ScionHealth is recruiting for a Manager, Business Integrity Partner (BIP) to support our Ethics and Compliance team. This role sits within our corporate Legal team.  Remote candidates will be considered for this role.

Summary:

The Manager, Business Integrity Partner (BIP) supports the Ethics and Compliance team in promoting a culture of Ethics and Compliance by managing the intake of all potential compliance concerns; overseeing other critical ethics and compliance processes (e.g., conflict of interest and exclusion screening); and leveraging business insights to monitor the quality and timeliness of all compliance matter investigations. 

Essential Functions:

An individual must perform each essential function satisfactorily with or without a reasonable accommodation. 

• Proactively monitors the Ethics and Compliance Speak Up line and inbox to assess, triage, and assign matters to lead investigators for timely handling.
• Reviews business insights for trends and reports out to the BIP team and other Ethics & Compliance leadership team members.
• Conducts quality assurance to ensure comprehensive, contemporaneous investigation documentation and timely resolution. Provides reporting to the Ethics and Compliance leadership team routinely and upon request.
• Assists in formalizing, enhancing, and managing the enterprise conflict of interest process.
• Monitors exclusion screening process and investigates potential matches identified by the enterprise exclusion screening vendor.
• Escalates high risk concerns to the appropriate leadership team members for input and direction.
• Establishes communication protocols to support the Speak Up culture driven by ScionHealth’s values.

Additional Information:

• Serves both internal and external stakeholders including colleagues, patients, contractors, and vendors.
• Exhibits a basic awareness [or greater understanding] of healthcare regulatory and compliance (e.g., Stark Law, Anti-Kickback Statute, EMTALA, HIPAA, Medicare and Medicaid billing requirements, etc.). 

Knowledge/Skills/Abilities:

• A skilled communicator with a client-focused mindset – Exercises competence, service, and empathy in interactions with stakeholders to instill confidence in ScionHealth’s Ethics and Compliance function.
• A critical thinker with solid instincts – Exercises sound judgement and strategic reasoning when evaluating potential compliance concerns and determining appropriate courses of action.
• A creative, solution-minded collaborator – Willing to roll up his or her sleeves to assess a situation, work with others, and determine the best courses of action to reach a solution that is optimal for the business. Not one to shy away from a challenge.
• A project manager who uses risk to define priorities – Demonstrated experience identifying and depending on risk insights to make decisions, drive escalation points, and define focus areas.
• A tech-enabled data storyteller: Experienced in leveraging technology to enhance performance and demonstrate key trends that can be used to drive programmatic efforts and manage business risks.
• Approximate percent of time required to travel:   20%

Qualifications:

Education:

• Bachelor’s Degree or equivalent years of relevant experience required.

Licenses/Certification:

• Certified Compliance and Ethics Professional (CCEP), Certified in Healthcare Compliance (CHC), Certified Fraud Examiner (CFE) are preferred

Experience:

• 3-5 years of experience in compliance, healthcare analytics, business, legal services, clinical risk, or another related field.   

Depending on a candidate’s experience this position may be offered at a different level