Remote, Nationwide – Seeking Senior Manager, Compliance Program

Everybody Has A Role To Play In Transforming Healthcare

If you want to be part of changing healthcare to better serve patients, you are in the right place. With Vituity you will join a team of individuals dedicated to our culture of caring and work to develop and implement innovative solutions, while tackling some of the healthcare industry’s most challenging situations from the inside.

Join the Vituity Team. At Vituity, our core values matter. We embody a Culture of Caring by approaching every human interaction with compassion and heart. With a Servant Leadership philosophy, we focus on what we can accomplish when we put our patients and colleagues first. An Ownership Mentality means we all have mutual accountability to drive positive change for Vituity as a whole. Finally, our focus on Innovation enables all of us to re-imagine healthcare and bring about lasting change. Ultimately, we are unified around the common purpose of transforming healthcare to improve lives, and we believe everyone has a role to play in that. Help us shape the future of healthcare.

Vituity Locations: Vituity has opportunities at 450 practice locations across the country, serving 8 million patients a year. With Vituity, if you ever need to move, you can take your job with you.

The Opportunity

• Provides on-going advice, review, and resources for emerging risks in order to monitor compliance with state and federal requirements, with a specialty in Provider, Practice Management issues and HIM.
• Manages and provides guidance on escalations from providers and Practice Management teams, including responses to facility complaints, attorney inquiries, EMTALA violations, privacy and other compliance regulation changes.
• Prepares and maintains reports for Vituity Compliance Program Leadership, Compliance & Ethics Committee, senior leadership, and the Boards of Directors.
• Leads enterprise initiative to overhaul outpatient medicine privacy, consent and compliance protocols and monitor ongoing adherence.
• Develops and implements effective internal privacy and compliance controls to prevent and detect patterns of illegal, unethical, or improper conduct by employees, agents, providers, contractors, or other workforce members.
• Maintains a current working knowledge of Federal and State regulations and policies as they affect operations through routine review of various manuals (CMS, Federal Register notices, Office of Inspector General, Medicaid, etc.) and on-line resources.
• Conducts or manages routine and/or focused internal audits of policy/procedure adherence as well as coordinating audits by external sources.
• Develops and maintains positive rapport with outside agencies and client partners.
• Facilitates periodic reviews and revisions of enterprise and Compliance policies and procedures.
• Identifies compliance vulnerabilities and risks, and ensures that responses to reported concerns, alleged violations of and law, and/or conflicts of interest are timely, appropriate, and consistent.
• Prepares, maintains, and distributes various compliance reports.
• Manages PM and PP additions to and evaluation of the annual Workplan and Risk Assessment.
• Performs and/or contributes to specialized compliance training throughout the organization (i.e., EMTALA, Fraud, Waste and Abuse, HIPAA, False Claims Act, Civil Monetary Penalties, Corporate Compliance/Ethics, etc.).
• Performs regulatory research on industry topics, publishing updates and resource papers when needed.
• Serve as subject matter expert for HIM issues and requirements for enterprise initiatives and wholly owned facilities.
• Oversees Release of Information team staff and ensures compliant and timely responses to records requests and subpoenas.
• Develop, implement, and monitor information management policies and procedures for RCM, PM and PP and Vituity wholly owned businesses.
• Initiate workflow improvements and standardization for Vituity-owned outpatient medicine facilities.
• Monitor and track regulatory updates, ensuring compliance with all local and federal regulations related HIM.
• Facilitates and leads team projects to monitor and audit the performance of the Compliance Program and related activities on a continuing basis and in a collaborative and facilitative manner, ensuring goals of common stakeholders are met.
• Manages incident tracking process including documenting investigations, overseeing corrective action plans, creating toolkits to use in analysis, and reporting outcomes.
• Serves as a primary team liaison to Information Security, managing requests and project coordination with the InfoSec team leadership.
• Supports enterprise Incident Response Plan efforts as a liaison from Compliance.
• Leads large-scale compliance investigations when called upon and manages remediation as appropriate.
• Manages and triages intake of compliance questions and hotline calls.
• Continually improve a centralized system for tracking incidents and issues.
• Manages the monthly review of OIG Workplan updates to ensure alignment.
• Leads and manages PM and PP contributions to the Vituity Compliance & Ethics Committee meetings.
• Serve as Compliance liaison to Enterprise Project Management Office.
• Acts as a steward by exhibiting sound ethical standards and consistently promoting a compliant culture.
• Research and authors educational materials.
• Leads and participates in Compliance Team Projects and initiatives when requested.
• Participates in enterprise activities and industry meetings or conferences to help foster relationships with other departments, industry colleagues and network amongst peers.
• Develops expertise and performs research in compliance subjects and issues when requested.

