Job Description

Location: Chicago, IL

Hospital: RUSH University Medical Center

Department: Rush Health Administration

Work Type: Full Time (Total FTE between 0.9 and 1.0)

Shift: Shift 1

Work Schedule: 8 Hr (8:00:00 AM - 4:30:00 PM)

Summary:

This position is responsible for the day-to-day activities and requirements of the Rush Corporate Compliance Program for Rush and its Affiliates with a focus on Rush Health. This position assures the development of the seven (7) elements of an OIG/HHS effective Compliance program and the on-going management of the program. Develops tools to periodically assess compliance effectiveness at Rush Health. Exemplifies the Rush mission, vision and values and acts in accordance with Rush policies and procedures.

Job Requirements:

•Bachelor’s Degree.

•5 years’ experience in health care or related field with previous experience in Compliance.

•Certified Healthcare Constructor (CHC) certification or must be able to obtain within first year of employment.

•Excellent verbal and written communication and interpersonal skills.

•Ability to maintain strict standards of confidentiality in dealing with protected health information.

•Demonstrated ability to work independently and to prioritize work responsibilities and effectively manage fluctuating workload demands.

•Ability to analyze and identify trends and potential financial impacts.

•Working knowledge of Epic or other EMR.

•Expertise in Microsoft Office applications, including: Excel, Access, Word, PowerPoint.

•Ability to build relationships and balance the multiple, varying and conflicting interests of stakeholders.

Responsibilities:

•Develops and maintains a robust corporate compliance program for Rush Health and its clinically integrated network that mirrors the 7 elements of an effective corporate compliance program.

•Manages and supports Rush Health’s compliance with fraud, waste and abuse laws and regulations for Rush Health personnel and Rush Health participating providers.

•Responds to all hotline calls relevant to Rush Health business operations.

•Develops the annual Rush Health compliance work plan, which reflects highest-priority compliance risks.

•Investigates all compliance concerns and coordinates follow up with a corrective action plan as needed.

•Works with the with network development team to ensure efforts to expand the network comply with Rush Health rules

•Identifies regulatory changes and updates and incorporates into existing policies and/or workflows.

•Coordinates with AVP, Corporate Compliance and legal staff regarding the creation and revision of applicable Compliance policies.

•Develops compliance training modules relevant to contracting organizations and the needs of staff.

•Tracks and resolves program issues or concerns brought by employers, payers or members.

•Performs regulatory research and analysis as required to ensure compliance with business plans and payer relations.

•Completes annual payer attestations for payors

•Collaborates with the provider relations team on matters related to provider non-compliance and review correspondence as needed

•Serves on councils, committees, and work groups, representing Rush Health and the Compliance Office.

•Perform related duties as required.

Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.

Position Rush Health Compliance Manager

Location US:IL:Chicago

Req ID 9122