Compliance Program Manager - Physician Compliance

Job Description

Description

Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina.

Summary:

The Program Manager will be assigned to support the Physician Compliance Department. Under the supervision and direction of senior leadership, the Program Manager implements the essential elements of UNC Health's systemwide Compliance Program, such as educating and training teammates, investigating actual or potential misconduct, conducting audits, monitoring ongoing risks to the organization, and developing policy guidelines. Responsibilities will also include but are not limited to: facilitating management responses to audit findings, coordinating and leading governance and oversight committee meetings, advising network entity leadership and management, assessing and mitigating network entity risks, and providing such other professional services as may be directed by senior leaders.

Responsibilities:

The Program Manager will play a critical role in overseeing and coordinating initiatives related to regulatory requirements and/or ethical standards within UNC Health:

• Leads the day-to-day operations of UNC Health's Hospital Compliance or Physician Compliance program, ensuring that all activities are aligned with legal requirements, industry standards, and organizational policies.
• Develops, implements, and monitors compliance initiatives to ensure they meet regulatory standards and mitigate risk.
• Ensures timely identification, reporting, and resolution of compliance issues across the organization.
• Promotes adherence to relevant federal and state laws and regulations, as well as UNC Health policies and procedures.
• Monitors changes in healthcare regulations and provide updates and guidance to leadership and teammates.
• Oversees the development and maintenance of policies and procedures that support UNC Health's compliance with relevant healthcare laws.
• Conducts regular assessments to identify areas of risk within UNC Health operations. Implements risk mitigation strategies and act as the key liaison for any compliance audits or investigations.
• Designs, implements, and manages training programs for UNC Health teammates on compliance and/or ethics topics.
• Coordinates and provides ongoing education to senior leadership, clinical teammates, and other departments as needed.
• Develops and maintains a compliance monitoring plan, including audits, internal investigations, and reviews of health system practices.
• Tracks and reports on program performance metrics and issues related to compliance to senior leadership and regulatory bodies.
• Collaborates with the Internal Audit and Legal departments. Collaborates with various departments including Legal, ISD, Risk Management, and others to promote compliance with legal and regulatory requirements and collaborative program management.
• Leads efforts to continuously improve the compliance program through feedback from audits, assessments, and teammate suggestions.
• Stays current on best practices and trends within healthcare compliance and apply them to the Compliance Program.

Other Information

Education Requirements:

Associate's OR Bachelor's degree in an appropriate discipline.

Licensure/Certification Requirements:

Health care compliance certification required within two (2) years of employment ( e.g., CHC; CHPC; CPC; etc.)

Professional Experience Requirements:

If Master's degree, three (3) years of experience in health care, audit, coding, revenue cycle, legal, privacy, regulatory compliance, and/or other relevant experience.

If Bachelors degree, five (5) years of experience in health care, audit, coding, revenue cycle, legal, privacy, regulatory compliance, and/or other relevant experience.

If Associates degree, seven (7) years of experience in health care, audit, coding, revenue cycle, legal, privacy, regulatory compliance, and/or other relevant experience.

Knowledge/Skills/and Abilities Requirements:

Excellent written and verbal communication skills. Proven ability to lead complex project initiatives, develop and implement program strategies, and manage multiple projects simultaneously. Thorough knowledge of health care regulations, principles, concepts and practices; Ability to be flexible in accordance with business needs; Ability to provide strategic advice, develop options, analyze risks, make good judgements, and solve problems; Able to develop highly effective working relationships by building credibility, respect and rapport with internal and external customers; Able to effectively and creatively challenge people, situations and current thinking; Proven ability to secure and analyze a range of quantitative and qualitative information and use this in developing strategies, plans, policies and solutions that meet individual and organizational needs; Computer skills including Outlook, Word, Excel.

Job Details

Legal Employer: NCHEALTH

Entity: Shared Services

Organization Unit: Physician Compliance

Work Type: Full Time

Standard Hours Per Week: 40.00

Pay offers are determined by experience and internal equity

Work Assignment Type: Hybrid

Work Schedule: Day Job

Location of Job: US:NC:Morrisville

Exempt From Overtime: Exempt: Yes

This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job.

Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.

UNC Health makes reasonable accommodations for applicants and employees religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email [email protected] if you need a reasonable accommodation to search and/or to apply for a career opportunity.