Compliance Specialist

Company: Moses Cone Health
Location: Greensboro
Posted on: May 23, 2023

Job Description:

Overview The Compliance Specialist acts in a supportive role for the Compliance Services department by assisting with internal monitoring and compliance work plan activities, at the direction of the Compliance Program Managers, Compliance Directors, and the Executive Director of Compliance Services. This position supports training and education activities, policies and procedures, investigations, conflicts of interest and physician payments review for both the facility and medical group compliance programs. Responsibilities Compliance Program Support Administer day-to-day operation of the Cone Health HelpLine and case management database, including conducting appropriate follow-up activities in consultation with the Manager of Compliance, Director and Executive Director.Provide support for compliance committees, including the review and update of agenda items, charters, schedules and communication schedules, and the development of materials and presentations.Provide administrative support of third-party reviewers and coordinate with internal and external stakeholders to resolve issues.Co-develop and track and maintain compliance dashboard(s) and provide periodic reporting.Collaborate cross-functionally across the organization to support the implementation of policies, systems and programs that drive organizational compliance with relevant laws, regulations, and standards.Conduct the routine sanction screening for all Cone Health employees, vendors, medical staff members and volunteers.Physician Payment Reviews Assist with the review and assessment of submissions for payment for contracted physicians and medical practices to ensure compliance with the organization?s policies and procedures, and associated regulations.Conflicts of Interest.Support the collection of conflicts of interest bine all information with CMS Open Payments Information.Support the creation and distribution of conflicts of interest management plans.Regulation Research and TrackingSupport the on-going management of tracking regulation changes and enforcement trends.Research regulations and policies to support responses to guidance inquiries from stakeholders. Qualifications EDUCATION:Required: Bachelor's Degree in a relevant subject area Preferred: Master's Degree in in a relevant subject area such as business. EXPERIENCE:Required: Minimum 1 year of experience working in a healthcare or compliance setting Preferred: Has experience working in healthcare compliance. LICENSURE/CERTIFICATION/REGISTRY/LISTING:Preferred: CHC, CCPC, CHRC

Keywords: Moses Cone Health, Greensboro , Compliance Specialist, Other , Greensboro, North Carolina