Compliance Program Manager

Intermountain Healthcare Inc.; United States; Hybrid; USD 110,000 - 150,000; Full time

Job summary

Intermountain Healthcare Inc. is seeking a Compliance Program Manager to lead and oversee a portfolio of compliance initiatives, partnering with leaders, physicians, clinicians, and caregivers.

The role drives regulatory alignment, risk assessment, and remediation across multiple geographies and programs, fostering a culture of integrity. The position requires strong facilitation, critical thinking, and relationship-building skills to navigate complex regulatory environments and promote ethical

Qualifications

• High School Diploma or GED required; Bachelor's degree preferred.
• Experience in regulatory, compliance or risk management in healthcare.
• Knowledge of federal and state healthcare laws and regulations (HIPAA, False Claims Act, Stark, MACRA, etc.).
• Strong communication, presentation and interpersonal skills to influence diverse stakeholders.
• Ability to interpret complex healthcare regulations and assess gaps.
• Demonstrates ethics, integrity and professionalism aligned with Intermountain Health's mission.

Responsibilities

• Establishs and maintains relationships with internal and external stakeholders and promotes a culture of compliance.
• Leads cross-functional teams to address regulatory risk and implement requirements through projects.
• Evaluates risks and develops corrective action plans across products, services, or geographies.
• Proposes organizational risk response plans and leads implementation with oversight.
• Develops and implements corrective actions from audits, investigations, or regulatory bodies.
• Monitors regulatory changes and implements monitoring and auditing activities.
• Provides guidance to leaders on regulatory compliance issues and requirements.
• Delivers compliance education and training to employees, providers, and business partners.
• Investigates and responds to compliance complaints and coordinates with legal and HR as needed.
• Identifies best practices and continuous improvement initiatives to enhance compliance performance.

Skills

Regulatory Compliance

Risk Management

Leadership

Communication

Stakeholder Engagement

Confidentiality

Facilitator

Problem Solving

Collaboration

Critical Thinking

Education

High School Diploma or GED

Bachelor's Degree in healthcare administration or related field

Job description

Compliance Program Manager

Bring your compliance expertise to a role where your insight, collaboration, and leadership can make a meaningful impact. As a Compliance Program Manager, you'll partner with leaders, physicians, clinicians, and caregivers to navigate complex compliance risks, advance key initiatives, and strengthen organizational practices. You'll oversee a portfolio of sensitive projects and programs while using your expertise in risk compliance, facilitation, critical thinking, and relationship building to help foster a strong culture of compliance and integrity.

Work Schedule

Hybrid role - Position requires on-site presence at times for training and meetings. Core business hours: Monday-Friday, 8:00 a.m. - 5:00 p.m.

Essential Functions

• Establishes and maintains effective relationships and communication channels with internal and external stakeholders. Promotes effective mechanisms to encourage a culture of compliance and reporting.
• Leads or participates in cross functional teams to address regulatory risk and implement regulatory requirements through projects and assignments.
• Evaluates and identifies risks, and develops and leads corrective action plans across an assigned portfolio of products, service lines or geographies.
• Proposes plans to adjust organizational risk response. Leads implementation of changes, with oversight and direction.
• Develops and implements corrective action plans and remediation measures to address any compliance issues or deficiencies identified by internal or external audits, investigations, or regulatory agencies.
• Monitors and analyzes changes in the regulatory environment and enforcement landscape, and assesses the impact and implications for the organization. Implements monitoring and auditing activities based on industry best practices.
• Provides guidance and support to leaders and business units on regulatory compliance issues and requirements, and proposes recommendations and solutions to ensure compliance.
• Develops and delivers compliance education and training programs to relevant stakeholders, such as employees, providers and business partners.
• Investigates and responds to compliance complaints, allegations, or incidents, and coordinates with legal counsel, human resources, and other departments as appropriate.
• Identifies and implements best practices and continuous improvement initiatives to enhance the regulatory compliance performance and culture of the organization.
• Promotes a culture of compliance and ethics and reduces Intermountain's risk of Government audits, fines, penalties and sanctions through close coordination with Compliance Department leadership.

Skills

• Compliance Programs
• Leadership
• Relationship Building
• Communication
• Risk Compliance
• Confidentiality
• Facilitator
• Problem Solving
• Collaboration
• Critical Thinking

Qualifications

• High School Diploma or GED required. Bachelor's Degree in healthcare administration or relative field preferred. Degree must be obtained through an accredited institution. Education is verified
• Demonstrated professional experience in a regulatory, compliance or risk management role in the healthcare sector.
• Demonstrates thorough knowledge and understanding of federal and state laws and regulations related to health care billing, coding, reimbursement, contracting, and risk adjustment, such as Medicare, Medicaid, HIPAA, False Claims Act, Anti-Kickback Statute, Stark Law, and MACRA.
• Ability to interpret and apply complex healthcare regulations in a healthcare system and to assess and evaluate gaps with demonstrated knowledge of the healthcare industry.
• Demonstrates strong communication, presentation and interpersonal skills with the ability to influence and collaborate with diverse stakeholders.
• Demonstrated discretion to maintain confidential information, evaluate alternatives, and make effective decisions.
• Demonstrated experience implementing the eight elements of an effective compliance program.
• Demonstrates high ethical standards, integrity, and professionalism, with a commitment to Intermountain Health's mission, vision, values, and compliance framework.

Physical Requirements

• Ongoing need for employee to see and read information, labels, monitors, identify equipment and supplies, and be able to assess customer needs.
• Frequent interactions with customers that require employee to communicate as well as understand spoken information, alarms, needs, and issues quickly and accurately.
• Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer, phone, and cable set-up and use.
• Expected to lift and utilize full range of movement to transport, pull, and push equipment. Will also work on hands and knees and bend to set-up, troubleshoot, lift, and carry supplies and equipment. Typically includes items of varying weights, up to and including heavy items.
• For roles requiring driving: Expected to drive a vehicle which requires sitt