Compliance Administrator

3 weeks ago

Detroit, United States Detroit Wayne Integrated Health Network Full time

Under the general supervision of the Vice President of Compliance, the Compliance Administrator assists the Vice President of Compliance in ensuring that the Board, management, and employees of DWIHN are following the rules and regulations of regulatory agencies, that DWIHN policies and procedures are being followed, and that behavior in the organization meets the Network's Standards of Conduct.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

  • Serves as the primary assistant to the Vice President of Compliance for the administration of the DWIHN Compliance Office.
  • Supervises various aspects of the compliance program.
  • Serves as a leader and manages a team of professional investigators and maintains a team-oriented management style.
  • Ensures proper adherence to policies and procedures.
  • Responds to and manages individual compliance cases ensuring departmental compliance with all applicable laws and regulations during departmental actions.
  • Manages and coordinates Compliance Investigations.
  • Trains employees in proper case documentation.
  • Tracks the caseload of the department, including reviewing new cases, tracking case progressions, and ensuring proper case resolution.
  • Partners with colleagues to assist in the development and maintenance of new procedures and operational changes that minimize risk, add value, and anticipate trends in areas of responsibility.
  • Develops and maintains procedures and operational changes that increase productivity, add value, and anticipate trends in areas of responsibility.
  • Maintains meticulous records, including policies, procedures, and compliance documentation, to satisfy client and regulatory agency requirements.
  • Provides oversight of the Certified Community Behavioral Health Clinics (CCBHC) for compliance with SAMSA regulations.
  • Provides indirect oversight of the Community Mental Health Service Providers (CMHSPs).
  • Completes Office of Inspector General (OIG) Reports.
  • Conducts Compliance Staff Training for DWIHN employees.
  • Reviews the DWIHN employee and provider credentialing process for compliance with regulatory standards.
  • Consults with legal counsel as needed to resolve difficult legal compliance issues.
  • Identifies potential areas of compliance vulnerability and risk.
  • Develops and implements corrective action plans for resolution of problematic issues and provides general guidance on how to avoid or deal with similar situations in the future.
  • Provides compliance and other related reports.
  • Researches and analyzes available sources of regulatory guidance in response to specific questions.
  • Monitors available sources of regulatory guidance to proactively address the necessary changes to the HIPAA compliance implementation plan based on documentation and feedback.
  • Maintains a strong working knowledge of applicable regulatory guidelines.
  • Coordinates with the appropriate administrative and support departments to adequately design implementation plans, policies and analyzes the effects of any proposed process changes required by HIPAA.
  • Coordinates the systematic reviews of the various departments' HIPAA compliance status.
  • Performs related duties as assigned.

KNOWLEDGE, SKILLS AND ABILITIES (KSA'S)

  • Knowledge of requirements under Corporate Integrity Agreements (CIAs) and Certificate of Compliance Agreements (CCAs), HIPAA, and the Emergency Medical Treatment and Labor Act (EMTALA).
  • Knowledge of health care fraud and abuse laws, including the False Claims Act, Stark Laws, Sarbanes-Oxley internal controls testing, and the Anti-Kickback Statute, including the associated penalties.
  • Knowledge of health care law, regulations and standards.
  • Knowledge of coding and reimbursement systems, risk management and performance improvement.
  • Knowledge of governmental compliance regulations.
  • Knowledge of DWIHN policies, procedures and practices.
  • Knowledge of the DWIHN provider network and community resources.
  • Knowledge of the Michigan Mental Health Code.
  • Knowledge of MDHHS policies, rules, regulations and procedures.
  • Knowledge of Federal policies, rules, regulations and procedures as it relates to DWIHN.
  • Knowledge of NCQA requirements and the accreditation process.
  • Knowledge of the principles and methodology of total quality management (TQM)/ continuous quality improvement (CQI), specifically the PDSA/PDCA Cycle, quality tools and techniques, and models for improvement.
  • Knowledge of contracting policies and procedures.
  • Knowledge of HIPPA Compliance.
  • Knowledge of Certified Community Behavioral Health Clinics (CCBHC) rules and regulations.
  • Knowledge of SAMSA regulations.
  • Knowledge of Community Mental Health Service Providers (CMHSPs) rules and regulations.
  • Knowledge of Office of Inspector General (OIG) rules and regulations.
  • Supervisory skills.
  • Management skills.
  • Project management skills.
  • Strategic thinking skills.
  • Critical thinking skills.
  • Emotional intelligence skills.
  • Mediation skills.
  • Ethical decision-making skills
  • Rational decision-making skills.
  • Corrective Action skills.
  • Assessment skills.
  • Organizational skills.
  • Planning skills.
  • Accuracy skills.
  • Analytical skills.
  • Time Management skills.
  • Report writing skills.
  • Logical skills.
  • Reasoning skills.
  • Problem Solving skills
  • Decision Making skills.
  • Presentation skills.
  • Interpersonal skills.
  • Public Speaking skills.
  • Multitasking skills.
  • Prioritizing skills.
  • Computer skills
  • Teamwork Skills
  • Ability to communicate orally.
  • Ability to communicate in writing.
  • Ability to work effectively with others.
  • Ability to act ethically and with confidentiality.
  • Ability to work with an ethnically, linguistically, culturally, economically and socially diverse population.
  • Judgement/Reasoning ability.