Required Experience and Competencies

• Bachelor’s degree in Business Administration, Public Health, Law, Healthcare, or related field required.
• Minimum 5-7 years of health care compliance experience or equivalent field required.
• Knowledge of and ability to apply Compliance policies, practices, systems, and standards is required.
• Paralegal certificate or legal training preferred.
• Certification in Healthcare Compliance (CHC) preferred.
• MBA, JD preferred.
• Certification in Healthcare Compliance (CHC) preferred.
• Ability to manage multiple tasks in a fast-paced, collaborative cross-functional environment.
• Ability to remain organized and effectively manage competing priorities while meeting deadlines.
• Demonstrate high attention to detail.
• Ability to analyze new or ambiguous information, define the issue or problem, and project plan the resolution.
• Ability to author senior-level reports for presentation to management and executives.
• Ability to use analytical and creative problem-solving skills.
• Ability to strike a balance between showing initiative and seeking appropriate guidance and input from others.
• Ability to effectively communicate orally and written.
• Ability to use multiple Vituity systems and understand their connections and impact.
• Proficiency in Microsoft O365 (Word, Excel, Outlook, SharePoint and PowerPoint) required; Incident tracking warehouse and learning management system (LMS) proficiency strongly preferred.
• Knowledge of Health Information Management principles, policies and procedures.
• Knowledge of compliance principles, including Office of Inspector General Seven Elements.
• Knowledge of Healthcare systems, health plans, and/or physician groups.
• Knowledge of incident management and tracking.
• Knowledge of Health Insurance Portability & Accountability Act (HIPAA), Fraud Waste & Abuse, and Emergency Medical Treatment and Active Labor Act (EMTALA).
• Knowledge of Medicare and Medicaid guidelines.

The Community

Even when you are traveling or working remotely, you are an important part of the Vituity Community. We offer plenty of opportunities to engage with other Vitans through a variety of virtual meet-and-greets, events and seminars.

• Monthly wellness events and programs such as yoga, HIIT classes, and more
• Trainings to help support and advance your professional growth
• Team building activities such as happy hours and holiday celebrations
• Flexible work hours
• Opportunities to attend Diversity, Equity and Inclusion (DEI) events including LGBTQ+ History, Día de los Muertos Celebration, Money Management/Money Relationship, and more.

Benefits & Beyond*

Vituity cares about the whole you. With our comprehensive benefits package, we are mindful of what matters most, and support your needs of today and your plans for the future.

• Superior health plan options
• Dental, Vision, HSA/FSA, Life and AD&D coverage, and more
• Top Tier 401(k) retirement savings plans that offers a $1.20 match for every dollar up to 6%
• Outstanding Paid Time Off: Four weeks’ vacation, Paid holidays, Sabbatical
• Student Loan Repayment Program
• Professional and Career Development Program
• EAP, travel assistance and identify theft included
• Wellness program
• Commuter Benefits Program
• Diversity, Equity and Inclusion (DEI) initiatives including LGBTQ+ History, Día de los Muertos Celebration, Money Management/Money Relationship, and more.
• Purpose-driven culture focused on improving the lives of our patients, communities, and employees.

Salary range for this role is $60.24 - $76.81 per hour. Please speak with a recruiter for more information.

We are unified around the common purpose of transforming healthcare to improve lives and we believe everyone has a role to play in that. We know that when we work together across sites and specialties as an integrated healthcare team, we can exceed the expectations of our patients and the hospitals and clinics we work in. If you are looking to make a difference, from clinical to corporate, Vituity is the place to do it. Come grow with us.

Vituity appreciates differences; our dedication to diversity, equity and inclusion is at the heart of our organization. Vituity does not discriminate against any person on the basis of race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information (including family medical history), veteran status, marital status, pregnancy or related condition, or any other basis protected by law. Vituity is committed to complying with all applicable national, state and local laws pertaining to nondiscrimination and equal opportunity.

*Benefits for part-time and per diem vary. Please speak to a recruiter for more information.

Applicants Only. No agencies please.