Compliance Program ManagerRequisition #: 406743Location: Johns Hopkins Health System, Baltimore, MD 21201Category: Manager/SupervisorWork Shift: Day ShiftWork Week: Full TimeWeekend Work Required: NoDate Posted: Sept. 9, 2021Join an amazing global healthcare organization!Excellent compensation package!Awesome benefits, including dependent tuition reimbursement!Requisition #: 406743Location:1812 Ashland Ave.Baltimore, MD 21205Shift:Full Time (40 hours)Day Shift; 8:00am - 4:30pmWeekends Required: NoExempt;Position Summary:The Compliance Program Manager reports to either the Director of Billing Compliance or the Deputy Chief Compliance Officer based on assigned facility and is responsible for the development, implementation, and ongoing monitoring of the Corporate Compliance Program with a particular emphasis on federal payor billing compliance and compliance related education for the Johns Hopkins Health System Corporation and its affiliates.Critical to the success of this role, the Compliance Program Manager, independently assesses a variety of complex compliance risk-areas within the JHHS affiliates to develop the Compliance Department's work plan. Responsible for independently performing scheduled audits required by the work plan, unplanned investigations and in carrying out these activities independently providing compliance guidance to JHHS personnel. He/she uses judgment and critical thinking in determining appropriate corrective action for non-compliance as well as ensures that corrective action is taken by the affiliate. Additionally, responsible for monitoring and responding to certain regulatory requests and representing the Compliance Department on various committees as requested.This position provides regular guidance and advice to JHHS personnel, leadership and Executive Management in compliance related areas. Conducts independent research in the areas of Medicare and Medicaid and other complex legal authorities pertaining to billing and regulatory compliance. Responsibilities include the development of education and training for management and staff regarding federal payor regulatory requirements and other compliance matters based on the incumbent's independent judgment of the affiliate's educational needs.The position will also manage audits conducted by vendors and payers and provide regular status reports to senior management. Additionally, he/she is responsible for reviewing the draft work product of their peers and to mentor and assist in the training and development of the compliance staff.Education:Requires a minimum of a Bachelor's degree.Licensure/Certification:None requiredRequired Work Experience:Requires a minimum of five (5) years' experience in health care (clinical or otherwise), coding, auditing, utilization management or related experience.Knowledge, Skills and Abilities:A professional level of knowledge of billing practices and procedures is required.In depth knowledge in the areas of Medicare, Maryland Medicaid, and other governmental billing regulationsFamiliarity with the Maryland regulatory environment and other payer methodology is preferred.Knowledge of coding, auditing or healthcare licensing/accreditation standards is required as is knowledge of other state and federal laws and regulations which affect corporate compliance operations.Requires strong interpersonal, oral, and written communication skillsThe ability to interact and communicate independently and effectively with all levels of management and staff is essential.Compliance Program ManagerDemonstrated ability to research and perform critical analysis of complex billing and compliance law, regulation and policy.Ability to draft documentation of substantial complexity including reports, policies and procedures.Requires the ability to plan and prioritize multiple tasks without supervision.Requires analytical abilities in order to effectively monitor billing and other issues, calculate over and underpayments and report thereon.Requires the ability to prepare and conduct educational presentations.Requires the ability to coordinate audits performed by government and private payers as well as auditors contracted by JHHS entities.Requires ability to make autonomous decisions in assessing and managing compliance riskJohns Hopkins Health System and its affiliates are an Equal Opportunity / Affirmative Action employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.Johns Hopkins Health System and its affiliates are drug-free workplace employers.