Compliance Consultant

Advocate Aurora Health; Milwaukee (WI); Remote; Full time

Job summary

A leading nonprofit health system seeks a Compliance and Integrity Specialist to support compliance activities. This role involves conducting reviews, preparing reports, and collaborating with various departments to ensure adherence to healthcare regulations. The ideal candidate will have a Bachelor's degree and extensive experience in a healthcare environment, along with strong analytical and problem-solving skills.

Benefits

Paid Time Off

Health benefits: medical, dental, vision, life, disability

Flexible Spending Accounts

Retirement plans with employer match

Educational Assistance

Qualifications

• Typically requires 5 years of experience in a healthcare environment.
• Knowledge of healthcare regulations, medical coding, and billing.

Responsibilities

• Contributes to the development of an annual compliance work plan.
• Conducts compliance reviews and investigations.
• Prepares reports for operational leaders and compliance committees.

Skills

Analytical Skills

Problem Solving

Presentation Skills

Organizational Skills

Education

Bachelor's Degree in Healthcare Administration

Tools

Microsoft Office Suite

Job description

Department:

10107 Advocate Aurora Health Corporate - Compliance and Integrity

Status:

Full time

Benefits Eligible:

Yes

Hours Per Week:

40

Schedule Details/Additional Information:

Monday-Friday business hours. Advocate may approve remote workers who reside in the following registered states: AL, AK, AR, AZ, DE, FL, GA, IA, ID, IL, IN, LA, KS, KY, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, WY.

Supports the Compliance and Integrity Department with the facilitation and administration of compliance activities related to the operation of the Compliance and Integrity Program. Performs reviews, research, data analysis, investigations, tracks and analyzes compliance activities, and prepares compliance and regulatory educational materials.

Major Responsibilities:

1. Contributes to the development, maintenance, and updating of an annual compliance work plan related to Compliance Program risks.
2. Conducts and/or leads enterprise-focused/systemic compliance reviews, investigations, and other compliance activities, including designing and documenting review/investigatory methodologies.
3. Assists in creating educational and communication materials for internal and external audiences on compliance issues.
4. Performs data collection for investigations and potential compliance issues, utilizing analytical review, computer analytics, and statistical sampling techniques to identify concerns.
5. Collaborates with various departments to obtain necessary information for reviews, risk assessments, and investigations, ensuring follow-up and tracking.
6. Prepares reports of audits, reviews, and investigations, and facilitates or assists in designing corrective actions to promote compliant practices.
7. Partners with leadership to establish ongoing compliance monitoring and reporting, including follow-up activities on corrective actions.
8. Prepares reports for operational leaders and compliance committees, and creates reports for regulatory agencies as needed.
9. Performs research related to regulatory requirements and completes special compliance projects as assigned.

Licensure, Registration, and/or Certification Required:

None required.

Education Required:

Bachelor's Degree (or equivalent knowledge) in Healthcare Administration, Medical Coding, Health Information Management, or a related health field.

Experience Required:

Typically requires 5 years of experience in a healthcare environment with knowledge of healthcare regulations, medical coding, and billing.

Knowledge, Skills & Abilities Required:

• Working knowledge of compliance-related regulations.
• Strong computer, problem-solving, and analytical skills, including data mining to identify patterns indicating compliance issues.
• Highly motivated, team-oriented, professional, trustworthy, with strong personal diplomacy skills.
• Excellent presentation and writing skills for reports and educational materials.
• Ability to handle sensitive communications with leadership, physicians, management, and legal counsel.
• Strong organizational and time management skills.
• Proficiency in Microsoft Office Suite, with ability to prepare spreadsheets and presentations.

Physical Requirements and Working Conditions:

This position may require travel and exposure to weather and road conditions. Operates necessary equipment and works in a normal office environment.

DISCLAIMER

Responsibilities and requirements are subject to modification to accommodate individuals with disabilities. Employees must perform other duties as assigned by their leaders.

Pay Range

$40.30 - $60.45

Our Commitment to You:

Advocate Health offers comprehensive Total Rewards including benefits, competitive compensation, retirement plans, career development programs, and more.

• Base salary within the listed range, based on qualifications and experience.
• Premium pay for shift, on-call, etc.
• Incentive pay for select roles.
• Annual performance-based increases.

Benefits include:

• Paid Time Off
• Health benefits: medical, dental, vision, life, disability
• Flexible Spending Accounts
• Family benefits: adoption assistance, parental leave
• Retirement plans with employer match
• Educational Assistance

About Advocate Health:

Advocate Health is a leading nonprofit health system, serving nearly 6 million patients across multiple states, with extensive research, clinical excellence, and community benefits. Headquartered in Charlotte, NC, it employs 155,000 teammates across numerous hospitals and care locations, committed to equitable care and innovation.