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!
JOB SUMMARY The Compliance Investigations Associate will support a Culture of Compliance within the organization through:
Compliance Investigations â�¢ Responding to, investigating, and resolving potential compliance matters referred through Coniferâ��s centralized compliance matter intake process. â�¢ 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. â�¢ Identifying potential trends in the compliance matter management process at client sites and working with operational partners to mitigate future compliance issues of similar types. â�¢ Continuously working to improve efficiency with the compliance matter management process. â�¢ Identifying risk-based monitoring and oversight opportunities to reduce recurring compliance matters.
Special Projects â�¢ Assist the Ethics and Compliance program leadership with risk assessments and process improvement-related project. â�¢ Provide insight into training and educational opportunities to effectively manage compliance risk.
ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. â�¢ Respond to, investigate, and resolve potential compliance matters through Coniferâ��s centralized compliance matter management process. â�¢ Communicate with clients and internal stakeholders both proactively and throughout the compliance investigation process. â�¢ Support a Culture of Compliance through contributions to various process improvement initiatives focused on mitigating compliance risk within the organization. â�¢ Identify and provide insight on training tools and educational materials that can be used to effectively mitigate compliance risk.
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.
â�¢ Knowledge of federal program requirements, hospital compliance program obligations, and relevant International, State and Federal privacy and security laws, including the Health Insurance Portability and Accountability Act (HIPAA) â�¢ Demonstrates ability to interact and influence at a professional level â�¢ Uses initiative and discretion in accomplishing duties with minimum supervision â�¢ Demonstrates positive attitude, the ability to work with others, and a desire to learn â�¢ Uses systematic approach to problem solving and trouble shooting â�¢ Strives to exceed goals and expectations â�¢ Team player with a collaborative attitude with the capacity to work in a dynamic and fast-paced environment â�¢ Ability to work under deadlines and manage multiple projects â�¢ Requires excellent research skills and exceptional communication and drafting skills. â�¢ Must have intermediate to expert proficiency in Microsoft Office applications.EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience preferred to perform the job.
â�¢ Bachelorâ��s degree required. Juris Doctor, Masters, or other graduate degree preferred. â�¢ Certification in Healthcare Compliance (CHC), Certified Compliance and Ethics Professional (CCEP), Certified Healthcare Privacy Certification (CHPC), Certified Information Privacy Professional (CIPP-US); and/or Certified Fraud Examiner (CFE) preferred. â�¢ Minimum three (3) years in healthcare/healthcare revenue cycle, law, consumer finance, or a related field,
PHYSICAL DEMANDS 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.
â�¢ Must be able to work in sitting position, use computer and answer telephone
WORK ENVIRONMENT 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.
â�¢ Normal office work environment
â�¢ Ability to travel up to 20%
Job: Conifer Health Solutions
Primary Location: Frisco, Texas
Job Type: Full-time
Shift Type: Days
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.
Internal Number: 2105012558
About Conifer Health Solutions
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.