Manager, Corporate Compliance

Posting Date

At DaVita, we find that our best leaders are those who create an inspiring vision for the future and empowers their team to achieve success. They have always enjoyed tackling difficult problems and believe that the best way to solve them is through collaborative, team efforts. They take ownership of results and instill accountability in those they lead. They are driven, strong communicators, relationship builders, and find real fulfillment in challenging work.

Sound like you? Then you might be a great fit for a Compliance Manager with DaVita.

Here's what you can expect as a Compliance Manager at DaVita:
DaVita's Compliance department, identifies, develops, and implements strategies to mitigate risk in a quickly evolving healthcare regulatory landscape. As a Compliance Manager, you will join a team of highly motivated individuals and will be a key player in enhancing compliance oversight. This position will provide compliance guidance and support to DaVita's Revenue Operations functions and teams on compliance related matters, including but not limited to, federal and state billing regulations and laws and other healthcare regulatory requirements that arise in the context of dialysis billing. This position will liaise between Revenue Operations, legal, and compliance to ensure False Claim Act and other fraud and abuse risks are mitigated.

Responsibilities include, but are not limited to:

• Reports to Compliance Senior Manager.

• Manages 1-2 analyst level direct reports who are accountable for performing research to define and understand potential compliance issues, collecting and analyzing large amounts of data, identifying root causes of potential issues, and supporting risk evaluation to make timely and appropriate decisions.

• Manages day-to-day compliance program for Revenue Operations for dialysis business unit including, but not limited to the following departments: Payor Setup, Credits, Patient Registration, Patient Resources, Collections, and other supporting teams.

• Supports Senior Manager with compliance special projects related to Revenue Operations.

• Ensures compliance with and maintains a working knowledge of the False Claims Act, Federal and State regulations and rules as set forth by the Center for Medicare and Medicaid Services (CMS), as well as other laws and regulations related to healthcare revenue cycle.

• Identifies potential revenue cycle compliance vulnerabilities through various methods, including risk assessment and ongoing monitoring.

• Creates and manages annual work plans to address identified risks and supports annual audits.

• Partners and collaborates with DaVita revenue operations leadership and legal counsel to develop and provide guidance on billing-related compliance questions and issues.

• Demonstrates strong analytical skills and follow through with the ability to seek to understand underlying assumptions through probing, questioning, listening, and problem solving.

• Manages and leads multiple projects concurrently, meets deadlines, and adjusts priorities appropriately in a high paced work environment.

• Completes research/analysis as needed to define and understand potential compliance issues, identify root causes, complete risk evaluation and remediation

• Effectively communicates to and educates revenue operations partners on complex matters.

• Demonstrates an aptitude for critical thinking in complex situations and an ability to synthesize ambiguous data into concrete insights.

• Leads and/or participates in projects related to the design, implementation, revision or maintenance of processes and systems that promote compliance related to the revenue cycle.

Minimum Qualifications:

• Bachelor's degree required

• Minimum 3 years' experience as a legal or compliance professional responsible for the development, implementation, and/or sustaining of an effective compliance program, or minimum 3 years' experience as an investigative/audit professional responsible for compliance investigations, external/internal audits and consulting projects (e.g., process and control assessments)

• Minimum 2-3 years of management experience required with direct supervisory responsibilities

• Preferred experience in healthcare or pharmaceutical industries dealing with federal healthcare billing laws and requirements including, but not limited to False Claims Act, Fraud Waste and Abuse, and Beneficiary Inducement

• Preferred experience in healthcare reimbursement and revenue cycle management

• Preferred working knowledge of Medicare Claims Processing Manual and Medicare Benefits Policy Manual

• Experience in positively and successfully managing relationships with a high energy and diverse group of leaders across organizational lines

• Strong organizational and project management skills with demonstrated attention to detail

• Strong technology skills, including Microsoft Office (e.g., Outlook, Word, Excel, PowerPoint, Visio)

• Must be a self-motivated, team player with proven ability to identify issues and manage priorities in fast paced environment while striving for practical business solutions

• A thoughtful, articulate, and effective communicator who can distill and articulate the important aspects of any issue to a wide audience of participants

• Superior written and verbal communication skills (including presentations), and the ability to drive execution in a team environment

• Hands on, efficient and proven ability to "Get Stuff Done" with a bias for action and a strong sense of ownership.

• Limited travel required: Up to 10%

Join us as we pursue our vision "To Build the Greatest Healthcare Community the World has Ever Seen."

Why wait? Explore a career with DaVita today.

Go to http://careers.davita.com to learn more or apply.

To learn more about our Village and the world of dialysis, click here.

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What We'll Provide:

More than just pay, our DaVita Rewards package connects teammates to what matters most. Teammates are eligible to begin receiving benefits on the first day of the month following or coinciding with one month of continuous employment. Below are some of our benefit offerings.

• Comprehensive benefits: Medical, dental, vision, 401(k) match, paid time off, PTO cash out

• Support for you and your family: Family resources, EAP counseling sessions, access Headspace, backup child and elder care, maternity/paternity leave and more

• Professional development programs: DaVita offers a variety of programs to help strong performers grow within their career and also offers on-demand virtual leadership and development courses through DaVita's online training platform StarLearning.

At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic.

This position will be open for a minimum of three days.

Compensation for the role will depend on a number of factors, including a candidate's qualifications, skills, competencies and experience. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at https://careers.davita.com/benefits

Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process. You will not be penalized for redacting or removing this information.