part of a diverse healthcare legacy that’s served our community for more than 125 years. Put your skills to work with us, seek opportunities to learn and join a talented team where patient care is more than a job. It’s our passion. Primary Purpose The Senior Compliance Investigations Consultant is responsible for effectively carrying out investigations of internal and external reports of compliance-related allegations.
Minimum Specifications Education A bachelor’s degree is required, master’s degree preferred. Experience Must have six (6) years' experience in healthcare compliance, preferably with a large, multi-faceted healthcare company or academic medical center. Experience with compliance
investigations, confidential communications, attorney-directed reviews, conflicts of interest, employee relations and other healthcare compliance-related activities required.
Equivalent Education and/or Experience An equivalent combination of experience and certification may be accepted in lieu of education only. Certification/Registration/Licensure Certification in a healthcare compliance-related specialty is required. Must be currently certified and in good standing with one of the following or obtain within 18 months of placement in the position: Certified in Healthcare Compliance (CHC) Certified Compliance and Ethics Professional (CCEP) Certified in Healthcare Privacy Compliance (CHPC)
Certified in Healthcare Research Compliance (CHRC) Certified Professional Compliance Officer (CPCO) Certified Professional Coder (CPC) Certified Outpatient Coder (COC) Certified Inpatient Coder (CIC) Certified Coding Specialist (CCS) Skills or Special Abilities Detailed knowledge of compliance program requirements for hospitals and academic health systems.
Demonstrates the ability to evaluate healthcare compliance issues and make appropriate recommendations. Adept at developing and executing all phases of a plan of audit and compliance investigations, including but not limited, to review and analysis of data, information, and records, conducting reviews, and drafting findings and conclusions.
Able to write clear, detailed reports summarizing the scope of a purpose of audits and compliance investigations, conclusions or findings and the application of the compliance risk analysis and corrective action recommendations. Strong oral and written communication skills and interpersonal skills. Able to communicate thoughts, ideas, information and messages with clear language, style, organization, and format appropriate to the subject matter, purpose, and audience. An active listener with the exercise of sound professional judgement. Possesses excellent critical thinking skills, including the ability to identify a problem, determine the root cause, communicate findings, and participate in the development of the solution.
Detailed-oriented with strong organizational and time management skills and the ability to effectively prioritize daily tasks. Capable of managing difficult conversations with sensitivity and the ability to respond to confidential information with objectivity and discretion. Demonstrates a high degree of integrity and practice ethical standards. Responsibilities Independently and objectively conducts investigations of compliance and ethics related matters across all business areas.
Processes and evaluates allegations to facilitate decisions related to the scope and execution of an investigation. Research and reviews suspected activities to develop factual evidence. Identifies, collects, and analyzes factual evidence to establish clear and concise findings to facilitate decision-making. Conducts in-person interviews and documents discussions in a reliable and consistent fashion. Drafts comprehensive investigations reports that clearly and concisely summarizes the nature of concern and substantiates or negates allegations of misconduct or non-compliance.
Informs leadership of potential or actual allegations and recommends corrective action or improvement. Assists with routine administrative and technical aspects of investigations. Works effectively with the Office of Talent Management and the Legal Department. Assists with the maintenance of the sanction screening database tool, coordinates scheduled searches for excluding individuals, assists with the resolution process and summarizes findings. Maintains knowledge of applicable rules, regulations, policies, laws, and guidelines pertaining to healthcare compliance and ethics.
Seeks advice and guidance as needed to ensure proper understanding. Serves as an advocate for compliance and ethics and champions the importance of compliance with laws, regulations, policies, and procedures to build a culture of compliance and integrity. Consistently serves as a resource for Parkland employees, developing collaborative working relationships and providing timely advice related to compliance and ethics matters. Stays abreast of the latest developments, advancements, and trends in the field of data management and compliance and ethics by attending seminars/workshops, reading professional journals, actively participating in professiona organizations, and/or maintaining certification or licensure.
Integrates knowledge gained into current work practices Identifies ways to improve work processes and improve customer satisfaction. Makes recommendations to supervisor, implements, and monitors results as appropriate in support of the overall goals of the department and Parkland. Job Accountabilities Identifies ways to improve work processes and improve customer satisfaction. Makes recommendations to supervisor, implements, and monitors results as appropriate in support of the overall goals of the department and Parkland.
Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Integrates knowledge gained into current work practices. Maintains knowledge of applicable rules, regulations, policies, laws, and guidelines that impact the area. Develop Develops effective internal controls designed to promote adherence with applicable laws, accreditation agency requirements, and federal, state, and private health plans.
Seeks advice and guidance as needed to ensure proper understanding. Parkland Health and Hospital System prohibits discrimination based on age (40 or over), race, color, religion, interaction (including pregnancy), interactionual orientation, gender identity, gender expression, genetic information, disability, national origin, marital status, political belief, or veteran status. As part of our commitment to our patients and employees’ wellness, Parkland Health is a tobacco and smoke-free campus.
deposits, loans, Investments, insurance products, first mortgages and Autoland. This position is expected to represent the Credit Union in a positive and professional manner at all times and required at a minimum to meet or exceed assigned members service and/or sales goals.
This position adds value by presenting a professional image of the Credit Union since this is the first point of contact for members. This position supports Credit Union depository and lending products as well as assists in the achievement of overall service and sales related goals. Responsibilities: Generate business through outbound calls using call lists to achieve sales goals. Work directly with members/potential
members via telephone, and email having conversations that matter goals and provides appropriate solutions. Educates members on product offerings and services to improve their financial well-being.
Explains pricing and answers questions from members/potential members building value in the member relationship. Tracking daily phone calls. Follows up with members/potential members via telephone or email following initial contact. Tracking daily sales totals/production Resolving member requests-calculating terms on loans/CDs Continued product education and compliance training to better service member calls. Maintains accurate daily record of member conversations in CRM. Treats all
co-workers and members with respect. Supports and participates in continuous improvement activities.
Represents the Credit Union in a positive and professional manner. Other related duties as assigned. Maintains member and other sensitive information with confidentiality. Qualifications: Minimum 3 years related experience with Nuvision and/or prior loan experience with a proven track record in meeting and or exceeding sales goals Proven ability to originate business through outbound calling activity. Working knowledge of applicable law, regulations, compliance practices and Credit Union procedures. Solid knowledge of deposit, loan and ancillary products/services Basic understanding of applicable lending regulations Excellent communication and phone skills including professional verbal skills and etiquette Strong interpersonal skills in order to effectively communicate with members, staff and management Able to listen, identify a need and offer a solution to a members need.
Solid computer knowledge and proficiency in Microsoft applications (Word, Outlook and Excel) Able to manage multiple tasks and follow through with member requests. Website: /careers Education: NMLS Registered Successful completion of all compliance related coursework Benefits: Medical Dental Vision Life Insurance Flexible Spending Account 401(k) Matching Paid Time Off Training Provided Tuition Reimbursement Pay scale by applicable geographic location: Alaska: $22.64 - $28.30 Arizona: $19.82 - $24.78 Florida: $18.75 - $23.44 Nevada: $20.31 - $25.38 Southern California: $21.76 - $27.20 Texas: $19.04 - $23.80 Washington: $23.22 - $29.03 Wyoming: $18.75 - $23.44 The final pay offered to a successful candidate will be dependent on several factors that may include but are not limited to the type and years of experience within the job, the type of years and experience within the industry, job related training/education, etc.
California Employee Privacy Notice: /disclosures/ccpa/ Covid-19 Precaution(s): Remote Interview Process (some positions vary) In-Person Interview required for Front-Line Positions Social Distancing and Mask Guidelines in place
work experience in ERISA compliance or plan administration setting. 5-7 years industry experience, with 3-5 years experience in preparing Form 5500s and non-discrimination testing. Working knowledge of current record keeping system including text file and transaction capabilities is desirable.
Knowledge of current software used by the department is also preferred. Customer service experience required with strong oral and written communication skills. Remote Employee Retirement Income (ERISA )Consultant duties: Complete non-discrimination testing and Form 5500 preparation for complex plans within prescribed regulatory deadlines. Provide consultation and assistance to relationship managers
and clients regarding data inconsistencies or gaps, test results, hypothetical plan design change implications, and projected testing results. Manage the preparation of audit packages as needed in support of the Form 5500 filing process.
Work with client and client auditors to resolve inquiries regarding Form 5500 reporting requirements. Consult with new business, relationship managers and clients in the development of text files and other programming needs. Perform quality review of testing/reporting prepared by other team members and serve as technical expert to less experienced team members. Validate methodology, data and plan level parameters to ensure accurate testing/reporting for
all clients. Assist relationship manager and client in the development and execution of cure strategies for failed tests and/or in response to projected testing results.
