Senior Privacy Compliance & Ethics Analyst

at  Intermountain Healthcare

JOB DESCRIPTION:

The Compliance & Ethics Analyst – Senior acts as a consultant, investigator, educator, coordinator,
and liaison across departments and functions and leads a team of individuals to support in these functions.
This position is accountable for an open-ended portfolio of highly complex and sensitive projects and
processes and may be involved with actual implementation of initiatives, oversight, support, monitoring or
committee involvement to ensure successful implementation and sustainment. The position interacts with
system executives and leaders, physicians and clinicians, and caregivers throughout the organization and
provides leadership and oversight within the Compliance Department.

SKILLS

• Compliance Programs
• Communication
• Relationship Building
• Accuracy
• Risk Compliance
• Confidentiality
• Facilitator
• Problem Solving
• Collaboration
• Decision making

MINIMUM QUALIFICATIONS

• High School Diploma or GED required. Bachelor’s Degree in healthcare administration or relative field preferred. Degree must be obtained through an accredited institution. Education is verified
• Demonstrated professional experience in a regulatory, compliance or risk management role in the healthcare sector.
• Demonstrates intermediate knowledge and understanding of federal and state laws and regulations related to health care billing, coding, reimbursement, contracting, and risk adjustment, such as Medicare, Medicaid, HIPAA, False Claims Act, Anti-Kickback Statute, Stark Law, and MACRA.
• Ability to interpret and apply healthcare regulations in a healthcare system and to assess and evaluate gaps
• Demonstrates effective verbal, written, and interpersonal communications.
• Demonstrated discretion to maintain confidential information, evaluate alternatives, and make effective decisions.
• Demonstrated experience implementing the eight elements of an effective compliance program.
• Demonstrates ability to work in a rapidly changing environment within formal and informal teams.
• Demonstrates ability to prioritize various assignments.

PHYSICAL REQUIREMENTS

• Ongoing need for employee to see and read information, labels, monitors, identify equipment and supplies, and be able to assess customer needs.
• Frequent interactions with customers that require employee to communicate as well as understand spoken information, alarms, needs, and issues quickly and accurately.
• Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer, phone, and cable set-up and use.
• Expected to lift and utilize full range of movement to transport, pull, and push equipment. Will also work on hands and knees and bend to set-up, troubleshoot, lift, and carry supplies and equipment. Typically includes items of varying weights, up to and including heavy items.
• For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.

• Establishes and maintains effective relationships and communication channels with internal and
• external stakeholders. Promotes effective mechanisms to encourage a culture of compliance and reporting.
• Participates in cross functional teams to address regulatory risk and implement regulatory
• requirements through projects and assignments.
• Evaluates and identifies risks, and implements corrective action plans and remediation measures to address any compliance issues or deficiencies identified by internal or external audits, investigations, or regulatory agencies
• Conducts monitoring and auditing activities, with oversight and direction.
• Provides guidance and support to leaders and business units on regulatory compliance issues and
• requirements within established compliance framework.
• Develops and delivers compliance education and training programs to relevant stakeholders, such as employees,
• providers and business partners.
• Investigates and responds to compliance complaints, allegations, or incidents, and coordinates with
• legal counsel, human resources, and other departments as appropriate.
• Identifies and recommends continuous improvement initiatives to enhance the regulatory
• compliance performance and culture of the organization.
• Promotes a culture of compliance and ethics and reduces Intermountain’s risk of Government audits, fines, penalties and sanctions through close coordination with Compliance Department leadership.