Trinity Health

(Remote) Integrity & Compliance - Program Manager

Trinity Health  •  Livonia, MI (Remote)  •  13 hours ago
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Job Description

Employment Type:

Full time

Shift:

Essential Functions

Our Trinity Health Culture: Knows, understands, incorporates & demonstrates our Trinity Health Mission, Values, Vision, Actions & Promise in behaviors, practices & decisions.

Leadership:

Providing advice, guidance & leadership to RHM & Region leaders in developing strategies & in the achievement of performance goals.

Enable Collaboration across & within service area, RHM & Regions to ensure consistency & integration of strategy & operations

Direction & Growth:

Providing advice, guidance & leadership to service area, functional area, RHM & Regions.

Leading standardization / systemness & optimization of policy, process, methodology, establishing a national community of practice.

Oversee Vendor / Contract Labor Management including centralizing strategy & optimizing spend.

Strategic Support & Accountability:

Collaborates in system-wide strategy development & deployment of functional area priorities & initiatives.

Responsible for supporting regional efforts to comply with functional area priorities.

Accountable for the selection, evaluation & overall success of the functional leadership teams.

Organization-wide focal point for establishing functional strategies & governance over financials & staffing.

Accountable for communication between service area functional area, RHM & Region leaders.

Operational Delivery

Responsible for measuring & reporting KPIs / metrics &value delivery.

Providing advice, guidance & leadership for the colleague life cycle.

Maintains a Working Knowledge of applicable federal, state & local laws / regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, as well as other policies, procedures & guidelines in order to ensure adherence in a manner that reflects honest, ethical & professional behavior & safe work practices.

Functional Role (not inclusive of titles or advancement career progression)

Assist the Integrity and Compliance Director with guiding and managing the complianceactivities andinitiativesfor assigned ministry(ies)Provides advice,guidanceand program management to ministry leaders in developing,implementingandattainingprogram goalswhile ensuringalignment tocompliance strategiesConducts investigations for local ministryand provides recommended action in response to outcome of investigationParticipatesin Service Area and Enterprise Integrity and Compliance projects with a focus on standardization and process improvements.

  • Support the Integrity and Compliance Director in developing, executing, and overseeing compliance initiatives within the ministry.

  • Provide expert advice and strategic guidance to ministry leaders on program goals and compliance strategies.

  • Lead and conduct internal investigations related to compliance concerns, ensuring thorough,timely, and objective outcomes.

  • Deliver well-documented recommendations for corrective actions based on investigative findings.

  • Partner with leaders across local ministries and enterprise functions to implement and sustain compliance strategies.

  • Activelyparticipatein Service Area and Enterprise-level compliance projects, focusing on process improvement and standardization.

  • Collaborate on the development and rollout of organization-wide policies, training, and communication tools to foster a culture of ethics and compliance.

  • Monitor emerging risk areas and regulatory changes, ensuring proactive andappropriate organizationalresponse.

  • Contribute to audit readiness activities and help strengthen internal controls across the ministry.

  • Track compliance performance metrics and support continuous improvement initiatives to enhance overall program effectiveness.

Minimum Qualifications

Bachelor’slevel degree in business,health administration,or arelated field, a law degree, or an equivalent combination of education & experience

Minimum of five 5 years of relevant experience with increasing levels of responsibility in health care compliance &/or consulting including regulatory compliance, program metrics, performance assessment, & reporting outcomes, etc.

Mustpossessa thorough understanding and knowledge of health care legal and regulatory practices, financial and internal control systems/procedures.

Previousproject, program,supervisoryor management experience.

Additional Qualifications (nice to have)

Experience within a health care organization (including ambulatory and hospital settings) or equivalent workexperienceinvolving clinical documentation and coding reviewsand working knowledge ofConditions of Payment includinggovernmentandthird- party payer regulations.Must understand and haveexpertisewith Patient Driven Payment Models, Patient Driven Groupings Models, IRF-PAI and OASIS requirements.Comprehensive understanding of Medicare Physician Fee Schedule and Medicare Claims Processing Manual for professional servicesComprehensive understanding of Conditions of Participation and Accreditation Standards.

CHC, CHPC, CHRC, CCEP or equivalent certification.

Lean/Six Sigma training and/or certification

Physical & Mental Requirements & WorkingConditions (General Summary)

Direct Healthcare Services / Indirect Healthcare / Support Services:

  • Exposure to conditions which may be considered unpleasant to sight, touch, sound& /or smell. Occasional

  • Exposure to fumes, odors,dusts, mists & gases, biohazards / hazards (mechanical, electrical, burns, chemicals, radiation, sharp objects, etc.) Occasional

  • Exposure to or subject to noise, infectious waste, diseases & conditions Occasional

  • Exposure to interruptions, shiftingpriorities& stressfulsituations Frequent

  • Ability to follow tasksthrough tocompletion, understand & relate to complex ideas / concepts, remember multiple tasks & regimens overlong periodsof time & work on concurrent tasks / projects Frequent

  • Ability to read small print, hear sounds & voice / speech patterns, give / receive instructions & other verbal communications (in-person& /or over the phone / computer / device / equipment assigned) with some background noise Frequent

  • Perform manual dexterity activities & / or grasping / handling Continuous

  • Ability to climb, kneel,crouch & /oroperatefoot controls Occasional

  • Use a computer / other technology Frequent

  • Sit with the ability to vary / adjust physical position or activity Frequent

  • Maintain a safe working environment & use available personal protective equipment (PPE) Continuous

  • Comply withTrinity Health’s Code of Conduct, policies, procedures & guidelines Continuous

  • Ability toprovide assistancein the event of an emergency.Occasional

Direct Healthcare Services:

  • Perform activities that require standing / walking with the ability to vary / adjust physical position or activity Occasional

  • Lift a maximum of 30 pounds unassisted Occasional

  • Use upper & lower extremities, engage in bending / stooping /reaching& pushing / pulling Occasional

  • Work indoors (subject to travel requirements) under temperature-controlled & well-lit conditions. Continuous

  • Encounter worksites (e.g., patient homes) or travel to worksites that may have variable internal & external environmental conditions Occasional

  • Perform work that involves physical efforts (e.g., transporting, moving, positioning & / or ambulating patients) Occasional

Indirect Healthcare / Support Services:

  • Perform activities that require standing / walking with the ability to vary / adjust physical position or activity Occasional

  • Lift a maximum of 30 pounds unassisted Occasional

  • Experience oflong periodsof walking / standing / stooping / bending / pulling & / or pushingOccasional

  • Encounter a clinical / patient facing / hands on interactive work environment Occasional

  • Work indoors (subject to travel requirements) under temperature-controlled & well-lit conditions Continuous

  • Work outdoors with variable external environmental conditions Occasional

Average Workday Activity: Occasional - O (1% - 33%), Frequent - F (34% - 66%), Continuous - C (67% - 100%)

Hourly pay ranges: $47.23 - $70.85

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Trinity Health

About Trinity Health

Trinity Health is one of the largest not-for-profit, Catholic health care systems in the nation. It is a family of 123,000 colleagues and nearly 27,000 physicians and clinicians caring for diverse communities across 26 states. Nationally recognized for care and experience, the Trinity Health system includes 88 hospitals, 135 continuing care locations, the second largest PACE program in the country, 136 urgent care locations and many other health and well-being services. Based in Livonia, Michigan, its annual operating revenue is $21.5 billion with $1.4 billion returned to its communities in the form of charity care and other community benefit programs.

Industry
Healthcare & Social Services
Company Size
10,000+ employees
Headquarters
Livonia, MI
Year Founded
Unknown
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