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IL-REMOTE

Worker Type:

Regular

Job Highlights:

Exciting Opportunity for a Manager-Corporate Responsibility at SSM Health! Preferred coding certification is a plus.

Pay Range:

$104,811.20 - $157,227.20

Pay Rate Type:

Salary

SSM Health values the skills and talents that each team member brings to our organization. Compensation for this role is based on a variety of components including relevant experience, labor market, and other qualifications. The posted pay range for this position is what SSM Health reasonably expects, in good faith, to offer based on the circumstances at the time of posting. SSM Health may ultimately pay more or less than the posted range as permitted by law.

Job Summary:

We are seeking a strategic and detail-oriented Manager of Corporate Responsibility to lead compliance initiatives across our organization, with a particular focus on regulatory coding practices and auditing standards. This role is critical in ensuring our systems and processes align with legal and ethical standards, while proactively identifying and mitigating risk. The ideal candidate will bring deep experience in healthcare operations, auditing oversight, and coding compliance, along with a proven ability to lead teams and collaborate across departments to drive continuous improvement.

Job Responsibilities and Requirements:

• Conducts and evaluates risk assessments for assigned entities, determines the potential effect on the system and helps to develop recommendations regarding system response.
• Responsible for the oversight and implementation of the corporate responsibility process (CRP) and HIPAA privacy program for assigned entities.
• Responsible for the supervision of staff and related processes to ensure implementation, investigation, monitoring and enforcement of regional privacy complaints and concerns.
• Prepares and delivers reports and updates to senior leaders, including annual reports to the board.
• Serves as a resource to all departments of assigned entities in establishing methods to improve regulatory and legal compliance and reduce vulnerability to fraud, abuse, and waste.
• Collaborates to periodically revise the entity policies and processes in light of changes in system policies, and in laws and regulations regarding government and private payer plans.
• Evaluates the adequacy and effectiveness of internal controls designed to ensure that processes lead to appropriate execution of regulatory requirements and guidelines.
• Performs other duties as assigned.

EDUCATION

• Bachelor's degree in business or health care related field

EXPERIENCE

• Seven years' experience, with demonstrated progressive leadership

REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS 

• Coding Certification preferred.

Department:

8821000033 Corp Responsibility

Work Shift:

Day Shift (United States of America)

Scheduled Weekly Hours:

40

Benefits:

SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs.

• Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). 

• Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday.

• Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. 

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SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. Click here to learn more.