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Corporate Responsibility Market Director

Dignity Health Phoenix, Arizona
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Requisition ID 2022-274256 Employment Type Full Time Department Corporate Compliance Hours/Pay Period 80 Shift Day Weekly Schedule 8:00am-5:00pm Remote No Category Risk and Compliance
Overview

CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.

*This position is required to sit on site - it is not a remote role. 


Responsibilities

Job Summary / Purpose

The Market Director CRO, as a member of the market leadership team, promotes the highest standards of Corporate Responsibility (CRP). They are the resource and triage person for all compliance matters. They are responsible for overseeing, coordinating, monitoring and implementing the CRP for their assigned facilities. They will work collaboratively with other market and division leaders, and will assist in: identifying, implementing, monitoring and mitigating risk within the organization.

    1. Serves as the compliance expert for acute care.  Monitors, disseminates and provides consultation regarding federally issued guidance, pertinent new laws and regulations and/or revisions to current laws and regulations as they pertain to division compliance.  Examples of these include, but are not limited to, the Federal Sentencing Guidelines, HIPAA, Physician Self-referral law and the Affordable Care Act. Such guidance, laws and regulations may come from many agencies including but not limited to:  The Office of the Inspector General (OIG), Centers for Medicare and Medicaid (CMS), Department of Justice (DOJ), Internal Revenue Service (IRS), state regulatory agencies, etc. 
    2. Works closely with CommonSpirit Health legal services group and other applicable functional areas to ensure proper interpretation, dissemination and education regarding laws and regulations affecting physician business relationships.  
    3. Establishes a compliance program that supports the corporate CRP model consistently.  This includes overseeing and providing status reports to leadership on; audits, standard reports, training, investigation of hotline reports through resolution including action planning and other risk mitigation efforts and board reporting if assigned.
    4. Analyzes reports, data, trends and governmental enforcement efforts to keep management and governance informed of the current regulatory environment and the potential impact to CommonSpirit Health.  Works with the SVP Division Corporate Responsibility and functional leadership to develop and assess clinical, billing and outlier risks through analysis of billing and quality data. 
    5. May supervise facility compliance staff and be responsible for hiring, performance evaluations, coaching and development.

Qualifications

Required Education and Experience

  • Bachelor’s degree in related discipline.
  • Minimum of five (5) years’ experience in a management-level position in a hospital or healthcare system.  
  • Minimum of five (5) years’ working experience in one or more areas of healthcare compliance, in either an acute care or clinic environment.

Required Licensure and Certifications

  • Certified in HC Compliance (CHC), Certified in Healthcare Privacy Compliance (CHPC) OR Certified in Healthcare Research Compliance (CHRC) preferred upon hire or required within the first year of employment.

Required Minimum Knowledge, Skills, Abilities and Training

  • Experience in development and implementation of facility-wide policies and/or practices.  
  • Proven success with identifying and resolving operational issues. 
  • Excellent problem-solving skills
  • Ability to:
    • work collaboratively with other discipline leaders to accomplish compliance goals.
    • use system-thinking when considering widespread effects of decisions and actions
    • develop and sustain cooperative working relationships with all levels of employees, physicians and customers
    • research complex, legal, regulatory and contractual documents for interpretive purposes
    • collect, organize and analyze data and information
    • align decisions and projects with the organization’s mission and business priorities
    • work independently to manage multiple complex projects simultaneously
  • Working knowledge of:
    • regulations and accreditation standards, knowledge of specific state and federal requirements and standards related to healthcare industry
    • healthcare billing and coding compliance and healthcare program reimbursement regulations and guidance 
    • Microsoft Office, Google Suite and similar software applications
    • Strength in utilization of Change management techniques

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Equal Opportunity

CommonSpirit Health™ is an Equal Opportunity/Affirmative Action employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law. For more information about your EEO rights as an applicant, please click here.

CommonSpirit Health™ will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c). External hires must pass a post-offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances. If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request. We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA). CommonSpirit Health™ participates in E-Verify.