Cleveland Clinic
Description
Join the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare. At Cleveland Clinic, you will work alongside passionate and dedicated caregivers, receive endless support and appreciation, and build a rewarding career with one of the most respected healthcare organizations in the world.
As a Corporate Compliance Program Manager, you will manage and coordinate activities related to compliance with Federal, State and local laws, regulations, internal policies and procedures, and professional ethics related to Cleveland Clinic’s Main Campus or regional hospitals.
The ideal future caregiver is someone who:
- Has direct experience and knowledge of Federal, State and local healthcare laws and regulations.
- Can apply laws and regulations within/to healthcare operations.
- Has a high level of understanding of international laws and regulations around privacy, data security and anti-corruption.
- Can work with all levels within the organization on compliance issues arising through the Corporate Compliance Program
- Is organized and self-motivated with proficient communication skills.
Responsibilities
- Assists the Director with developing and administering the CC Compliance Program.
- Facilitates annual risk assessments by responsible CC departments, Institutes and/or hospitals and performs gap analysis.
- Monitors compliance with policies and action plans and measures effectiveness of the Program.
- Assists Director with developing or revising policies and procedures to comply with changes in the law or regulations as necessary and appropriate.
- Receives compliance complaints and inquiries and ensures all compliance matters are appropriately investigated.
- Assists in preparing formal responses to governmental or other regulatory audits and inquiries.
- Maintains accurate documentation of all complaints, investigative findings, corrective actions and final resolutions.
- Promptly informs Director or Chief Compliance Officer of any matter warranting their attention.
- Works directly with Institute, Department, or Hospital compliance representatives, providing technical assistance as needed to develop, implement and maintain effectiveness of their respective Compliance Programs.
- Assesses compliance education needs for the CC workforce and develops content and curriculum of compliance training.
- Maintains current knowledge of compliance laws, regulations and trends.
- Assures timely training of new workforce members and periodic re-training of the workforce and maintains documentation of same.
- Other duties as assigned.
Education
- Bachelor's degree from an accredited college or university or equivalent experience in healthcare or finance field.
- Graduate degree preferred.
Certifications
- Preferred candidates will be certified in one of the healthcare compliance disciplines, licensed as a Registered Nurse (RN), or to practice law in the State of Florida.
Complexity of Work
- Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision.
- Must be able to work in a stressful environment and take appropriate action.
Work Experience
- A minimum of three years recent experience in healthcare compliance, billing, coding, reimbursement, clinical trials research, and/or information management required.
- Three years direct experience and knowledge of Federal, State, and local healthcare laws and regulations.
- Ability to apply laws and regulations within healthcare operations.
- Ability to work with all levels within the organization on compliance issues arising through the CC Compliance Program.
- Strong written and oral communication skills, particularly with patients, governmental and other regulatory agencies, business associates or others.
- Project management experience and an excellent understanding of root cause analysis or process improvement is desired.