REQUIRED EDUCATION:

A Bachelor's degree in Business Administration, Healthcare Administration, Public Administration or related field or a Juris Doctorate.

REQUIRED EXPERIENCE:

Eight (8) years of professional experience working in compliance, healthcare, or law with a proven track record in healthcare regulatory matters.

REQUIRED LICENSE(S).

A valid State of Michigan Driver's License with a safe and acceptable driving record.

Certification in one of the following, preferred: CHC, CHPC, CHRC, CHC-F.

WORKING CONDITIONS:

Work is usually performed in an office setting but requires the employee to drive to different sites throughout Wayne County and the State of Michigan. This position can work remotely with supervisory approval. Currently this position is a hybrid position.

This description is not intended to be a complete statement of job content, rather to act as a general description of the essential functions performed. Management retains the discretion to add or change the position at any time.

Please Note: DWIHN requires proof of being fully vaccinated for COVID-19 as a condition of employment. Medical or religious accommodations or other exemptions that may be required by law, will be approved when properly supported. Further information will be provided during the recruitment process.

The Detroit Wayne Integrated Health Network is an Equal Opportunity Employer

  • Compliance Administrator

    3 days ago

    Detroit, United States Detroit Wayne Mental Health Authority Full time

    Job DescriptionJob DescriptionUnder the general supervision of the Vice President of Compliance, the Compliance Administrator assists the Vice President of Compliance in ensuring that the Board, management, and employees of DWIHN are following the rules and regulations of regulatory agencies, that DWIHN policies and procedures are being followed, and that...

  • Compliance Administrator

    3 weeks ago

    Detroit, United States Detroit Wayne Mental Health Authority Full time

    Job DescriptionJob DescriptionUnder the general supervision of the Vice President of Compliance, the Compliance Administrator assists the Vice President of Compliance in ensuring that the Board, management, and employees of DWIHN are following the rules and regulations of regulatory agencies, that DWIHN policies and procedures are being followed, and that...

  • Compliance Analyst- Administrative Special Services Staff II

    7 days ago

    Detroit, United States City of Detroit Michigan Full time

    DEMOLITION DEPARTMENT - Compliance Analyst. The City of Detroit Demolition Department manages the Citys demolition program and the Citys residential stabilization program. These programs are a cornerstone in Mayor Duggans effort to revitalize Detr Compliance Analyst, Administrative, Staff, Compliance, Contractor, Analyst, Retail

  • HUD Compliance Support Specialist

    2 days ago

    Detroit, Michigan, United States ManpowerGroup Full time

    Compliance Support SpecialistDuration: Permanent Position Location : Detroit, MI General Summary The purpose of this position is to work with the Operations and Compliance Manager to provide operational, administrative, statistical, compliance and technical support to the Detroit Housing Commission's Asset Management Public Housing program. This position...

  • HR Compliance

    2 days ago

    Detroit, Michigan, United States teamworkonline Full time

    Amaze, Inspire, UniteJob Summary:As the HR Compliance & Investigations Business Partner, you will play a pivotal role in ensuring our HR policies, procedures, and practices comply with all relevant regulations, laws and internal policies. You will oversee the development, implementation, and monitoring of compliance programs to mitigate risk and ensure...

  • Grants & Compliance Officer

    1 month ago

    Detroit, United States Stafford Gray Full time

    Job DescriptionJob DescriptionWill be fully remote while building is constructed, then will become hybridThe Grants & Compliance Officer in the Grants and Contracts Division of Management and Budget will monitor Wayne County’s compliance with general and specific grant requirements contained in the various Federal, State and local grants awarded to the...

  • Director of Finance and Administration

    2 days ago

    Detroit, United States NPPN Full time

    Job Description Summary of Job Description: The Director of Finance and Administration will serve as the organization's chief financial officer and will also provide leadership of the organization's internal operations. This individual will serve as a key member of the senior leadership team for the organization and will work closely with the President and...

  • Construction Administrator, SFP

    1 week ago

    Detroit, United States CHN Housing Partners Full time

    ::: {align="center"} CHN HOUSING PARTNERS ::: ::: {align="center"} Construction Administrator -- Single Family Preservation ::: ::: {align="center"}   ::: We are a growing non-profit organization based in Cleveland, Ohio that offers its employees a comprehensive benefits package, opportunities to grow within the organization, and the ability to...

