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Manager Business Integrity PartnerLouisville, Kentucky

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Job # 454211 Date posted 01/20/2023

Description

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

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

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  • Benefits and Recognition

    Benefits & Recognition Our goal is to offer valuable compensation and incentive programs that enables us to attract, reward, retain, and motivate highly qualified individuals. Compensation can include bonus plans and recognition for going above & beyond.

  • Healthcare

    Healthcare We offer a variety of Health Savings Account (HSA) and PPO plan options.

  • 401(k) Plan

    401(k) Plan Employees can contribute pre-tax dollars through payroll deduction.

  • Paid Time Off

    Paid Time Off Your work/life balance is important to us. We offer our employees a flexible Paid Time Off program.

  • Wellness Program

    Wellness Program We offer tools, resources and support for weight loss, stress reduction, smoking cessation and making overall healthier choices.

  • Community

    Community Community involvement is consistent with our company's principles and with our mission of customer service and quality care.

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Nursing excellence practiced here. Kindred is the nation’s largest specialty hospital company, and our nurses are a big reason why. Here, you’ll engage our patients and their families by providing the skill, comfort and compassionate care needed for the best possible outcomes and reducing lengths of stay and unnecessary re-hospitalizations. Join our dedicated staff and gain valuable experience as you learn, grow and thrive in a positive and empowering environment.

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Rehabilitation is the key to everything we do. And our caring, compassionate therapists are proud to lead the way. As one of the largest providers of rehabilitation therapy in the country, we’ve been managing rehab for more than 30 years. Whether you are a physical, occupational or speech-language therapist, we have opportunities that allow you to provide exceptional care in an environment committed to career growth and continual learning and support.

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