Job Information
Trinity Health (REMOTE) Manager, Integrity & Compliance - HCH & THMA in Livonia, Michigan
Employment Type:
Full time
Shift:
Description:
Accountable for leading, guiding, and directing the Trinity Health ministry or enterprise functional responsibilities. Enable ministry-level or enterprise-wide functional strategy to address internal or external business & regulatory issues; provide functional expertise and ensure fulfillment of performance and service standards. Responsible for consistent operating performance and achieving financial goals. Identifies, defines & solves complex problems that impact the management & direction of the business; Collaborates with System Services Areas, Regions, and Health Ministries to ensure consistency and integration of strategy and operations. Maintaining awareness of new industry developments and standards. Provides decision support, operations &/or optimization leadership focus.
** Position allows for work remote/home opportunity.
Essential Functions
Our Trinity Health Culture: Knows, understands, incorporates & demonstrates our Trinity Health Mission, Values, Vision, Actions & Promise in behaviors, practices & decisions.
Leadership
• Providing advice, guidance, and leadership to RHM and Region leaders in developing strategies and in the achievement of performance goals.
• Enable Collaboration across and within System Services area, RHM, and Regions to ensure consistency and integration of strategy and operations
Direction and Growth
• Providing advice, guidance, and leadership to System Services functional area, RHM, and Regions.
• Leading standardization/systemness and optimization of policy, process, and methodology, establishing a national community of practice
• Oversee Vendor/Contract Labor Management including centralizing strategy and optimizing spend
Strategic Support & Accountability
• Collaborates in system-wide strategy development and deployment of functional area priorities and initiatives
• Responsible for supporting regional efforts to comply with functional area priorities
• Accountable for the selection, evaluation, and overall success of the functional leadership teams
• Organization-wide focal point for establishing functional strategies and governance over financials and staffing
• Accountable for communication between System Services area, RHM, and Regions leader
Operational Delivery
• Responsible for measuring and reporting KPIs/metrics and value delivery
• Providing advice, guidance, and leadership for the colleague’s life cycle
Maintains a working knowledge of applicable Federal, state & local laws/regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, as well as other policies & procedures and guidelines in order to ensure adherence in a manner that reflects honest, ethical & professional behavior and safe work practices.
Minimum Qualifications
Bachelor’s level degree in business, health administration, or a related field, a law degree, or an equivalent combination of education & experience.
Minimum of five 5 years of relevant experience with increasing levels of responsibility in health care compliance &/or consulting including regulatory compliance, program metrics, performance assessment, & reporting outcomes, etc.
Must possess a thorough understanding and knowledge of health care legal and regulatory practices, financial and internal control systems/procedures.
Previous supervisory/leadership experience.
Additional Qualifications (nice to have)
Experience within a health care organization (including ambulatory and hospital settings) or equivalent work experience involving clinical documentation and coding reviews and working knowledge of Medicare and third- party payer regulations. Must understand and have expertise with Patient Driven Payment Models, Patient Driven Groupings Models, IRF-PAI and OASIS requirements. Comprehensive understanding of Medicare Physician Fee Schedule and Medicare Claims Processing Manual for professional services is required.
AHIMA, AAPC, or equivalent certification.
Hourly payrate ranges: $45.40 - $68.09
Our Commitment to Diversity and Inclusion
Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.
Our Commitment to Diversity and Inclusion
Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.
Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.
EOE including disability/veteran