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Job Summary

A cover letter must accompany your resume.

 

Develop and lead monitoring activities for compliance with law, regulation, industry standards and policies in accordance with the University of Michigan Health System (UMHS) mission and vision.

Supervision of healthcare auditors and developing audit tools for them as well as resources/tools for self-auditing.

Manage audits, including scope approval, audit method, review of conclusions and supporting documentation.

Prepare compliance effectiveness and performance reports.  Identify metrics to evaluate the effectiveness of the Compliance Audit Program.  Interpret institutional policies for faculty and staff. 

Participate in committee work as assigned by the Chief Compliance Officer. Provide educational materials and presentations.

Develop audit tools for compliance auditors as well as resources/tools for self-auditing. .  Lead the development of the annual UMHS Compliance Audit Plan. Identify metrics to evaluate the effectiveness of the Compliance Audit Program. Prepare and/or review auditor written audit reports and annual compliance audit program reports. Interpret institutional policies for faculty and staff. 

Responsible for monitoring and oversight of the UMHS Compliance Audit Plan, supervision of healthcare auditors, ensuring accurate statistical sampling and monitoring, reviewing with legal office appropriate audit strategies

Other duties as assigned.

Responsibilities*

Responsible for the development, implementation and enforcement of the compliance program. Ensures conformance with applicable laws, regulations and accreditation standards which may include Medicare/Medicaid reimbursement, EEO, JCAHO, Intermediate Sanctions legislation, hazardous waste disposal, ADA, etc. The primary duty of employees in this classification is the management of a customarily recognized department or subdivision, including the supervision of three or more full-time equivalent employees every week. Direction is over a permanent status-continuing function, not a collection of employees assigned to complete a project. Management duties include interviewing, selecting and training of employees; setting and adjusting their rates of pay and hours of work; planning and directing their work; appraising their productivity and efficiency for the purpose of recommending promotions or other changes in their status; handling their complaints and grievances and disciplining them when necessary. Management responsibilities include the authority to hire, fire, or promote assigned employees or make recommendations that are given particular weight. Employees have impact on budgeting, controlling costs, planning, scheduling, and procedural change,

Required Qualifications*

A bachelor degree in business or hospital administration or related field, or an equivalent combination of education and experience is necessary;  Master degree preferred; 12-15 years of progressive work and administrative experience in a health care environment; experience in leading and conducting compliance audits and other types of investigations. Considerable knowledge of health care management principles, revenue cycle management, practices and methods is necessary.  Reasonable administrative experience in a health care delivery system is necessary.  Strong project management, analytical, interpersonal, written and verbal communication skills. Compliance certification required.(CHC).

  • Communication Skills.  This position will need to be able to communicate at all levels of the organization, be able to handle conflict/disagreements, present factual data, have excellent written, ability to present data in a meaningful way and have excellent communication skills.
  • Credibility.  This position will interface with senior executives, including the regents, and must be viewed as authoritative, knowledgeable, and experienced.
  • Healthcare Regulatory Subject Matter Expertise.  This position will be responsible for auditing and monitoring of the revenue cycle process, health system policies, and compliance with health care regulations. Strong knowledge of health law, privacy and security regulations required; revenue cycle and clinical research is preferred.
  • Leadership Skills.  This position will co-chair and support the Compliance Audit Subcommittee, including establishing and monitoring for completing the compliance audit work plan.  Leadership skills in meeting facilitation and effective delegation are required. Excellent interpersonal skills, as demonstrated by the ability to work effectively with individuals and/or teams/disciplines.  Reasonable knowledge of business principles, practices and methods; strong project and time management skills.  Successful candidate should be a self-starter with a desire to work independently and responsibly. 
  • Management Skills. This position will directly supervise 3-4 FTEs and needs to have the ability to develop, mentor, and grow expertise and subject matter knowledge of the staff.  Ability to coach and provide constructive feedback. Past supervisory experience preferred.
  • Auditing Experience.  Strong analytic skills and comfort with quantitative data.  Ability to determine appropriate review type based on risk/event: audit, compliance review or monitoring, probe audits and effectiveness reviews.  Ability to create an effective and comprehensive corrective management plan.  Ability to appropriately identify situations that should be completed under attorney client privilege.  Past experience in conducting investigations and audits, interviews for audit, statistical sampling protocols, and communicating findings in a written and oral manner is preferred but not required.  Ability to define scope and stick to scope.

Desired Qualifications*

 Some experience with UMHS operations is desirable

Background Screening

Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings.  Background screenings are performed in compliance with the Fair Credit Report Act.

Application Deadline

Job openings are posted for a minimum of seven calendar days. This job may be removed from posting boards and filled anytime after the minimum posting period has ended.

U-M EEO/AA Statement

The University of Michigan is an equal opportunity/affirmative action employer.