Audit Compliance Manager

About Corewell Health  

Our new name signals our bold commitment to health and wellness. At our core, we are here to help people be well so they can live their healthiest life possible. Through health care and health coverage, we create more value. Through compassion, collaboration, clarity, curiosity, and courage, we make anything and everything possible. Through our people, we care for the whole person with respect, dignity, and love. Everyone deserves opportunities and resources for better health. Everyone deserves our relentless pursuit to innovate and always do better. Everyone deserves to have a community be a great place to live, work, learn and play. We believe health and well-being should be within reach for all. We believe the system to support the entire health and wellness journey starts with prevention. We believe that together we will make a difference. Together, we are here to make health better for everyone. Together, we are Corewell Health.  

Scope of Work 

The Audit Compliance Manager assists in the overall development, management, implementation and oversight of one or more Corewell Health Compliance Department Centers of Expertise (COEs). 

Essential Functions

• Assists in the overall development, management, implementation and oversight of one or more Corewell Health Compliance Department Centers of Expertise (COEs). 
• Manages the team members assigned to the COE(s). Assumes accountability for the team’s deliverables, ensuring the achievement of team goals and objectives in addition to individual goals and objectives. Completes performance reviews, recommends and initiates personnel actions such as interviewing, hiring, performance correction and terminations. 
• Assists in and, as needed, may direct compliance investigations and works with assigned Compliance team members to determine the appropriate handling of issues. May perform investigations at the direction of legal counsel and, in that event, works with legal counsel in the course of such investigation to provide guidance, recommendations and other assistance as requested. May work with external regulatory agencies and legal counsel to resolve compliance issues.  
• Develops and maintains COE and program standards, procedures and methodologies. Continually evaluates existing processes in the COE/Compliance Department and works to implement improvements. 
• Develops and implements effective systems to ensure accurate documentation. Ensures availability of all reports and records for area(s) of responsibility. Assists in the compilation and production of reports to the Corewell Health Boards of Directors and Compliance Committees. 
• Collaborates with operational leaders and teams at Corewell Health and Priority Health to change and improve business processes to support, and mitigate risks to, the organization and patient/member rights. Collaborates with other key internal stakeholders, including legal, internal audit, risk management and finance departments, leaders and team members. 
• Responsible for monitoring developments related to laws and regulations impacting health care delivery and health insurance, as well as industry trends in health care corporate compliance programs. Assists in communicating these developments and responsible for leading the development/modification of policies and procedures to accommodate any legal/regulatory changes and updates. May assist in developing and deploying training to staff in a variety of venues and service areas with respect to compliance topics, requirements and initiatives as well as Corewell Health. 

Qualifications

Required: 

• Bachelor's Degree or equivalent business, health care operations/management, nursing or other related area. Required  
• 5 years of relevant experience health care operations, auditing, health care compliance. Required 

Preferred: 

• 1 year of relevant experience supervisory/management. Strongly Preferred 
• Preferred Master's Degree business, health care operations/management, nursing or other health care area 
• Healthcare Compliance, Certified (CHC) - HCCA Health Care Compliance Association 1 Year preferred Or  
• Healthcare Privacy Compliance, Certified (CHPC) - 1 Year preferred Or  
• Certified Professional Coder (CPC) preferred 

How Corewell Health cares for you

• Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here.
• On-demand pay program powered by Payactiv
• Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
• Optional identity theft protection, home and auto insurance
• Traditional and Roth retirement options with service contribution and match savings
• Eligibility for benefits is determined by employment type and status