[Hiring] Compliance Generalist @Bon Secours Mercy Health

Role Description

The Compliance Generalist will be responsible for compliance activities specific to High-Risk areas that align with the foundational principles set forth by the U.S. Office of Inspector General (OIG) for effective healthcare compliance programs. Such activities may involve:

• Monitoring
• Auditing
• Advising
• Drafting policies and procedures
• Developing and delivering training and education
• Researching content specific to the High-Risk area

This individual will be responsible for supporting prompt investigations of compliance violations or risks. The role requires someone who can:

• Work independently
• Take initiative in meeting deadlines
• Make sound decisions
• Offer thoughtful recommendations

Essential Job Functions include:

• Working closely on identified High-Risk compliance focus areas
• Assisting with investigations, monitoring, tracking, and reporting for operational compliance
• Supporting compliance awareness and training
• Promoting a culture of compliance across the organization
• Collaborating with key stakeholders on compliance concerns, inquiries, policies, and auditing activities
• Researching regulations, laws, and policies
• Drafting engagement letters and reviewing records
• Identifying opportunities and implementing corrective action plans
• Serving as an initial point of contact for potential non-compliance reports
• Monitoring, documenting, and responding to inquiries received via the compliance Helpline
• Participating in compliance focus area specific workgroups or committees
• Coordinating daily operational activities with compliance vendor systems
• Working collaboratively with other Compliance Generalists to develop reports and risk assessments
• Assisting in developing educational programs to promote compliance awareness
• Conducting research and providing recommendations for compliance policy reviews

This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.

Qualifications

• Bachelors in Healthcare operations, business administration, or related field (required)
• Certified in Healthcare Compliance – Health Care Compliance Association (preferred)

Requirements

• 1-3 Years of experience in healthcare compliance (required)
• Knowledge of healthcare systems (preferred)
• Knowledge of Healthcare laws (preferred)

Skills

• Maintain working knowledge of key healthcare regulations (HIPAA, CMS, OIG, Stark, Anti-Kickback, etc.)
• Support the development and daily operation of core Compliance Program elements
• Apply basic auditing and monitoring protocols
• Draft, edit, and maintain policies and procedures
• Accurately enter and update compliance documentation
• Assist with the preparation and delivery of compliance education materials
• Collect and synthesize compliance data for summary reports
• Demonstrate proficiency in Microsoft Office Suite
• Navigate electronic medical record systems
• Coordinate and communicate effectively with stakeholders
• Exercise sound critical thinking and problem-solving
• Actively listen and communicate clearly
• Build trust and credibility with peers and operational staff
• Adapt to shifting priorities and changing regulatory requirements
• Maintain confidentiality and demonstrate ethical judgment
• Utilize conflict resolution skills in professional interactions
• Demonstrate initiative and ability to work independently
• Contribute to and reinforce a culture of compliance
• Maintain strong attention to detail and accuracy

Benefits

• Competitive pay, incentives, referral bonuses, and 403(b) with employer contributions (when eligible)
• Medical, dental, vision, prescription coverage, HSA/FSA options, life insurances, mental health resources, and discounts
• Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders
• Tuition assistance, professional development, and continuing education support
• Benefits may vary based on the market and employment status