Regulatory Compliance Specialist

spectrumhealth; Grand Rapids (MI); On-site; USD 80,000 - 110,000; Full time

Benefits offered by this job

Comprehensive benefits

On-demand pay

Discounts program

Identity theft protection

Retirement options

Job summary

Corewell Health is seeking a Compliance/Accreditation professional to assist in managing standards, investigations, and the administration of the Compliance and Accreditation Plans. The role emphasizes identifying root causes, educating teams, and ensuring policies align with laws and regulations across the organization.

Responsibilities include supporting readiness activities, collaborating with operations and leadership, and maintaining thorough records of compliance activities and outcomes.

Qualifications

• Bachelor's Degree or equivalent Business, health care operations, nursing or other related area
• 2 years of relevant experience
• Working in an organization of Corewell Health size and complexity preferred

Responsibilities

• Assists with management of compliance and/or accreditation standards, laws, rules and regulations.
• Supports audits and investigations of compliance concerns and prepares findings and corrective actions.
• Identifies root causes and helps develop, educate and implement related procedures and policies.
• Maintains knowledge of applicable laws, regulations and standards impacting healthcare delivery and communicates updates.

Education

Bachelor's Degree or equivalent in Business, health care operations, nursing or related area

Job description

Job Summary

Assists with management of compliance and/or accreditation standards, laws, rules and regulations. Supports the resolution of compliance and/or accreditation investigations and follows up with various parties to assure complete resolution. Supports the management and administration of the Compliance and/or Accreditation Plan(s). Identifies root causes and assures plans and standards are in place including development, education and implementation of related procedures and policies. Maintains thorough knowledge of compliance and/or accreditation policies, procedures, issues, and trends.

Essential Functions

Supports audits and investigations of compliance and/or accreditation concerns; performs necessary research, documents findings, and follows up with applicable parties through complete resolution. Collects, collates, monitors and audits data and activities to assure accuracy and to prevent, detect and correct non-compliance, illegal activities, and potential or actual fraud, waste or abuse. Supports regulatory surveyor site visits including preparation and corrective action response. Exercises administrative judgment and assumes responsibility for decisions, consequences and results having an impact on people, costs, and quality of service. Assists with the development, implementation and maintenance of process improvement including departmental and/or organizational policies, procedures and methodologies and medical record design - assuring compliance with laws, regulations and standards while using accumulated data. Reviews and monitors adherence to documented plans and programs including the Code of Excellence. Assists in the review of regulatory standards, evaluation of the level of compliance, identification of challenges, proposal of solutions, monitoring of compliance and management of evidence documents. Assists with continuous readiness activities. Collaborates with operational and other areas in investigations and to implement ongoing risk identification and mitigation measures. Proactively consults with operational areas and leadership through both formal (meetings, education) and informal means. Maintains knowledge of laws, regulations and standards impacting healthcare delivery. Applies laws, regulations and standards in daily situations while educating others through various means including formal training and education. Performs or supports related assessments to assure compliance to laws, regulations, standards and policies and procedures. Assists in a variety of projects related to compliance and accreditation. Identifies best practices and research and evaluates its implementation within our organization. Assists in the development of recommendations and action plans. Maintains attention to detail, documents details appropriately, and effectively articulates recommendations and outcomes both verbally and in writing in both small and large group forums.

Qualifications

Required Bachelor's Degree or equivalent Business, health care operations, nursing or other related area, or equivalent combination of education and experience

2 years of relevant experience Related Experience Required

Working in a organization of size and complexity of Corewell Health Preferred

CRT-Healthcare Compliance, Certified (CHC) - HCCA Health Care Compliance Association 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

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

Additional Information

Corewell Health is 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.

Corewell Health grants equal employment opportunity to al