This position supports the Senior Manager of Compliance over DaVita Labs. The Analyst will apply previously acquired project management, analytical, auditing, and communication skills to assist in coordinating and monitoring existing and new Compliance activities to ensure that procedures and policies comply with federal and state rules and regulations, company policies and guidelines.
ESSENTIAL DUTIES & RESPONSIBILITIES
The following duties and responsibilities generally reflect the expectations of this position but are not intended to be all-inclusive.
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Become familiar with healthcare Fraud Waste and Abuse (FWA) laws, regulations, policies and procedures with an emphasis on the False Claims Act (FCA).
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Interpret and apply understanding of complex regulations in order to identify potential gaps or process improvements in current controls.
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Assist in developing auditing and monitoring activities focused on key risk areas.
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Conduct auditing and monitoring to assess the accuracy of claims submitted to Medicare, Medicaid, and other payors (assess compliance risks, establish and/or perform monitoring work steps, document findings, and make recommendations to resolve compliance findings requiring corrective action).
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Develop written reports with monitoring results and present findings to multiple operational stakeholders, legal, and compliance.
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Track progress of corrective action as a result of monitoring findings.
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Assist Compliance leadership in assignments related to the Compliance Audit & Monitoring Program
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Perform assessments of policies, processes, systems, and issues.
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Assist in a variety of recurring and non-recurring processes and projects related to compliance and village-wide initiatives.
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Build, develop, and maintain strong business relationships with compliance, legal, and business partners.
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Lead or participate in various compliance education and engagement initiatives.
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Manage time effectively and regularly meet expected deadlines.
MINIMUM QUALIFICATIONS
Education, licenses, certifications, and experience required to fulfill the essential duties, include computer skills as required.
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This is a remote position.
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Travel required: Once a year, with additional travel possible depending on individual preferences and business needs
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Bachelor’s degree required.
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2 years’ experience as an audit or compliance professional preferred.
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Healthcare industry experience dealing with federal healthcare program laws including, but not limited to Anti-Kickback Statute, False Claims Act and Civil Monetary Penalty preferred.
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Experience analyzing data with high attention to detail and accuracy.
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Preferred experience working with Medicare regulations, healthcare billing or coding and respective electronic health record and billing IT systems;
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Advanced computer skills and proficiency in MS Word, Excel, Access, PowerPoint, and Outlook required.
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Ability to deal with confidential information and/or issues using discretion and judgment.
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Must be self-motivated, team player with proven ability to identify issues and manage priorities in a fast paced environment while striving for practical business solutions; and
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Hands on, efficient and proven ability to “Get Stuff Done” with a bias for action and a strong sense of ownership.
About DaVita Laboratories
DaVita Labs is a state-of-the-art clinical laboratory delivering timely, accurate lab results focused primarily on kidney care with a relentless commitment to quality. We serve more than 180,000 patients and perform 52 million renal tests annually. We make a difference. We enjoy what we do. Our teammates are best in class professionals who enjoy a challenging yet rewarding work environment where fun and hard work intermingle every day. From our laboratory professionals to our support roles, DaVita labs not only offers a career to fit each individual, it provides a community and a place to call home. As a labs teammate, you become a member of our community and you also become a citizen of something bigger, something great, and something unique – the DaVita Village. With the backing of the overall DaVita brand, we are on an exciting trajectory. Here is what you can expect when you join our Village: • A “community first, company second” culture based on Core Values that really matter. • Clinical outcomes consistently ranked above the national average. • Award-winning education and training across multiple career paths to help you reach your potential. • Performance-based rewards based on stellar individual and team contributions. • A comprehensive benefits package designed to enhance your health, your financial well-being and your future. • Dedication, above all, to caring for patients suffering from chronic kidney failure across the nation. Why wait? Explore a career with DaVita today. Go to http://careers.davita.com to learn more or apply. At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as “a place where I belong.” Our goal is to embed Diversity & Belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and an affirmative action employer. As such, individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic. Salary/ Wage Range Compensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies and experience and may fall outside of the range shown. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits.
At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as “a place where I belong.” Our goal is to embed Diversity & Belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and an affirmative action employer. As such, individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic.
Salary/ Wage Range
Compensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies and experience and may fall outside of the range shown. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits.
Source: Indeed.com
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