Job Information
Surgery Care Affiliates Manager Compliance - Physicians Medical Center in New Albany, Indiana
Overview
At SCA Health, we believe health care is about people – the patients we serve, the physicians we support and the teammates who push us forward. Behind every successful facility, procedure or innovation is a team of 15,000+ professionals working together, learning from each other and living out the mission, vision and values that define our organization.
As part of Optum, SCA Health is redefining specialty care by developing more accessible, patient-centered practice solutions for a network of more than 370 ambulatory surgical centers, over 400 specialty physician practice clinics and numerous labs and surgical hospitals. Our work spans a broad spectrum of services, all designed to support physicians, health systems and employers in delivering efficient, value-based care to patients without compromising quality or autonomy.
What sets SCA Health apart isn’t just what we do, it’s how we do it. Each decision we make is rooted in seven core values:
Clinical quality
Integrity
Service excellence
Teamwork
Accountability
Continuous improvement
Inclusion
Our values aren’t empty words – they inform our attitudes, actions and culture. At SCA Health, your work directly impacts patients, physicians and communities. Here, you’ll find opportunities to build your career alongside a team that values your expertise, invests in your success, and shares a common mission to care for patients, serve physicians and improve health care in America.
At SCA Health, we offer a comprehensive benefits package to support your health, well-being, and financial future. Our offerings include medical, dental, and vision coverage, 401k plan with company match, paid time off, life and disability insurance, and more. Please visit, https://careers.sca.health/why-sca, to learn more about our benefits.
Your ideas should inspire change. If you join our team, they will.
Responsibilities
Overseeing and monitoring the implementation of the Program.
Serving as an internal resource with whom stakeholders may consult.
Reporting regularly to the Company’s Board of Managers and SCA Health’s Compliance department on the status of the Program and any material compliance events.
Developing a budget for compliance-related activities.
Maintaining, along with the Chief Human Resources Officer, the SCA Health Code of Conduct that provides current guidance to relevant stakeholders about the Company’s expectations regarding compliance and ethical business practices.
Developing and updating, as appropriate, SCA Health compliance policies and procedures.
Developing, where necessary, specific Company-related training and implementing SCA Health’s Compliance training. Training should be a multifaceted, compliance educational, and training program that is current and relevant to stakeholders’ roles and job functions.
Ensuring SCA Health compliance-related materials are made available to relevant stakeholders.
Conducting or, as appropriate, overseeing internal investigations involving potential or actual noncompliance with legal requirements or the Company’s policies, procedures, or expectations of compliant and ethical workplace behavior and reporting the findings and recommendations to SCA Health Compliance and management.
Maintaining a log of compliance internal investigations that documents the identification, investigation, and resolution of such matters.
Ensuring the Company’s agreements with related parties and referral sources (including leases and services agreements) are reviewed on an annual basis to confirm fair market value and commercial reasonableness.
Follow up on any outstanding excluded party reporting items.
Assisting SCA Health Compliance and any outside vendor in completing coding audits, up to and including working through corrective action plans as outlined by SCA Health Compliance and SCA Health Coding, and assisting with any transition to SCA Health Coding platform.
Interacting with legal counsel, government agencies, and other external parties on matters relating to compliance with SCA Health Compliance’s guidance; and
Performing other functions as specified by SCA Health Compliance throughout the Program’s policies and as assigned.
Qualifications
Education and Experience
College degree or equivalent experience required; compliance-related education or certification preferred.
Experience in health care compliance, audit, quality assurance, or other similar field.
Knowledge, Skills, and Abilities
Demonstrated knowledge of government and private payer reimbursement rules and policies, as well as fraud and abuse laws, including the Stark Law and compliance with the whole hospital exception to Stark Law.
Strong interpersonal and communication skills, including the ability to motivate personnel.
Clear, concise, and persuasive writing and presentation skills.
Unwavering personal and organizational ethical standards.
Strong orientation to deadlines and detail.
Decisive and capable of exercising good judgment under pressure.
Ability to manage a diverse and demanding workload.
Word processing PC skills, knowledge of PowerPoint, and Excel.
A personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of the organization.
USD $110,000.00/Yr. USD $160,000.00/Yr.