Under the direction of the Cook County Health & Hospitals System (CCHHS) Compliance Officer, assists with all health plan, state, federal and other regulatory compliance processes to support the mission and vision of CCHHS. Adheres to the organization's Code of Ethics and Corporate Compliance Program and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. Supports the coordination of administrative compliance program activities for CCHHS for both the provider and the health plan.
Provides comprehensive support services for the compliance program assisting with all health plan, state, federal and other regulatory compliance processes
Develops and presents complete and accurate compliance program materials, i.e. documents, memorandums, presentations, projects, overheads, slides, graphs, charts and listings
Schedules and coordinates department meetings; documents meeting minutes and prepares agendas
Gathers data and generates narrative and statistical reports to include but not limited to financial, legal and regulatory information
Monitors and manages the department budget
Coordinates compliance projects and assists the Corporate Compliance Team in completing tasks to meet deadlines
Works with the Compliance Officers on the coordination of audits and audit follow-up
Compiles, reviews and analyzes data received from audits to identify potential compliance issues
Makes suggestions to improve operations and support corrective actions based on findings of audits, reviews and/or analyzes
Secures office accommodations for new compliance program employees to include telephone extension, computer hardware, software and file access, office supplies and training modules
Orders office supplies and coordinates the purchase and installation of capital items such as fixtures, computers and other items as directed
Organizes the system and data files supporting the compliance program material
Maintains a high level of confidentiality regarding all departmental operations
Supports system level surveys that include but not limited to Dual Employment and Accounting of Disclosures surveys
Provides compliance guidance as directed by the Corporate Compliance team
Gathers and records departmental metrics/statistics to clearly and efficiently monitor the activity of the compliance program
Maintains understanding of regulatory requirements and accreditation standards
Performs general office duties as determined
Bachelor's Degree from an accredited college or university (must provide official transcripts at time of interview)
Two (2) years of experience in one or more of the following areas: healthcare (provider or health plan), corporate compliance, finance, risk management, process improvement, quality management or legal (administration or paralegal) (is required)
Experience in a healthcare setting (provider or health plan)
Awareness of coding, billing, medical records and documentation
Experience with Military, Federal, State Government, or Local Government related to healthcare (e.g. Centers for Medicare and Medicaid (CMS) and/or the Illinois Department of Healthcare and Family Services (HFS)
Prior experience in data analysis and report development
Proficiency with Microsoft Office Suite (Work, Excel, PowerPoint and Outlook)
KNOWLEDGE, SKILLS AND ABILITIES
Knowledge of healthcare regulatory requirements and accreditation standards
Knowledge of corporate compliance and healthcare processes
Excellent interpersonal skills necessary to communicate with all levels of staff and a patient population composed of diverse cultures and age groups
Meticulous organization and planning skills
Strong interpersonal skills
Strong customer service and listening skills
Demonstrates computer proficiency
Demonstrates good phone and email etiquette
Behavioral commitment to quality work and customer service philosophy
Demonstrate analytical and organizational, problem-solving, critical thinking and conflict management/resolution skills
Demonstrate good listening and critical thinking
Demonstrate consistency and reliability in effort with focusing on attention to detail, accuracy and precision
Ability to prioritize, plan and organize projects and tasks
Ability to multi-task and meet deadlines in a fast paced and stressful environment
Ability to maintain a professional demeanor and composure when challenged
Ability to function autonomously and as a team member in a multidisciplinary team
Ability to train by presenting concepts and demonstrating tasks
Ability to perform accurate and reliable mathematical and budget estimates
Ability to establish and maintain quality control standards
Must be able to travel to work sites throughout Cook Count
When applying for employment with the Cook County Health & Hospitals System, preference is given to honorably discharged Veterans who have served in the Armed Forces of the United States for not less than 6 months of continuous service
To take advantage of this preference a Veteran must:
Meet the minimum qualifications for the position.
Identify self as a Veteran on the employment application by answering yes to the question by answering yes to the question, Are you a Military Veteran?
Attach a copy of their DD 214, DD 215 or NGB 22 (Notice of Separation at time of application filing. Please note: If you have multiple DD214s, 215s, or NGB 22S, Please submit the one with the latest date. Coast Guard must submit a certified copy of the military separation from either the Department of Transportation (Before 9/11) or the Department of Homeland Security (After 9/11). Discharge papers must list and Honorable Discharge Status. Discharge papers not listing an Honorable Discharge Status are not acceptable
A copy of a valid State ID Card or Driver's License which identifies the holder of the ID as a Veteran, may also be attached to the application at time of filing.
If items are not attached, you will not be eligible for Veteran Preference
VETERANS MUST PROVIDE ORIGINAL APPLICABLE DISCHARGE PAPERS OR APPLICABLE STATE ID CARD OR DRIVER'S LICENSE AT TIME OF INTERVIEW.
MUST MEET ALL REQUIRED QUALIFICATIONS AT TIME OF APPLICATION FILING.
Degrees awarded outside of the United States with the exception of those awarded in one of the United States' territories and Canada must be credentialed by an approved U.S. credential evaluation service belonging to the National Association of Credential Evaluation Services (NACES) or the Association of International Credential Evaluators (AICE). Original credentialing documents must be presented at time of interview.
*Please note all offers of Employment are contingent upon the following conditions: satisfactory professional & employment references, healthcare and criminal background checks, appropriate licensure/certifications and the successful completion of a physical and pre-employment drug screen.
*CCHHS is strictly prohibited from conditioning, basing or knowingly prejudicing or affecting any term or aspect of County employment or hiring upon or because of any political reason or factor.
COOK COUNTY HEALTH & HOSPITALS SYSTEM IS AN EQUAL OPPORTUNITY EMPLOYER
Medical, Dental, and Vision Coverage
Basic Term Life Insurance
Deferred Compensation Program
Paid Holidays, Vacation, and Sick Time
You may also qualify for the Public Service Loan Forgiveness Program (PSLF)
Cook County Health & Hospitals System is a public worldwide leader in medical care, research and education. Mission-driven. Patient-focused. Team-based. At CCHHS, nearly 6,000 dedicated professionals — working in every medical and surgical specialty — collaborate to provide health and hope and healing to people from all walks of life.Respect — Whether on the front lines of patient care or support...ing the efforts of your colleagues and co-workers, the work you do at Cook County Health and Hospitals System will help to save lives. You are a valued member of the team.Growth — At Cook County Health & Hospitals System you’re encouraged to build on your strengths and career goals.Diversity — County Health & Hospitals System actively seeks to bring together individuals with diverse thoughts, ideas and backgrounds and to promote an inclusive environment that will generate innovation, greater job satisfaction and, most importantly, continually improved patient care.