Granger Medical
  • West Jordan, UT, USA
  • $80,000
  • Salary
  • Full Time

Senior Compliance Manager

Reporting to the President and CEO of Granger Medical Clinic (Granger), the Senior Compliance Manager will provide direct oversight of Granger's compliance plan and program by ensuring compliance and privacy regulations adherence.  The incumbent will be responsible for developing and maintaining an effective compliance program that prevents, detects, and corrects non-compliance issues with applicable laws and regulations. This position will be responsible for 1 FTE.   

Essential Functions and Duties

  • Provide direct oversight of the compliance plan and program, including but not limited to the following: billing and coding, privacy, conflicts of interest, anti-kickback and physician self-referral, HIPPA Privacy, Stark law, and fraud, waste, and abuse (FWA)
  • Maintain Granger's code of conduct, privacy policy, compliance plan and other compliance related policies and procedures
  • Handles highly sensitive and confidential information discreetly with interdepartmental personnel, clinical staff, patients and families, and insurance companies
  • Maintain current knowledge of applicable federal and state laws and regulations that impact Granger and address new and emerging requirements
  • Review and analyze contracts for legal and compliance regulations, requirements, and statutes
  • Partner with outside legal counsel and vendors on compliance issues, as needed
  • Conduct timely investigations of identified compliance issues and consult with leadership
  • In conjunction with President and CEO, establish and coordinate Granger's Compliance Committee
  • Manage Granger's Compliance Hotline
  • Other duties as assigned

Required Skills

  • Expert level of understanding in; HIPAA, Privacy Act, FWA, Stark and Anti-kickback laws, and Medicare/Medicaid regulations
  • Able to read, analyze, and comprehend complicated contract requirements, regulations, and statutes
  • Excellent knowledge of legal, ethical, and compliance procedures, regulations, and requirements
  • Able to juggle competing demands and priorities while meeting strict deadlines and maintaining strong attention to detail
  • Strong analytical, project management, and problem-solving skills
  • Comfortable leading in an environment of constant change and ambiguity
  • Demonstrated working experience and expertise in negotiating privacy and data protection agreements, including business associate agreements and data use agreements
  • Ensures appropriate records are maintained
  • Strong written and verbal communication skills

Education and Experience

  • Bachelor's degree in Business or Healthcare Administration or related field required
  • Master's degree in Business, Healthcare Administration, or Compliance preferred
  • 3-5 years' experience reviewing and understanding contracts required
  • 4-5 years' experience in healthcare compliance roles required
  • Actively holds healthcare compliance certification (CHC, CHPC or similar) or is willing to obtain certification within the first two years of employment

Physical Requirements and Working Conditions

  • Sedentary work, requiring lifting up to 10 lbs.
  • Repetitive motion associated with operating a computer and other office equipment
  • Inside, climate-controlled working conditions
Granger Medical
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