Audit Compliance Manager

Spectrum Health; Grand Rapids (MI); On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

On-demand pay

Discounts directory

Identity theft protection

Retirement options

Job summary

Corewell Health is seeking an Audit Compliance Manager to lead COE programs, oversee the compliance team, and coordinate investigations and reporting. You will collaborate with legal, risk, internal audit, and finance to mitigate risks and ensure policy adherence across the organization.

The role requires a strong background in healthcare compliance and supervisory experience, with a focus on continuous process improvement and documentation accuracy.

Qualifications

• Minimum 5 years of health care operations, auditing or health care compliance.
• Bachelor's degree or equivalent in business, health care operations/management, nursing or related field.
• Supervisory/management experience is a plus (1 year preferred).

Responsibilities

• Develops and oversees COE programs and standards.
• Manages COE team members and delivers on goals.
• Assists in investigations and liaises with legal counsel as needed.
• Prepares reports for Corewell Health Boards and Compliance Committees.

Skills

Leadership

Compliance

Team management

Education

Bachelor's Degree or equivalent

5 years health care operations experience

Job description

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.
• 5 years of relevant experience health care operations, auditing, health care compliance.

Qualifications Preferred

• 1 year of relevant experience supervisory/management.
• 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.
• Healthcare Privacy Compliance, Certified (CHPC) - 1 Year preferred.
• Certified Professional Coder (CPC) preferred.

How Corewell Health cares for you

Comprehensive benefits package to meet your financial, health, and work/life balance goals.

• 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.

Location & Employment Details

Primary Location SITE - Corewell Health Place - 100 Corewell Drive NW - Grand Rapids Department Name System Compliance - Corporate Employment Type Full time Shift Day (United States of America) Weekly Scheduled Hours 40 Hours of Work 8 a.m. to 5 p.m. Days Worked Monday to Friday Weekend Frequency N/A

Equal Employment Opportunity

Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.

We are committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category.

We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.

An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do.

People are at the heart of everything we do, and the inspiration for our legacy of outstanding outcomes, innovation, strong community partnerships, philanthropy and transparency. Corewell Health is a not-for-profit health system that provides health care and coverage with an exceptional team of 60,000+ dedicated people—including more than 11,500 physicians and advanced practice providers and more than 15,000 nurses providing care and services in 22 hospitals, 300+ outpatient locations and several post-acute facilities—and Priority Health, a provider-sponsored health plan serving more than 1.2 million members. Through experience and collaboration, we are reimagining a better, more equitable model of health and wellness.