Healthcare Compliance Manager

2 weeks ago

Denver, United States Excelon Solutions Full time
Job DescriptionJob Description

Job Description:

Manager Health Care Compliance (Hybrid)

At DaVita, we find that our best leaders are those who create an inspiring vision for the future and empowers their team to achieve success. They have always enjoyed tackling difficult problems and believe that the best way to solve them is through leadership, strategic thinking and collaborative team efforts. They take ownership of results and instill accountability in those they lead. They are driven, strong communicators, relationship builders, and find real fulfillment in challenging work.

Sound like you? Then you might be a great fit for Manager, Health Care Compliance with DaVita.

MINIMUM QUALIFICATIONS

  • Bachelor's degree required; JD/CPA/MBA or other relevant advanced degree or certification preferred.
  • Experience in the health care industry and knowledge of health care fraud and abuse laws and regulations, including the Anti-Kickback Statute is preferred.
  • Minimum of 3-5 years' experience as a legal or compliance professional, or related fields.
  • Demonstrated project management experience, including ability to develop and deliver project plans and timelines to senior leadership.
  • Demonstrated ability to present and communicate effectively with executive management, business leaders, and field employees.
  • Proven track record of collaborative problem solving with senior management and business leaders to achieve business goals.
  • Superior writing and communication skills.
  • Prior experience with providing legal/regulatory advice to health care providers preferred.
  • Prior experience working under or advising clients related to a CIA/DPA or other state/federal regulatory oversight is beneficial.

GENERAL PURPOSE OF THE JOB:

This position will report to the Senior Manager, Home Modalities Compliance and is responsible for the Company's successful execution of several key areas of our day-to-day compliance program including, but not limited to:

  • Supporting the leadership of DaVita's Home National Team and Home operators as part of a compliance team that supports the Home business.
  • Provide compliance guidance and support to the teams above on compliance-related matters, including, but not limited to federal and state fraud and abuse laws, and other health care regulatory laws as such matters arise in the context of Home dialysis services and related business initiatives.

This person will partner with their internal clients to develop, enhance, or sustain compliance program elements for projects related to health care regulatory laws and regulations. This person will also liaise between business clients, legal and compliance to ensure fraud and abuse risk is low.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Core Compliance Functions

  • Interprets and applies the Anti-Kickback Statute and aspects of DaVita's policies and procedures to our referral source agreements, such as medical director agreements, personal services agreements, transactions, and leases.
  • Assists in annual risk assessment process across home dialysis business and assessment of annual compliance plan with actions and timelines.
  • Oversees the development and implementation of home compliance monitoring and auditing in partnership with Senior Compliance Manager.
  • Oversees development, modifications, communications, and implementation of policies and procedures including those related to referral source arrangements, home dialysis, and other compliance-related policies.

Project Management

  • Manage compliance projects, maintain home compliance documentation, and develop and deliver project plans and timelines to senior leadership.
  • Organize, track, and drive progress on projects and tasks across a four-person team
  • Create and maintain project artifacts including project plans, project charters, project dashboards, and supplemental material
  • Facilitate discussions to align resources, overcome roadblocks, and keep on track with project deliverables
  • Collaborates with internal audit teams to design annual audit plan for business.

Stakeholder Management

  • Partners and collaborates with senior leadership and legal counsel to develop guidance on all new and current business initiatives.
  • Partners with other compliance teammates, regulatory attorneys, business attorneys, IT, finance, accounting, and business clients in identifying and resolving compliance matters.
  • Assists development and implementation of compliance communications to key stakeholders.
  • Oversees development, modifications, communications, and implementation of compliance training (e.g., annual compliance training, new policy training) to key stakeholders.
  • Monitors changes in relevant regulatory areas to assess compliance program gaps.

ESSENTIAL BEHAVIORS, SKILLS, AND ATTITUDES REQUIRED FOR SUCCESS IN THIS POSITION

  • Ability to manage and prioritize the work of a team with a broad scope of work.
  • Desire to continually challenge the status quo and ensure processes are accomplishing their goal and do not become ineffective or stagnant.
  • Ability to work with team proactively to identify risks and ensure appropriate risk mitigation strategies are in place.
  • Ability to proactively communicate clearly compliance risk to Senior Leadership and manage expectations with multiple constituencies.
  • Ability to use data and systems to help accomplish broader compliance risk mitigation strategies.
  • Demonstrated business acumen, including the ability to see the "big picture" as well as very detailed and specific business issues.
  • High degree of organization and efficiency.
  • Hands on, efficient and proven ability to "Get [a lot of] Stuff Done" with a bias for action and strong sense of ownership.
  • Minimal travel required.

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