Compliance Partner Revenue Cycle

Corewell Health Corporate; Grand Rapids (MI); Hybrid; USD 110,000 - 160,000; Full time

Benefits offered by this job

Comprehensive benefits package

On-demand pay program Payactiv

Hybrid work model

Job summary

Corewell Health is seeking a Revenue Cycle Compliance Partner to advise on system-wide initiatives, develop and implement compliance programs, and guide leaders in regulatory matters. You will foster relationships across the organization, mentor staff, and lead investigations and audits as needed.

You will work in a learning-focused environment, partnering with Revenue Cycle leadership to uncover opportunities, shape policy, and drive ethical, compliant operations across the health system.

Qualifications

• Bachelor's Degree or equivalent in business, health care operations, nursing or related area, or equivalent combination of education and experience.
• 7 years of progressive compliance experience and/or clinical or operational leadership experience
• Experience leading system-wide or client-group projects is preferred
• Certifications within 1 year after hire are preferred (e.g., CHC, CIA, CHPC, CFE)

Responsibilities

• Advise on system-wide and client group initiatives addressing strategic goals.
• Create and implement compliance programs supporting organizational strategies.
• Partner with leaders to provide strategic compliance guidance.
• Maintain positive relationships between client groups and Compliance department.
• Mentor and coach junior Compliance staff and lead investigations/audits as needed.
• Support internal controls development and corrective actions based on investigations.

Skills

Regulatory compliance

Risk assessment

Stakeholder collaboration

Project guidance

Education

Bachelor's degree or equivalent in business/health care operations/nursing

Job description

This position follows a hybrid work model, with an average of two days onsite per week. Onsite expectations may vary based on business needs, team priorities, and scheduled meetings. Step into a pivotal role as a Revenue Cycle Compliance Partner at Corewell Health – serving as a trusted strategic advisor and key voice in advancing our culture of integrity and accountability. In this dynamic role, you'll partner with leaders across the organization - particularly within revenue cycle - to guide system-wide initiatives, assess risk, and shape the future of compliance at every level. Acting as both consultant and collaborator, you'll help uncover process opportunities, provide regulatory guidance, and support informed decision making that drives ethical, compliant operations. This is an exciting opportunity for someone who thrives on navigating complexity, building relationships, and serving as a trusted expert in Revenue Cycle compliance. As a Compliance Partner, you'll step into a learning focused environment. You will play an active role in solving challenges, supporting leaders, and ensuring our processes reflect the highest standards of transparency and accountability. If you are a curious, confident, and collaborative professional who enjoys asking the right questions, guiding others through complexity, and building trust with leaders at all levels - we'd love to hear from you! Join us in shaping a compliant and ethical future at Corewell Health.

Job Summary

Responsible for strategically advising on system-wide and client group specific initiatives and risks. Responsible for creating and implementing one or more compliance programs that will support the strategies, initiatives and goals of the organization and address key risks or risk areas. Responsible for partnering with leaders to provide strategic compliance guidance. Accountable for creating, facilitating and maintaining positive relationships between client groups and the Compliance department. Acts as a valuable member of operational teams to solve complex compliance challenges.

Essential Functions

Strategically advises on system-wide and client group specific initiatives that address strategic and operational goals. Provides strategic compliance guidance and support to leaders on issues related to compliance and regulatory requirements while ensuring a collaborative and engaged work environment. Acts as a valuable member of project teams to solve complex compliance challenges and offer operational leaders with novel solutions and ideas. Drives business growth by advising on compliance and regulatory considerations for new business ventures. Supports operational teams by identifying risk mitigation techniques and/or activities to support project or program development. Provides exceptional customer service. Facilitates effective communications to promote team member and leadership engagement with compliance. Collaborates with leaders in building a strong culture of accountability. Collaborates with Compliance team as needed to ensure consistency in daily practice. Acts as a mentor, coach and informal leader for Compliance Analysts, Liaisons and Specialists. Leads or performs investigations and audits of compliance issues. Directs and oversees resolution of compliance issues referred for investigation. From time to time, performs investigations at the direction of legal counsel following appropriate attorney-client privilege guidelines. Provides support to and/or facilitates operational and Board compliance committees. Works with operational leaders and Compliance COEs to develop and monitor internal controls including corrective action in response to investigations and audits to detect and/or prevent illegal, unethical or improper conduct by employees, agents, affiliated providers or others within the health system. Responsible for knowledge of laws and regulations impacting health care delivery and/or coverage depending on client group assignments. Applies laws and regulations in daily situations while educating others through various means including formal training. Performs or supports related assessments to assure compliance to laws, regulations and policies/procedures.

Qualifications

Required Bachelor's Degree or equivalent in business, health care operations, nursing or other related area, or equivalent combination of education and experience 7 years of progressive compliance experience and/or clinical or operational leadership experience

Preferred 3 years of relevant experience with the following:

• Compliance experience Leading system-wide and/or client group specific projects
• Partnering with those in higher level leadership roles
• Strategic planning, financial planning and operational business discussions
• Any of the following certifications within 1 year after hire: CRT-Healthcare Compliance, Certified (CHC) - HCCA Health Care Compliance Association Or CRT-Professional Coder - AAPC American Academy of Professional Coders Or CRT-Coding Specialist (CCS) - AHIMA American Health Information Management Association Or CRT-Fraud Examiner (CFE) - ACFE Association of Certified Fraud Examiners Or CRT-Internal Auditor, Certified (CIA) - IIA Institute of Internal Auditors Or CRT-Healthcare Privacy Compliance, Certified (CHPC) Or CRT-IRB Professional, Certified (CIP) - Or CRT-Healthcare Research Compliance, Certified (CHRC) - CCB Compliance Certified Board CRT-Healthcare Research Compliance, Certified (CHRC) - HCCA Health Care Compliance Association

About Corewell Health

As a team member at Corewell Health, you will play an essential role in delivering personalized health care to our patients, members and our communities. We are committed to cultivating and investing in YOU. Our top-notch teams are comprised of collaborators, leaders and innovators that continue to build on one shared mission statement - to improve health, instill humanity and inspire hope. Join a nationally recognized health system with an ambitious vision of continued advancement and excellence.

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.

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. - 5 p.m. Days Worked Monday to Friday Weekend Frequency N/A

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.

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. 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. We invite those that share in our commitment to join our team.

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.