Primary City/State:

　　Phoenix, Arizona

　　Department Name:

　　Compliance-Ref Lab

　　Work Shift:

　　Day

　　Job Category:

　　Compliance

　　Your pay and benefits are important components of your journey at Sonora Quest Laboratories/Laboratory Sciences of Arizona. This opportunity includes the option to participate in a variety of health, financial, and security benefits. In addition, this position may be eligible for our Management or Sales Incentive Programs as part of your Total Rewards package.

　　POSITION SUMMARY

　　This position plans, designs, implements and maintains a compliance program including related policies, procedures and processes. Serves as a role model for ethical management behavior and promotes an awareness and understanding of high ethical standards consistent with the organizations values and federal and state legal requirements.

　　Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards.

　　CORE FUNCTIONS

　　Directs, implements, maintains, and enforces organization compliance programs, including related policies, procedures and processes on a daily basis, in conjunction with organization-wide compliance efforts, as well as federal, state and local regulations, such as Medicare, Medicaid, and HIPAA. Ensures all programs and related efforts are consistent with the organizations compliance philosophy and strategies established by the top compliance executive.

　　Oversees the system-wide compliance audit function by directing related activities within the organization. This includes directing investigations and monitoring compliance activities in accordance with compliance program standards, policies and procedures. Reviews and ensures compliance with federal and state regulations imposed by government agencies and others. Advises on audit controls for internal processes ensuring appropriate measures are in place for accurate, complete and compliant programs throughout the organization. Proactively identifies areas throughout the organization where there may be substantial risk of unlawful or unethical conduct and responds accordingly in a timely fashion, including encouraging local reporting of potential issues.

　　Oversees the development and implementation of system-wide compliance training programs as applicable to the organization. This includes the preparation of presentation materials designed specifically to communicate and promote the understanding of compliance and privacy issues, laws, and consequences for noncompliance, as well as delivering the training programs throughout the organization.

　　Oversees the thorough documentation of all compliance related activities for the organization to ensure compliance with federally mandated reporting requirements. Ensures reporting requirements are maintained in a timely and accurate fashion for the organization, including the resolution of each case/issue identified and closed. Reports on matters of business ethics, legal compliance and operations of the program.

　　Reviews highly complex and sensitive questions, concerns and complaints relative to compliance matters, and provides leadership and support to the organization as appropriate. Ensures that reasonable steps are taken to respond timely and appropriately to ethical or legal compliance violations, to prevent further violations and to advise regarding potential discipline of violators appropriately and consistently. Oversees investigations of ethical and legal violations to ensure consistency in the enforcement of the program.

　　Supports, through leadership and oversight, the organization’s compliance management staff throughout their facilities or areas, including providing ongoing support in the development of compliance goals and objectives. Conducts rounding on an ongoing basis and communicates trends and areas for improvement for the organization. This position also acts as a compliance resource to the organization as needed or requested to address and resolve compliance related issues. Chairs compliance committee meetings at appropriate levels.

　　Maintains a current awareness of compliance-related laws and regulations, keeping abreast of current changes that may affect the organization as well as overall health care systems through personal initiative, seminars, training programs and peer contact.

　　SUPERVISORY RESPONSIBILITIES

　　DIRECTLY REPORTING

　　Supervise professional level staff.

　　KNOWLEDGE, SKILLS AND ABILITIES

　　Must possess strong oral and written communication skills to effectively interact with senior management team, physicians and federal and state governing bodies.

　　Must possess highly effective negotiating skills to communicate and interact with senior management team and physicians.

　　Must possess strong planning skills and problem-solving skills.

　　MINIMUM QUALIFICATIONS

　　Must possess a strong knowledge of business and/or healthcare compliance as normally obtained through the completion of a bachelor’s degree in business administration, accounting/finance, or health care related field.

　　Requires five (5) years’ experience with knowledge of laws and regulations pertaining to health care, regulatory compliance, hospital and/or physician billing and information systems, Medicare/Medicaid and financial reimbursement systems, and HIPAA Privacy and Security issues.

　　Four (4) years’ direct supervisory experience.

　　PREFERRED QUALIFICATIONS

　　Master’s degree preferred; previous health care compliance experience preferred; minimum three years of healthcare experience preferred.

　　Additional related education and/or experience.

　　EOE/Female/Minority/Disability/Veterans (https://www.bannerhealth.com/careers/eeo)

　　Our organization supports a drug-free work environment.

　　Privacy Policy (https://www.bannerhealth.com/about/legal-notices/privacy)

　　Banner Health is one of the largest, nonprofit health care systems in the country and the leading nonprofit provider of hospital services in all the communities we serve. Throughout our network of hospitals, primary care health centers, research centers, labs, physician practices and more, our skilled and compassionate professionals use the latest technology to make health care easier, so life can be better. The many locations, career opportunities, and benefits offered at Banner Health help to make the Banner Journey unique and fulfilling for every employee.

　　EOE/Female/Minority/Disability/Veterans

　　Banner Health supports a drug-free work environment.

　　https://www.bannerhealth.com/careers/eeo