Calculate return-of-excess amounts and attributable earnings, QNEC/QMAC, re-characterization of amounts to after-tax or catch-up as permitted by plan design.
pipelines and maintains relationships with active candidates. Job Responsibilities Develops a slate of qualified candidates for presentation to the Recruitment Manager. Responsible for the front end of the recruiting process (sourcing, qualifying, interviewing and presenting candidates) to build a strong talent pipeline for open positions and pipeline opportunities.
Develops and executes direct and indirect sourcing techniques, including complex internet searches, cold calling, social/professional networking, diversity recruiting and research to build a strong network of passive and active candidates. Successfully meets metric goals while maintaining a high level of passive quality
candidates. Manages sourcing for multiple, complex searches, creating innovative sourcing strategies and engagement to bring the best talent to each role through a variety of tools, techniques and methods.
Maintains effective communication regularly with Search Leader regarding recruitment status and updates. Maintains current knowledge related to recruiting laws, regulations, guidelines and standards necessary to perform job duties in accordance with the requirements of the Corporate Compliance Plan. Performs all other duties and special projects as assigned. Partners with Clinical & Quality Operations team by providing updated submission status and information via SBDev and email
in order to expedite HP approval process for on time starts. Cultivates relationships with HPs over time by staying in touch with regards to future, current and past job in order to establish professional network and leverage referrals.
Education Bachelor's Degree Preferred Minimum Work Experience Active affiliation with appropriate professional healthcare networks and organizations. Experience building strong business relationships with key stakeholders and decision makers, experience maintaining confidential and sensitive information 4+ years in a healthcare staffing role. Key Skills Knowledge of interviewing techniques. Excellent written and verbal communication skills.
Knowledge of Sales strategies. Ability to multi-task in a fast-paced and deadline-driven environment. Ability to change recruitment direction and priorities, based on ever changing critical needs Our Core Values Respect Passion Continuous Improvement Trust Customer Focus Innovation At AMN Healthcare, our diversity, equity, and inclusion philosophy is grounded in the belief that we should respect all voices, seek different perspectives, and succeed when we act together as a positive force for all of humanity. AMN Healthcare strives to foster a workplace of belonging where all team members can be their authentic selves, where we can apply our collective skills to innovate solutions that empower the future of care.
AMN Healthcare is an equal opportunity employer. Pay Rate$19.50 - $24.25 Hourly Final pay rate is dependent on experience, training, education, and location. This position may include additional compensation such as bonus or commission. Please ask your recruiter for more information.
manages work plan, deliverables and key milestones. Partners with applicable constituencies in the development and implementation of deliverables. Intakes, triages and documents investigations to help highly confidential or delicate issues. Ensures consistent application of policy and practice are maintained.
Works collaboratively with HR to develop and implement solutions to address variances in unemployment, realignments and mutual consents reports, compliance hotline, out-of-state hires, and re-hire eligibility escalations. Partners with and helps in managing vendor relationships such as unemployment, team member relations case management tools and other third-party vendors to ensure
effective levels of service are maintained to help the business. Acts as point of contact with Federal and state employment services and vendor agencies, including attending unemployment hearings and managing subpoenas.
Ensures documentation of corrective actions, primarily final written warnings and terminations, and other team member relations matters. Help in keeping content in the TMR Knowledgebase up to date. Performs other position appropriate duties as required in a competent, professional and courteous way KEY SUCCESS FACTORS Ability to establish and maintain effective professional relationships across organizational lines. Must be able to communicate thoughts clearly; both verbally
and in writing. General computer skills including, but not limited to, using required software applications, data entry, information security, electronic medical documentation, hand held scanning and email.
Ability to research, examine and disseminate information. Ability to help team members in recognizing and solving problems BENEFITS Our competitive benefits package includes the following Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note: Benefits may vary based on position type and/or level QUALIFICATIONS EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification EXPERIENCE - 2 Years of Experience Preferences: Experience with Service Now, Unemployment Claims, and general knowledge of investigations PDN-9ad5d1ad-3666-4ac8-a45d-2cf5ddbb9b3a
Consulting jobs refer to positions where individuals, known as consultants, provide expert advice and strategic solutions to organizations across various industries. Typically, these roles are characterized by project-based work, analytical problem-solving, and collaboration with client teams. Consultants often specialize in areas such as management, technology, finance, or human resources, aiming to enhance a company's performance, efficiency, and profitability. Distinctive features of consulting jobs include frequent travel, high-paced environments, and the potential for rapid career advancement for high-performers.
