Summary of Primary Function/General Purpose of Position
This position contributes to the Bon Secours Mercy Health mission and vision by supporting compliance activities within their assigned functional area as part of the overarching BMSH compliance program.
Essential Job Functions
Essential Functions
Works collaboratively with the Compliance team members and key stakeholders across the system to implement the compliance program elements for the functional area(s).Assists in the development of the annual compliance workplan within assigned functional areas by performing risk assessments including interviewing operational staff, reviewing high risk areas highlighted by government agencies, identifying risk areas through data analytics and reviewing industry experts' trends. Investigate potential compliance incidents and ensure appropriate corrective action in accordance with applicable legal requirements and organizational policies and procedures. Serves as a subject matter expert in assigned functional areas by researching compliance issues and providing compliance guidance regarding application and implementation of legal requirements and organizational policies and proceduresProvide educational updates regarding changes in legislation, regulations and other requirements impacting assigned functional areasUtilizes data analytics techniques, statistical analysis and modeling, and databases developed internally, or in conjunction with other third-party vendors to detect and trend potential compliance issues.Assists in the development of corrective action plans (CAP), oversight tools to support operational efforts. Assists in tracking of all activities related to the CAP.Maintains working knowledge of laws, regulations, guidance and certifying organizations requirements that may impact assigned functional areas.Perform audits and monitoring within assigned functional areas; recommend, capture and monitor corrective action plans through implementationAssist with periodic reviews and revisions of the Compliance policies, protocols and proceduresDevelops educational content and trending of non-compliant activities to enhance proficiency and competency, understanding of standards and the consequences of non-compliance. Prepares multi-faceted oral, written and electronic communications and presentations to facilitate discussion, networking, decision-making and proactive responses to meet current and emerging challenges among affected parties and entities.This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.Employment Qualifications
Education Qualifications -
Required Minimum Education:
Undergraduate Degree
Specialty/Major
Bachelor’s degree; Healthcare, Business administration or related field.
Licensing/ Certification -
Licensure/Certification Preferred
CHC
Minimum Qualifications
Minimum Years and Type of Experience
Three to five years of in-depth experience within healthcare operations or compliance related activities.
Other Knowledge, Skills and Abilities Required
Demonstrated working knowledge of Department of Health and Human Services Office of Inspector General (OIG) and Centers for Medicare and Medicaid Services (CMS) rules, regulations and compliance guidance.
Other Knowledge, Skills and Abilities Preferred
Excellent analytic and problem-solving skills to reports, identify compliance risks and prioritize recommendations. Demonstrate ability to effectively and confidently communicate and discuss compliance findings with management.
Many of our opportunities reward* your hard work with:Comprehensive, affordable medical, dental and vision plans
Prescription drug coverage
Flexible spending accounts
Life insurance w/AD&D
Employer contributions to retirement savings plan when eligible
Paid time off
Educational Assistance
And much more
*Benefits offerings vary according to employment status
All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Mercy Health – Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email recruitment@mercy.com. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at recruitment@mercy.com