The Compliance Operations Manager will support the Systems and Operations function within Coniferâ��s Ethics and Compliance program. You will support Coniferâ��s Vendor Management program by managing the day-to-day compliance due-diligence activities and collaborating with internal stakeholders to identify, escalate, and remediate any associated risks with engaging third parties. You will also support Coniferâ��s Regulatory Change Management program to confirm the organization is effectively tracking, evaluating, and parterning with Operations to remediate gaps associated with relevant changes in laws and regulations. In addition, you will lead and/or participate in the build, implementation, and communication of compliance strategic initiatives and projects.
The Compliance Systems and Operations function develops, implements, and oversees core elements of the Ethics and Compliance program; including (1) using technology and data analytics to maintain and expand visibility into the compliance program effectiveness within the organization and (2) ensuring there is effective compliance oversight in place to remain compliant with all applicable local, state, federal, and international laws, regulations and administrative requirements.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
Identifies opportunities to enhance and manages Coniferâ��s existing Vendor Qualification Program (VQP);
Reviews and validates vendor screening checks (e.g., OIG/GSA exclusions, Dun & Bradstreet, etc.) and works with operational partners to appropriately address any identified risks;
Develops and enhances a detailed risk rating process for all vendors to inform appropriate monitoring and oversight activities;
In partnership with contracting, IS, procurement, and operational leaders, establishes routine vendor oversight governance meetings to review contractual requirements, reports, and performance;
Utilizes technology to formulate and enhance tracking/reporting dashboards of all Vendor Oversight Program activities for organizational leadership;
Partners with compliance SMEs and, where applicable, operational partners, to monitor vendor compliance including all CAPs;
Performs vendor audits/reviews and reports findings to leadership This includes partnering with vendor compliance leaders and relevant operational leaders to develop formalized CAPs.
Regulatory Change Management:
In conjuction with internal business partners (e.g., Legal and Operations), optimizes and maintains a comprehensive regulatory change management process by:
Collaborating with key stakeholders within shared services and operations to ensure relevant laws and regulations are reviewed and analyzed for business applicability and impact
Participating in regulatory change project meetings to advise on compliance risk and governance considerations
Developing communication protocols to ensure appropriate parties are aware of critical changes to regulations
Defining and executing a risk-based monitoring strategy to assess process effectiveness
Leads and/or participates in the build, implementation, and communication of strategic compliance initiatives, as defined by the annual Compliance Work Plan
Supports the Compliance Systems and Operations Director in enhancing the role of compliance within key organizational processes including but not limited to new client and vendor integration and business development
Participates in organizational projects to identify and address compliance risksCollaborates with the Compliance Systems Manager to develop reporting of key performance indicators and key risk indicators to identify trends and collaborate with compliance SMEs for remediation
Collaborates with leadership, team members, contractors, and other stakeholders throughout Conifer to promote a culture of compliance.
If direct report positions are listed below, the following responsibilities will be performed in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
Direct Reports (titles) Specialist, Analyst, Sr. Specialist, and/or Sr. Analyst as applicable
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.
Ability to work independently with little supervision and seek guidance as needed to clarify assignments or request for information.
Savvy communication, presentation, and time-management skills.
Intuitive and skilled at problem solving in anticipation of customer requests.
Possess an understanding of general compliance operations and department goals in the healthcare environment.
Proficient with various desktop applications such as Microsoft Excel, Word, and/ or PowerPoint.
Must be a team player - always willing to help in whatever way possible and go the extra mile to get the job done.
Have the ability to make logical correlations between data points to determine if analysis is accurate.
Detail oriented, meticulous and accurate in completing tasks on time.
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience preferred to perform the job.
3-5 years of compliance program implementation experience required
Include minimum certification required to perform the job.
Project Management Professional (PMP) is preferred
Certified Healthcare Compliance (CHC) or Certified Compliance and Ethics Professional (CCEP) is preferred
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.
Must be able to work in sitting position, use computer and answer telephone
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.
Office Work Environment
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: 2105019090
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.