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Job Description:

The Compliance Partner serves as a subject matter expert and consultant on an assigned Compliance & Ethics risk area. This position is accountable for an assigned portfolio of highly complex and sensitive projects and processes and may be involved with actual implementation of initiatives, oversight, support, monitoring or committee involvement to ensure successful implementation and sustainment. The Compliance & Ethics Partner is responsible to educate leaders, physicians, and clinicians and caregivers.

Position Details:

This individual will report directly to the AVP of Regulatory Compliance and work closely with the Commercial and Medicare Compliance Directors to ensure that there is no duplication of efforts. This position's main responsibilities are in the areas of regulatory research and implementation. Incumbent will be responsible for monitoring Select Health’s compliance with various regulations at a high level, answering all questions related to regulatory interpretation, and perform risk assessments to ensure the entity’s compliance with both regulatory and delegated contractual requirements.

This role will work Monday-Friday during regular business hours. Incumbent may work remotely, but must reside in a state in which Select Health has a presence (Utah, Colorado, Idaho, or Nevada).

Essential Functions

+ Establishes and maintains effective relationships and communication channels with internal and external stakeholders.

+ Promotes effective mechanisms to encourage a culture of compliance and reporting.

+ Leads or participates in cross functional teams to address regulatory risk and implement regulatory requirements through projects and assignments.

+ Evaluates and identifies risks, and develops and leads corrective action plans across an assigned portfolio of products, service lines or geographies.

+ Proposes plans to adjust organizational risk response. Leads implementation of changes, with oversight and direction.

+ Develops and implements corrective action plans and remediation measures to address any compliance issues or deficiencies identified by internal or external audits, investigations, or regulatory agencies.

+ Monitors and analyzes changes in the regulatory environment and enforcement landscape, and assesses the impact and implications for the organization. Implements monitoring and auditing activities based on industry best practices.

+ Provides guidance and support to leaders and business units on regulatory compliance issues and requirements, and proposes recommendations and solutions to ensure compliance.

+ Develops and delivers compliance education and training programs to relevant stakeholders, such as employees, providers and business partners.

+ Investigates and responds to compliance complaints, allegations, or incidents, and coordinates with legal counsel, human resources, and other departments as appropriate.

+ Identifies and implements best practices and continuous improvement initiatives to enhance the regulatory compliance performance and culture of the organization.

+ Promotes a culture of compliance and ethics and reduces Intermountain's risk of Government audits, fines, penalties and sanctions through close coordination with Compliance Department leadership.

Skills

+ Compliance Programs

+ Leadership

+ Relationship Building

+ Communication

+ Risk Compliance

+ Confidentiality

+ Facilitator

+ Problem Solving

+ Collaboration

+ Critical Thinking

Minimum Qualifications

+ High School Diploma or GED required.

+ Demonstrated professional experience in a regulatory, compliance or risk management role in the healthcare sector.

+ Demonstrates thorough knowledge and understanding of federal and state laws and regulations related to health care billing, coding, reimbursement, contracting, and risk adjustment, such as Medicare, Medicaid, HIPAA, False Claims Act, Anti-Kickback Statute, Stark Law, and MACRA.

+ Ability to interpret and apply complex healthcare regulations in a healthcare system and to assess and evaluate gaps with demonstrated knowledge of the healthcare industry.

+ Demonstrates strong communication, presentation and interpersonal skills with the ability to influence and collaborate with diverse stakeholders.

+ Demonstrated discretion to maintain confidential information, evaluate alternatives, and make effective decisions.

+ Demonstrated experience implementing the eight elements of an effective compliance program.

+ Demonstrates high ethical standards, integrity, and professionalism, with a commitment to Intermountain Health's mission, vision, values, and compliance framework.

Preferred Qualifications:

+ Skills and experience with reading, interpreting, and communicating regulations, both new and existing.

+ JD preferred.

Physical Requirements:

+ Ongoing need for employee to see and read information, labels, monitors, identify equipment and supplies, and be able to assess customer needs.

+ Frequent interactions with customers that require employee to communicate as well as understand spoken information, alarms, needs, and issues quickly and accurately.

+ Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer, phone, and cable set-up and use.

+ Expected to lift and utilize full range of movement to transport, pull, and push equipment. Will also work on hands and knees and bend to set-up, troubleshoot, lift, and carry supplies and equipment. Typically includes items of varying weights, up to and including heavy items.

+ For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.

Location:

SelectHealth - Murray

Work City:

Murray

Work State:

Utah

Scheduled Weekly Hours:

40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

$50.22 - $77.53

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits package here (https://intermountainhealthcare.org/careers/benefits) .

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.

All positions subject to close without notice.