Primary City/State:

　　Phoenix, Arizona

　　Department Name:

　　Compliance-Corp

　　Work Shift:

　　Day

　　Job Category:

　　Compliance

　　Banner Health believes leadership matters. We look for leaders who share our vision of making health care easier, so life can be better. We value and celebrate equity, diversity and inclusion and our leaders are at the forefront of health care transformation and the future of Banner Health.

　　Banner Health is a non-profit health system based in Phoenix, Arizona, with 30 hospitals and several specialized facilities across six states, and having over 50,000 employees. Banner provides not only high-quality healthcare, but also insurance options through plans and networks.

　　Do you want to be a part of cutting edge managed care compliance? Health care innovation includes new and novel ways to engage providers, manage work flows and provide member coverage and serve their needs, this " Senior Director, Compliance Health Plans and Networks" leads a team of compliance professionals deeply involved in this exciting work. Banner Plans and Networks is growing, and currently has Medicare Advantage, Clinically Integrated Networks, Accountable Care Organizations, and a Third-Party Administrator, as well as joint ventures in commercial coverage.

　　If you are a compliance professional with experience working with health plans and networks, and are excited about leading an experienced team and partnering with operational departments through innovative growth opportunities, consider this unique opportunity with Banner’s compliance team.

　　​ Banner is very community centric and will require living in the greater phoenix area with the ability to work from home.

　　Your pay and benefits are important components of your journey at Banner Health. This opportunity includes the option to participate in a variety of health, financial, and security benefits. In addition, this position may be eligible for our Management Incentive Program as part of your Total Rewards package.

　　Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.

　　POSITION SUMMARY

　　This position is responsible for assisting the Chief Compliance Officer develop, implement, and oversee all aspects of Banner’s Corporate Compliance Program. This includes compliance personnel, compliance documents, compliance training and education, reporting and investigating compliance matters, monitoring and auditing to identify and reduce compliance violations, preventing and responding to allegations of improper or illegal activities, and enforcing compliance and disciplining non-compliance.

　　CORE FUNCTIONS

　　Works with the Chief Compliance Officer, other Compliance Department leaders, executive, regional and facility or business leaders, and other internal or external experts to develop, implement, oversee and maintain Banner’s Corporate Compliance Program.

　　Assists the Chief Compliance Officer in the investigation of concerns or complaints regarding hospital or physician service lines, including coding and billing practices, compliance auditing and monitoring activities within each setting, soliciting legal advice when necessary, working with internal and external counsel to help respond to government investigations or inquiries or self-disclosure processes, developing and implementing remediation plans to correct compliance problems and ensuring that compliance disciplinary actions are taken.

　　Primarily responsible for overseeing the development, distribution and maintenance of Banner’s compliance documents and training programs. With minimal supervision, is responsible for writing Banner’s Code of Conduct as well as other Department documents and policies, including educational and training materials. Able to provide professional presentations, training sessions, reports and updates to Banner committees, executive leaders, regional and facility leaders, as well as the community.

　　Responsible for developing the Compliance Department Annual Report as well as all other Compliance Department reports, briefing notes, summaries, etc. for presentation to the Board, executive management, system committees and others within and outside of Banner.

　　Assists the Chief Compliance Officer in communicating and demonstrating leadership for all the Compliance Department staff, with a direct reporting responsibility over certain of the Department’s Compliance Program Directors as determined by the Chief Compliance Officer.

　　Provides expertise to Banner management related to compliance topics and matters. Helps ensure that the Department promptly, accurately and professionally responds to management, department, and individual requests for support, resources and guidance regarding compliance topics and matters. Relates well to all kinds of people with interpersonal savvy.

　　Maintains current knowledge of legal and regulatory requirements related to items covered by internal policy and, particularly, to laws and regulatory requirements that control participation in Federal health care programs.

　　This position will interface with and support staff at all levels and in all areas throughout the enterprise, ranging from executive leadership to entry-level employees. This person will also work frequently with external physicians, attorneys, auditors, vendors, as well as state and federal agencies.

　　Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards. Provides all customers of Banner Health with an excellent service experience by consistently demonstrating our core and leader behaviors each and every day.

　　Banner Health Leadership will strive to uphold the mission, values, and purpose of the organization. They will serve as role models for staff and act in a people-centered, service excellence-focused, and results-oriented manner.

　　MINIMUM QUALIFICATIONS

　　Bachelor’s Degree in a relevant field or equivalent level of education and experience. Expert-level working knowledge of principles, practices, and operations in assigned or related area of responsibility as normally obtained through a minimum of five years of progressively responsible managerial experience, including a minimum of two years management level experience within a healthcare system setting or large multi-operational, complex corporate environment.

　　Depending upon assigned area of responsibility, position may require applicable certifications and/or licensures, including but not limited to: RN; MD or DO; Driver’s License; Certified Healthcare Protection Administrator (CHPA); Certified Protection Professional (CPP); Chartered Property Casualty Underwriter (CPCU); Associate in Risk Management (ARM); CPA; SPHR; Registered Health Information Administrator (RHIA); Registered Health Information Technologist (RHIT); Certified Healthcare Facility Manager (CHFM); Certified Facility Manager (CFM); Certified Coding Specialist (CCS); Certified Professional Coder (CPC); JD from an American Bar Association accredited school; admission to a State Bar Association.

　　Must demonstrate expert-level knowledge and awareness of area of expertise in designated facility, business entity or area and/or experience in which the knowledge, skills, and abilities are directly transferrable. Proven track record of driving successful performance outcomes and accomplishing organizational goals. Must demonstrate skills and business acumen through direct leadership experiences such as: Anticipating and responding to the needs of internal and external customers; managing a budget and financial plans; building partnerships with management, staff, and stakeholders to achieve department goals and objectives; managing problems and situations where uncertainty is inherent; persuading others to adopt a particular stance on an issue; developing and evaluating best practices and emerging trends for organizational applicability and appropriateness; constructing new and innovative solutions for complex and varying problems and situations while considering the larger perspective or context; mentoring and coaching staff by providing open and honest feedback to enhance performance; developing and implementing strategic goals and initiatives that support organizational success; demonstrating excellent human relations, organizational and communication skills; demonstrating a passion about continuously improving and providing high quality care and service excellence to customers, patients, families, employees and/or physicians.

　　PREFERRED QUALIFICATIONS

　　Juris Doctor or LLB degree from an ABA accredited law school. Experience in a complex, multi-facility, corporate setting preferred.

　　Additional related education and/or experience preferred.

　　EOE/Female/Minority/Disability/Veterans (https://www.bannerhealth.com/careers/eeo)

　　Our organization supports a drug-free work environment.

　　Privacy Policy (https://www.bannerhealth.com/about/legal-notices/privacy)

　　EOE/Female/Minority/Disability/Veterans

　　Banner Health supports a drug-free work environment.

　　Banner Health complies with applicable federal and state laws and does not discriminate based on race, color, national origin, religion, sex, sexual orientation, gender identity or expression, age, or disability