  • Construction Administrator, SFP

    2 weeks ago

    Detroit, Michigan, United States CHN Housing Partners Full time

    ::: {align="center"}CHN HOUSING PARTNERS:::::: {align="center"}Construction Administrator -- Single Family Preservation:::::: {align="center"} :::We are a growing non-profit organization based in Cleveland, Ohio that offers its employees a comprehensive benefits package, opportunities to grow within the organization, and the ability to improve the...

  • Office Administrator

    1 week ago

    Detroit, United States DTE Energy Full time

    Job Summary Locations: Stanton, TN This position is responsible for providing administrative support to the Plant Manager and other site employees within the newly constructed Central Utility Plant located at Ford's Blue Oval City complex. Work is performed under direct supervision of the Plant Manager while having a matrixed reporting...

  • Office Administrator

    1 week ago

    Detroit, Michigan, United States DTE Energy Full time

    Job SummaryLocations: Stanton, TNThis position is responsible for providing administrative support to the Plant Manager and other site employees within the newly constructed Central Utility Plant located at Ford's Blue Oval City complex. Work is performed under direct supervision of the Plant Manager while having a matrixed reporting relationship to a Senior...

  • Home Healthcare Administrative Assistant

    1 month ago

    Detroit, United States Crystal Home HealthCare Full time

    Job DescriptionJob DescriptionSalary: Will Be DiscussedAbout Crystal Home Healthcare: With a rich history spanning over 35 years, Crystal Home Healthcare is a Medicare and Medicaid certified home health agency dedicated to providing exceptional healthcare services to homebound patients in the Michigan Tri-County area. Join our seasoned and compassionate team...

  • Director of Finance

    16 minutes ago

    Detroit, United States Accounting Aid Society Full time

    Job Type Full-time Description Job Title: Director of Finance & Administration Reports to: President Job Status: Exempt, Salaried, Full-Time Salary: $90,000 annually Primary Location: New Center, Detroit Through tax assistance, advocacy, small business technical assistance and partnerships, Accounting Aid Society is focused on creating an economy that works...

  • Housing Administrator

    3 weeks ago

    Detroit, Michigan, United States Presbyterian Villages of Michigan Full time

    OverviewSupervises, directs, coordinates and oversees all operations of the Village, including but not limited to management of staff, building operations related to maintenance, vendor relationships, managing within budget, budget development, monitoring and submitting budget and expense requests timely, completing payroll, resident relations, community...

  • Payroll Manager

    1 month ago

    Detroit, United States Columbia University Full time

    Position Summary The Payroll Manager plays a pivotal role in overseeing and managing all aspects of payroll processing within the Department of Medicine. This position involves handling salaried transactions, coordinating with various departments, and ensuring compliance with university payroll policies and procedures. The Payroll Manager works closely...

  • Administrative Officer

    1 week ago

    Detroit, Michigan, United States Veterans Affairs, Veterans Health Administration Full time

    Summary This position serves as the Administrative Officer (AO) for Sterile Processing Service (SPS). Duties consist of the technical analysis, monitoring, evaluation, planning, coordination, and proper execution of the administrative and financial actions within the Service. Assists the Sterile Processing Service Chief in all administrative and management...

  • Director of Finance

    3 days ago

    Detroit, United States Accounting Aid Society Full time

    Job DescriptionJob DescriptionJob Title: Director of Finance & Administration Reports to: PresidentJob Status: Exempt, Salaried, Full-Time Salary: $90,000 annuallyPrimary Location: New Center, Detroit Through tax assistance, advocacy, small business technical assistance and partnerships, Accounting Aid Society is focused on creating an economy that works...

  • Administrative Services Specialist I

    2 days ago

    Detroit, Michigan, United States ThermoFisher Scientific Full time

    Job DescriptionJob Title: Administrative Services Specialist IJob Summary: The Administrative Services Specialist I is responsible for providing comprehensive administrative support to the Site Director and other support functions within the Detroit and Miami sites. This role plays a crucial part in ensuring the smooth operation of the sites. The...

  • administrative support assistant

    2 days ago

    Detroit, Michigan, United States Naval Education and Training Command Full time

    Summary You will serve as a Administrative Support Assistant in the Navy Talent Acquisition Group, Supply Office of NAV RECRUITING DISTRICT MICHIGAN. Responsibilities You will prepare centralized purchase requests for specific, clearly defined supply items, equipment and services. You will assist with the administration and training of all assigned military...

  • Letters of Credit and Trade Services Operations Compliance M

    4 weeks ago

    Detroit, Michigan, United States COMERICA MANAGEMENT CO INC Full time

    Commercial Trade and Letters of Credit - Operations Compliance and Risk ManagerThe Commercial Trade and Letters of Credit - Operations Compliance and Risk Manager is responsible for managing and coordinating all operations risk and compliance activities servicing the Letters of Credit and Trade Services operations in association with the commercial product...