Health Plan Compliance Officer - Innovation Care Partners

Full Time
Scottsdale, AZ 85258
Posted
Job description
Overview

Looking to be part of something more meaningful? At HonorHealth, you’ll be part of a team, creating a multi-dimensional care experience for our patients. You’ll have opportunities to make a difference. From our Ambassador Movement to our robust training and development programs, you can select where and how you want to make an impact.

HonorHealth offers a diverse benefits portfolio for our full-time and part-time team members designed to help you and your family live your best lives. Visit honorhealth.com/benefits to learn more.

Join us. Let’s go beyond expectations and transform healthcare together.

HonorHealth is a non-profit, local community healthcare system serving an area of 1.6 million people in the greater Phoenix area. The network encompasses six acute-care hospitals, an extensive medical group, outpatient surgery centers, a cancer care network, clinical research, medical education, a foundation, and community services with approximately 13,100 team members, 3,500 affiliated providers and nearly 700 volunteers. HonorHealth was formed by a merger between Scottsdale Healthcare and John C. Lincoln Health Network. HonorHealth’s mission is to improve the health and well-being of those we serve.

As a community healthcare system, we have a unique responsibility to keep our facilities as safe as possible to protect our patients and team members. With this in mind, we require all new hires to have received the first dose of a COVID-19 vaccine before their start date and be scheduled for their second dose. New hires who choose to receive the Johnson & Johnson vaccine only need one dose to fulfill this requirement. Reasonable accommodations will be considered. Please note – this organization is a tobacco free campus. In order to be an eligible candidate you will need to test negative on a tobacco (cotinine) test during prescreening. If you test positive you will be unable to reapply for 30 days. If you test positive a second time you will ineligible to reapply for 1 year.
Responsibilities

Job Summary
Supports overall program initiatives such as the creation, management and reporting of compliance program. Provides education and training offerings; prepares data and reports to monitor the statistical performance of the program and the organization's compliance with key regulatory requirements. Coordinates and maintains key software and information systems applications that support ongoing compliance initiatives. Collaborates with other legal, regulatory affairs, and compliance professionals cross-functionally to ensure regulatory and contractual requirements are met.

Coordinates system-wide Compliance Program support initiatives to ensure the effective operation of ICP’s Health Plan Compliance Program. This may include, but not be limited to, creation/revision of compliance/privacy related policies and procedures; supporting the Executive Leaderships efforts and providing statistical analysis and data reports; assisting in the creation, monitoring and reporting of compliance/privacy auditing and monitoring programs; creation/revision of compliance education and training programs along with data reporting on completion rates; ongoing reporting assistance with reported compliance matters. Investigates reported or identified compliance/privacy matters received through independent surveillance efforts, reports through direct contact from others or through the Compliance Hotline system. Oversees all investigative processes including interviews with key witnesses or subject matter experts; identifies and coordinates corrective action and documents efforts in the compliance matters tracking system for ongoing reporting.

Collaborates with a team that conducts product-specific legal research and monitors changes to requirements to mitigate risks and achieve compliance.
Completes special projects as assigned by the COO to support certain key compliance/privacy risks as they arise. This may include specialized education and training offerings, auditing and monitoring activities, research on creation of corrective action plans/processes, etc.

Assists COO and other Compliance Officers across the HonorHealth system in conducting investigations pursuant to identified or reported compliance/privacy matters.

Maintains key compliance/privacy information systems and underlying processes. This might include such activities as conflict of interest disclosures, policies and procedures management systems, proactive user access monitoring systems, contract management review processes, compliance matters tracking database, monthly sanction screening procedures, etc.

Maintains competency and skills through research and study of industry periodicals, newsletters, journals; attends conferences locally and nationally as appropriate, participates in webinars, etc.

Assists in the annual compliance risk assessment process.
Qualifications

Education
Bachelor's Degree Required

Experience
5 years Experience in a role directly managing key aspects of a compliance program, Experience with managed care and/or government programs and working in a compliance support function. Required

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