Manager Internal Compliance Reporting

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Job Summary and Qualifications

The Manager, Internal Compliance Reporting, leads a team of compliance specialists and coordinators and manages the review, analysis, and resolution of regulatory compliance incidents reported to the Internal Compliance Reporting function of the Ethics and Compliance Program. The Manager partners cross-functionally with stakeholders from hospitals, physician practices, surgery centers, clinical services, legal, and other business units in the assessment of reported incidents and identification of compliance deficiencies to promote consistency in corrective action and effectively mitigate risks.

The Manager serves as an enterprise resource for technical support and guidance for adherence to the Company’s policies and procedures in the resolution of reported incidents that may implicate Federal laws and regulations applicable to the Company’s operations, including but not limited to the Emergency Medical Treatment and Active Labor Act (EMTALA), Controlled Substances Act, Physician Self-Referral Law (Stark law), Anti-kickback Statute (AKS), False Claims Act, Civil Monetary Penalties Law, and similar state-specific laws and regulations.

Major Responsibilities

Collaborate cross-functionally in the review, analysis and resolution of healthcare regulatory compliance incidents reported to the Internal Compliance Reporting (ICR) function of the Ethics and Compliance Program from intake through case closure.

Conduct timely and thorough fact-gathering for effective assessment of incidents reported to ICR that may implicate Federal or state healthcare laws and regulations or violate Company policies related to compliance with EMTALA, Controlled Substances Act and DEA regulations, Stark law, AKS, False Claims Act, and Civil Monetary Penalties Law and other laws or regulations applicable to the Company’s operations.

Prepare professional, well-documented case summaries for multi-disciplinary case reviews.

Lead multi-disciplinary case reviews to promote timely assessment, escalation and resolution of compliance incidents and validate the sufficiency of corrective actions and mitigate compliance risks.

Monitor adherence to Federal or state laws and regulations and Company policy and procedures for assigned compliance risks area through data analytics and compliance reviews.

Assist with development and implementation of ongoing workflow process improvement within the ICR function to promote timeliness and efficiency in the resolution of reported incidents, mitigate compliance risks and enhance the compliance program effectiveness.

Serve as a compliance resource to hospitals, divisions, corporate departments and other business units in the resolution of incidents reported to ICR and compliance with the Company’s ethics and compliance policies.

Promote compliance with the Company’s policies, procedures, methodologies and protocols, including but not limited to those within the ICR function.

Conduct relevant compliance training and education for Ethics and Compliance Officers, hospitals, divisions, corporate departments and other business units of the Company, as assigned.

Prepare professional, well-written business records, presentations, reports and data analytics for training and education, trending analysis and risk mitigation and monitoring.

Serve as an effective people leader and promotes opportunities for professional development and growth for compliance managers, specialists and coordinators, as assigned.

Perform other duties, as assigned.

Practice and adhere

Education & Experience

Working knowledge of Federal and State laws and regulations applicable to healthcare organizations, including but not limited to Stark, Anti-kickback and fraud and abuse laws and regulations.

5+ years of experience in healthcare industry, ethics, and compliance or equivalent

Masters degree in Healthcare Management, Health Sciences or Juris Doctorate preferred

Bachelors degree required

Occasional Travel: The job may require travel from time- to-time, but not on a regular basis.

Demonstrate working knowledge in the application of Federal and state laws and regulations applicable to hospitals and healthcare organizations, including but not limited to EMTALA, Controlled Substances Act and Controlled Substances Act and DEA regulations, Stark law, AKS, False Claims Act, HIPAA privacy and security regulations and Civil Monetary Penalties Law.

Benefits

HCA Healthcare, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services

Wellbeing support, including free counseling and referral services

Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence

Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling

Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing

Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

We are comprised of affiliated hospitals, physician practices and other sites of care across the United States and United Kingdom. The Sarah Cannon Cancer Network is transforming cancer care through integrated services and cutting-edge technologies. Our physicians can develop leading oncology programs to advance science and patient care. Providing physician-led patient care offers our doctors access to a national network of experts.

This is where multidisciplinary teams come together with a goal of delivering seamlessly coordinated, quality cancer care. Through a united network of globally recognized oncology specialists, we collaborate and share best practices. We address each aspect of the cancer journey, from screening and diagnosis through treatment and survivorship, to advance our shared mission: Above all else, we are committed to the care and improvement of human life.

HCA Healthcare has been recognized as one of the Worlds Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"The great hospitals will always put the patient and the patients family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual."- Dr. Thomas Frist, Sr.

HCA Healthcare Co-Founder

If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Manager Physician and Referral Source Arrangement opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.