Compliance Specialist - HAP
EDUCATION/EXPERIENCE REQUIRED:
- Bachelor's Degree in related field. Related and relevant experience or a demonstrated ability to perform the duties of the position may be considered in lieu of academic requirements. (Related experience is defined as six (6) years' experience in compliance.)
- Master's Degree in related field, additional related certifications, preferred.
- Minimum three (3) years in related health care field which may include experience in legal, compliance and/or audit and risk assessments or business area specific.
- Minimum three (3) years in reading, analyzing and interpreting State and Federal laws, rules and regulations.
- Experience with ERISA or Department of Labor regulations, highly preferred.
- Experience with Mental Health Parity, highly preferred.
- Experience with the Michigan Insurance Code, highly preferred.
- Leadership/supervisory experience preferred.
- Ability to develop and present complex materials in a clear, concise and persuasive manner, preferred.
- Working knowledge of Government programs such as HIPAA legislation, privacy rules, or security standards, or federal regulations related to Medicare Parts C and D, Health Care Reform, Federal Programs.
- Advanced knowledge of risk assessment concepts and generally accepted auditing principles.
- Ability to plan, organize, direct and control projects while exercising high ethical standards and good judgment.
- Excellent analytical, organizational, interpersonal, problem solving, written and verbal communication skills, as well as the ability to apply concepts to practical situations.
- Ability to work independently with minimal supervision, within a team environment and handle multiple assignments.
- Working knowledge of PC applications (Word, Excel, PowerPoint and Outlook).
- Other related skills and/or abilities may be required to perform this job.
- Strong commitment to maintaining the integrity and effectiveness of the Office of Compliance.
- Ability to research facts regarding issues and incidents.
- Ability to liaison to other departments.
Additional Details
This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described above.
Overview
Henry Ford Health partners with millions of people on their health journey, across Michigan and around the world. We offer a full continuum of services – from primary and preventative care to complex and specialty care, health insurance, a full suite of home health offerings, virtual care, pharmacy, eye care and other health care retail. With former Ascension southeast Michigan and Flint region locations now part of our team, Henry Ford’s care is available in 13 hospitals and hundreds of ambulatory care locations. Based in Detroit, Henry Ford is one of the nation’s most respected academic medical centers and is leading the Future of Health: Detroit, a $3 billion investment anchored by a reimagined Henry Ford academic healthcare campus. Learn more at henryford.com/careers.
Benefits
The health and overall well-being of our team members is our priority. That’s why we offer support in the various components of our team’s well-being: physical, emotional, social, financial and spiritual. Our Total Rewards program includes competitive health plan options, with three consumer-driven health plans (CDHPs), a PPO plan and an HMO plan. Our team members enjoy a number of additional benefits, ranging from dental and eye care coverage to tuition assistance, family forming benefits, discounts to dozens of businesses and more. Employees classified as contingent status are not eligible for benefits.
Equal Employment Opportunity/Affirmative Action Employer
Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health is
committed to the hiring, advancement and fair treatment of all individuals without regard to
race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height,
weight, marital status, family status, gender identity, sexual orientation, and genetic information,
or any other protected status in accordance with applicable federal and state laws.