Manager, Compliance in Oceanport, New Jersey at RWJBarnabas Health

Job Title: Manager

Location: System Business Office

Department Name: Compliance

Req #: 0000253601

Status: Salaried

Shift: Day

Pay Range: $110,150.00 - $143,195.00 per year

Pay Transparency:

The above reflects the anticipated annual salary range for this position if hired to work in New Jersey.

The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience.

A Typical Day

The Manager, Compliance provides compliance oversight of RWJBarnabas Health, establishing and maintaining an effective Compliance Program to promote awareness of, and compliance with, applicable laws, regulations, policies, and procedures.

The Manager reports to the Vice President, Compliance.

The essential duties and functions of the Manager will involve the oversight and management of compliance functions of the RWJBH Medical Group and affiliated ambulatory care services (including e.g., joint venture physician practices per contractual arrangement).

• At the direction and under the supervision of the VP, Compliance and Chief Compliance Officer (CCO), the Manager:
• Creates and maintains the overall compliance framework, including policies, procedures, and training programs, in accordance with all applicable laws and regulations
• Monitors the day-to-day compliance activities, including the management of Helpline matters, and participating incompliance monitoring and auditing processes, to detect and address potential areas of non-compliance
• Work closely with all departments for effective investigation, audits, resolution, reporting, and remediation of compliance issues
• Provides compliance guidance, as appropriate to ensure Compliance direction is effectively executed
• Develop, administer, and monitor Compliance education and training, for all employees and other applicable individuals, in accordance with regulatory requirements
• Provides specialized compliance education and training when necessary
• Identifies, assesses, and mitigates compliance risks by conducting risk assessments, compliance audits, monitoring operations, and developing strategies to address potential issues
• Assists the Corporate Compliance Department with the ongoing review and assessment in the development of the compliance work plan
• Assists with the preparation of reports on compliance activities for the Audit and Compliance Committee, Compliance Steering Committee, senior management, and other stakeholders, highlighting key risks, trends, and areas for improvement
• Stays up to date on relevant laws and regulations, ensuring that the organization's practices align with these requirements
• May perform other duties as assigned or directed by management

This Role Might Be For You If ...

• You have strong knowledge of healthcare compliance regulations with an in-depth understanding of relevant laws, regulations, and industry standards
• Are knowledgeable in provider documentation, coding, and revenue cycle compliance,
• You are proficient in the use and navigation of electronic medical record applications and in the knowledge of medical record review
• You have the ability to identify, assess, and mitigate compliance risks
• You have excellent written and verbal communication skills are necessary for interacting with employees, management, stakeholders, and regulatory bodies,
• You demonstrate leadership and management Skills: lead and motivate the Compliance team, effectively coordinate with various departments and physician practices to manage projects, and influence others on compliance integrity
• You demonstrate problem-Solving and Analytical Skills: must be detail-oriented with the ability to analyze complex information, identify issues, and develop effective solutions
• Detailed knowledge of federal and state statutes, regulations, policies, procedures, and guidance that governs healthcare Compliance programs and operations,
• Strong understanding of healthcare Compliance programs and processes, and the ability to analyze issues, identify compliance risks and oversee timely and effective remediation,
• Ability to clearly articulate requirements and complex compliance issues to senior leadership and impacted business units/departments,
• Expertise with federal and state regulatory audit processes, and the ability to clearly and effectively communicate with auditors and regulators,
• Strong sense of ethics and integrity to ensure that the organization adheres to regulatory requirements and operates in a compliant manner
• Ability to manage multiple projects simultaneously and be flexible and adaptable to change

To Be Considered

Required:

• Bachelors degree in a business, health care or related area of study
• Minimum of five years or more of Compliance Program management experience, or working experience in healthcare, or other related healthcare experience, specifically in the areas of Physician Practices; or related legal experience

Scheduling Requirements:

• This position will be located at the System Business Office in Oceanport, NJ, and requires travel to the other corporate offices (Campus Drive, West Orange); multiple RWJBarnabas Health facilities, including the RWJBH Medical Group practices, ambulatory care service sites, and joint venture locations, as necessary.

Preferred:

• An advanced degree is preferred (e.g., Master s degree, ideally with an emphasis in health care administration, and/or Juris Doctor (JD))
• Certification in Health Care Compliance and/or Certification in Medical Coding Audits preferred,

Other Duties: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.