and/or experience preferred.