Consulting jobs refer to positions where individuals, known as consultants, offer expert advice to organizations or individuals across various industries. These jobs are characterized by problem-solving, strategic thinking, and often require deep expertise in specific areas such as management, technology, finance, or law. Consultants may work for a consulting firm or independently, and their roles often involve project-based work, travel, and client-facing interactions. With a focus on improving client business performance, consultants analyze challenges, propose solutions, and may help implement changes to achieve objectives and drive growth.
Consulting jobs refer to positions where professionals provide expert advice to organizations or individuals in a specific area, such as management, technology, finance, or law. Consultants analyze challenges, formulate strategies, and implement solutions to improve client performance. These roles are characterized by project-based work, potential for high-travel, interaction with diverse clients, analytical problem-solving, and often require strong communication skills. Flexibility, adaptability, and the ability to swiftly understand various business contexts are key traits of successful consultants.
Consulting jobs refer to positions where professionals provide expert advice to organizations or individuals in a specific area, such as management, technology, finance, or law. Consultants analyze challenges, formulate strategies, and implement solutions to improve client performance. These roles are characterized by project-based work, potential for high-travel, interaction with diverse clients, analytical problem-solving, and often require strong communication skills. Flexibility, adaptability, and the ability to swiftly understand various business contexts are key traits of successful consultants.
Consulting jobs refer to positions where individuals or teams provide expert advice to organizations on various areas such as management, technology, finance, human resources, or any sector needing specialized knowledge. Consultants analyze company issues, develop solutions, and help implement changes. These roles often feature problem-solving, critical thinking, and strong communication skills. They typically involve working with multiple clients, which brings variety and the need for adaptability. Consultants usually possess advanced education or significant experience in their field, and the work often includes travel and flexible hours to meet client needs.
Consulting jobs refer to positions where professionals provide expert advice to organizations or individuals in a specific area, such as management, technology, finance, or law. Consultants analyze challenges, formulate strategies, and implement solutions to improve client performance. These roles are characterized by project-based work, potential for high-travel, interaction with diverse clients, analytical problem-solving, and often require strong communication skills. Flexibility, adaptability, and the ability to swiftly understand various business contexts are key traits of successful consultants.
Consulting jobs refer to positions where individuals, known as consultants, provide expert advice and strategic solutions to organizations across various industries. Typically, these roles are characterized by project-based work, analytical problem-solving, and collaboration with client teams. Consultants often specialize in areas such as management, technology, finance, or human resources, aiming to enhance a company's performance, efficiency, and profitability. Distinctive features of consulting jobs include frequent travel, high-paced environments, and the potential for rapid career advancement for high-performers.
Consulting jobs involve providing expert advice to organizations to help solve issues, create value, optimize growth, and improve business performance. Professionals in this field analyze challenges and opportunities, develop solutions, and help implement changes across various industries. These roles typically require strong analytical and interpersonal skills, as consultants must understand client needs, communicate effectively, and foster positive relationships. Consulting jobs are known for their dynamic nature, offering diverse projects, potential for extensive travel, and opportunities for rapid career progression.
Consulting jobs refer to positions where individuals, known as consultants, provide expert advice and strategic solutions to organizations across various industries. Typically, these roles are characterized by project-based work, analytical problem-solving, and collaboration with client teams. Consultants often specialize in areas such as management, technology, finance, or human resources, aiming to enhance a company's performance, efficiency, and profitability. Distinctive features of consulting jobs include frequent travel, high-paced environments, and the potential for rapid career advancement for high-performers.
Consulting jobs involve providing expert advice to organizations to help solve issues, create value, optimize growth, and improve business performance. Professionals in this field analyze challenges and opportunities, develop solutions, and help implement changes across various industries. These roles typically require strong analytical and interpersonal skills, as consultants must understand client needs, communicate effectively, and foster positive relationships. Consulting jobs are known for their dynamic nature, offering diverse projects, potential for extensive travel, and opportunities for rapid career progression.
