Compliance Auditor, Delegation - Community Health Choice
Harris Health System
Location: Houston, Texas
Type: Full Time
Internal Number: 160812
JOB SUMMARY: The Compliance Auditor, Delegation Oversight will assist with performing oversight of delegated entities, as well as other State and Federal Program assignments to ensure compliance with all applicable contractual, legal, and regulatory requirements. The primary responsibility of this role is to assist the Compliance Manager, Delegation Oversight in facilitating routine delegate auditing and monitoring activities. This will include audit planning, reviewing audit files during fieldwork, contributing ideas about compliance findings, and drafting audit reports. Additionally, this role will serve in support of the team with scheduling of meetings and documenting the delegation audit process.
MINIMUM QUALIFICATIONS: Education/Specialized Training/Licensure: Bachelor's degree required; Prefer Healthcare Administration, Business, Political Science, Health Policy, or related discipline.
Work Experience : Two plus (2+) years of experience working in compliance, vendor oversight, audit, contracting, or quality management, within the Health Care industry.
Equipment Operated: Standard Office Equipment.
Communication Skills: Above Average Verbal (Heavy Public Contact) Exceptional Verbal (e.g., Public Speaking) Writing /Composing (Correspondence / Reports )
Other Skills: Analytical Medical Terminology Research MS Word MS Excel
Bachelor's Degree Major: BA/BS
Work Schedule: Flexible, Travel
Other Requirements: Ability to maintain an attitude of independence and objectivity towards all internal and external partners. Ability to read and understand contracts, laws, and regulations. Aptitude to take initiative with strong personal accountability. Resourceful in solving problems and maximizing resources. Ability to work effectively with others, as well as on own. Detail-oriented and ability to draw conclusions. Basic knowledge of managed care, legislative and regulatory processes is required.
The Harris Health System is a fully integrated healthcare system that cares for all residents of Harris County, Texas. We are the first accredited healthcare institution in Harris County to be designated by the National Committee for Quality Assurance as a Patient-Centered Medical Home, and are one of the largest systems in the country to achieve the quality standard. Our system includes 23 community health centers, five school-based clinics, a dental center and dialysis center, mobile health units, a rehabilitation and specialty hospital and two full-service hospitals.Ben Taub Hospital is a world renowned Level I Trauma Center with 586 licensed acute-care beds and provides a wide range of specialty care outpatient services. Lyndon B. Johnson Hospital is a 328 licensed bed acute-care hospital with a newly expanded Level III trauma center and a distinguished regional center for neonatal intensive care for high-risk deliveries.Harris Health is a teaching system for Baylor College of Medicine and The University of Texas Health Science Center at Houston (UTHealth). We train the next generation of healthcare providers on the latest medical procedures and technological breakthroughs.With... our fully integrated electronic medical records system, we offer patients the convenience and assurance that their medical history is accurate, safe and available when and where it is needed. Our Medical Home designation ensures that we offer a full range of preventive, specialty and acute care services for the entire family.