Specialist Senior, Compliance

We are here for life's journey.
Where is your life journey taking you?

Being the heartbeat of Denver means our heart reflects something bigger than ourselves, something that connects us all:

Humanity in action, Triumph in hardship, Transformation in health.

Department

• Develop, revise, distribute and track policies, procedures, and other key documents as part of the Compliance Program. (10%)
• Collaborate with colleagues, providing strategic guidance on programs, initiatives and processes that have healthcarecompliance-related implications to facilitate proactive compliance. (5%)
• Maintain logs of compliance inquiries and activities. Track research and disposition of compliance issues. May be asked toresearch and respond to routine compliance questions. (5%)
• Assist with the development and maintenance of forms, notices, and associated materials to reflect organizationalprocesses as well as compliance. (5%)
• Proactively identify potential issues, support risk assessments and audits, and develop work plans to monitor and addressidentified risks. (5%)
• Assist with and/or lead monitoring activities for compliance with applicable laws and regulations and internal policies andprocedures. (5%)
• Assess compliance-related educational needs and develop, implement, maintain, and oversee training programs forcompliance issues for the organization, including, for example, new employee orientation, annual online training,department or issue specific training. (5%)
• Read, understand, and maintain current knowledge of complex federal and state laws, regulations, rules, and bulletinsapplicable to the Compliance Program. (5%)
• Assists with external audits/special project preparation and follow-up, as needed, under the director of the DHMPCompliance Manager. (5%)
• Process and follow-up on Compliance Hotline reports and conducting investigations of reported compliance concerns. (5%)
• Coordinate with the Special Investigations Unit on potential fraud, waste and abuse issues and investigations. (5%)
• Coordinate responses to identified compliance questions, concerns, or federal/state inquiries or investigations. (5%)
• Evaluate excluded provider and vendor sanction screening results against state and federal databases, monthly. (5%)
• Evaluate first tier, downstream and related entities compliance with specified requirements initially and annually. (5%)
• Monitor compliance dashboards and identify potential risks based on the results. (5%)
• Participate and provide input, and support in the daily functional requirements of the organization's Compliance Program. (5%)
• Build, develop, and maintain strong business relationships with colleagues on team and business and technology partners. (5%)
• Support corrective action plan development and management. (5%)
• Assist with other departmental projects and tasks, as required. (5%)

• Bachelor's Degree Required

• 4-6 years Five years of experience in a healthcare compliance or legal function preferably in the hospital, provider or health plan setting required. Required

• Strong business acumen and ability to navigate effectively in a dynamic and matrixed organization
• Knowledge of laws (Federal and State Anti -kickback Statutes, False Claims Act), regulations, industry guidance and best practices regarding compliant.
• Excellent organizational and project management skills, highly analytical with attention to detail and accuracy
• Able to follow directions and work independently.
• Concurrently handle multiple projects and tasks.
• Perform detailed work accurately and take initiative to learn new tasks.
• Strong analytic, critical thinking, interpersonal, and technical skills.
• Strong problem-solving skills, with the ability to identify and resolve problems of moderate complexity.
• Consistently demonstrate a high standard of personal and professional conduct, ethics, objectivity, judgment, and discretion.
• Communicate clearly, concisely, and effectively, experience in business presentations and public speaking.

Shift

Work Type

Salary

Benefits

• Outstanding benefits including up to 27 paid days off per year, immediate retirement plan employer contribution up to 9.5%, and generous medical plans

• Free RTD EcoPass (public transportation)

• On-site employee fitness center and wellness classes

• Childcare discount programs & exclusive perks on large brands, travel, and more

• Tuition reimbursement & assistance

• Education & development opportunities including career pathways and coaching

• Professional clinical advancement program & shared governance

• Public Service Loan Forgiveness (PSLF) eligible employer+ free student loan coaching and assistance navigating the PSLF program

• National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer

Our Values

• Respect

• Belonging

• Accountability

• Transparency

All job applicants for safety-sensitive positions must pass a pre-employment drug test, once a conditional offer of employment has been made.

Denver Health is an integrated, high-quality academic health care system considered a model for the nation that includes a Level I Trauma Center, a 555-bed acute care medical center, Denver's 911 emergency medical response system, 10 family health centers, 19 school-based health centers, Rocky Mountain Poison & Drug Safety, a Public Health Institute, an HMO and The Denver Health Foundation.

As Colorado's primary, and essential, safety-net institution, Denver Health is a mission-driven organization that has provided billions in uncompensated care for the uninsured. Denver Health is viewed as an Anchor Institution for the community, focusing on hiring and purchasing locally as applicable, serving as a pillar for community needs, and caring for more than 185,000 individuals and 67,000 children a year.

Located near downtown Denver, Denver Health is just minutes away from many of the cultural and recreational activities Denver has to offer.

Denver Health is an equal opportunity employer (EOE). We value the unique ideas, talents and contributions reflective of the needs of our community.

Applicants will be considered until the position is filled.