As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!
This position will support a Culture of Compliance within the organization through:
Client Outreach and Engagement
Proactively building relationships with market and regional client compliance contacts, in conjunction with Coniferâ��s Client Delivery partners, to ensure alignment when addressing compliance concerns.
Monitoring client-specific trends and collaborating with client compliance contacts to reduce compliance risks specific to the client.
Responding to, investigating, and resolving more complex and potentially higer risk compliance matters referred through Coniferâ��s centralized compliance matter management process.
Communicating with clients and collaborating with internal business partners including, but not limited to: Human Resources, Legal, Information Security, Client Delivery, and Operations, as needed, throughout the investigation process.
Identifying trends in the compliance matter management process at client sites and within specific service lines and work with operational partners to mitigate future compliance issues of similar types.
Continuously working to improve efficiency within the compliance matter management process.
Identifying monitoring and auditing opportunities to reduce risk and/or recurring compliance matters.
Risk Identification and Remediation
Reviewing compliance matter metrics to identify risk areas that require mitigation.
Advising the Compliance Leadership Team on new and emerging compliance risks within the field.
Advising on content for training tools that can be used to mitigate potential compliance matters.
Partnering with service line leaders to develop effective remediation plans for substantiated compliance matters.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
Respond to, investigate, and resolve potential compliance matters referred through Coniferâ��s centralized compliance matter management process.
Partner with clients and internal stakeholders, both proactively and throughout the compliance investigation process, to ensure alignment in the management of compliance risk.
Support a Culture of Compliance through contributions to various process improvement initiatives focused on reducing compliance risk within the organization.
Advise on Ethics and Compliance program training and awareness initiatives and risk remediation efforts.
Review and advise on new and emerging compliance risks as it relates to compliance matters.
Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.
KNOWLEDGE, SKILLS, ABILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Demonstrates ability to interact and influence at a professional level
Proficient in federal program requirements and hospital compliance program obligations
Uses initiative and discretion in accomplishing duties with minimum supervision
Excellent writing, communication, and organization skills
Demonstrates positive attitude, the ability to work with others, and a desire to learn
Uses systematic approach to problem solving and troubleshooting
Strives to exceed goals and expectations
Team player with a collaborative attitude with the capacity to work in a dynamic and fast-paced environment
Ability to work under deadlines and manage multiple projects
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience required to perform the job.
Bachelorâ��s degree in relevant discipline required.
Certification in Healthcare Compliance (CHC), Certification in Compliance and Ethics (CCEP), and/or Certified Fraud Examiner (CFE) strongly preferred.
Requires excellent research, critical thinking, and analytical skills and exceptional written and verbal communication kills.
Minimum requirement: Five (5) years in a health care field with specific emphasis on regulatory issues, policy development, billing and revenue cycle compliance.
Must have intermediate to expert proficiency in Microsoft Office applications.
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Must be able to work in a sitting position, use computer, and answer telephone
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Normal office work environment
Ability to travel up to 30%
Employment practices will not be influenced or affected by an applicantâ��s or employeeâ��s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet Healthcare Corporation (NYSE: THC) is a diversified healthcare services company headquartered in Dallas with 112,000 employees. Through an expansive care network that includes United Surgical Partners International, we operate 65 hospitals and approximately 510 other healthcare facilities, including surgical hospitals, ambulatory surgery centers, urgent care and imaging centers and other care sites and clinics. We also operate Conifer Health Solutions, which provides revenue cycle management and value-based care services to hospitals, health systems, physician practices, employers and other clients. Across the Tenet enterprise, we are united by our mission to deliver quality, compassionate care in the communities we serve.