All the benefits and perks you need for you and your family:
·Benefits from Day One
·Whole Person Wellbeing Resources
·Mental Health Resources and Support
Our promise to you:
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.
Job Location: Altamonte Springs, FL
The role you’ll contribute:
The Corporate Responsibility Officer - Population Health is responsible for the day-to-day operations of the corporate responsibility function for Population Health initiatives and alternative payment models established by CMS across the organization.This includes the Population Health Services Organization, Multipurpose Senior Services Programs (MSSP), Accountable Care Organizations (ACO), Clinically Integrated Networks (CIN), Primary Care First (PCF), bundled payments for care improvement models, and other value-based service delivery models.Job responsibilities include oversight of health care related regulatory compliance and privacy concerns and investigations, implementation of the applicable corporate responsibility monitoring and auditing activities, as well as risk assessment identification and mitigation.
The value that you bring to the team:
·Implement the AdventHealth Corporate Responsibility Program for the designated entities.
·Lead the day-to-day operations of the corporate responsibility function for the designated entities, including the handling of compliance and privacy matters.
·Communicate and provide training and education on regulatory compliance and company policies to ensure consistency and adherence to federal and state laws.
·Facilitate and deliver corporate responsibility and code of conduct education, including new employee orientation, general and targeted corporate responsibility training, and facility leadership training.
·Serve as chairperson for the Regional Corporate Responsibility Steering Committee for the assigned designated entities.
·Investigate and provide responses to corporate responsibility hotline calls related to assigned designated entities.
·Coordinate corporate responsibility activities and investigations for the applicable initiatives and assigned entities.
·Respond to phone and email inquiries and research requests for information on a variety of corporate responsibility issues.
·Serve as the subject matter expert for staff and leadership concerning corporate responsibility policies, patient privacy (HIPAA) issues, Stark, Anti-Kickback, False Claims, and other general regulatory corporate responsibility topics.
·Facilitate monitoring and auditing activity for the various initiatives and business lines for which the position has been given responsibility including government programs (MSSP/ACO, ACO REACH, PCF, CIN, value-based enterprise network, etc.)
·Coordinate any external audits in conjunction with AHS Corporate Responsibility as necessary.
·Work on identification of the unique compliance risks and develop plans for mitigation.
·Coordinate the submission of monitoring and auditing documentation to confirm compliance with elements of the monitoring and auditing plan.
·Participate in regular meetings with the Corporate Responsibility department and corporate offices.
The expertise and experiences you’ll need to succeed:
·Bachelor’s degree in Business Administration, Nursing, or other healthcare related field.
·Minimum of five years healthcare regulatory or financial experience at a management level.
·Specific experience in hospital compliance and/or physician practice/medical group compliance, coding and/or operations and/or post-acute compliance, depending on the designated entities.
·Master’s Degree in Business Administration, Nursing or other healthcare related field or juris doctorate
·Healthcare compliance certification required or obtained within first year.
At AdventHealth, Extending the Healing Ministry of Christ is our mission. It calls us to be His hands and feet in helping people feel whole. Our story is one of hope — one that strives to heal and restore the body, mind and spirit. Our more than 80,000 skilled and compassionate caregivers in hospitals, physician practices, outpatient clinics, urgent care centers, skilled nursing facilities, home health agencies and hospice centers are committed to providing individualized, wholistic care.