Manager of Corporate Responsibility, Audits and Investigations
Location: Altamonte Springs, Florida
Internal Number: 21025873
Location Address: Altamonte Springs, Florida
Top Reasons To Work At AdventHealth Corporate
Immediate Health Insurance Coverage
Career growth and advancement potential
Full-Time, Monday – Friday
You Will Be Responsible For:
Monitoring and Auditing
Annual Monitoring and Auditing Plan
Responsible for supporting the development and implementation of the systemwide Monitoring and Auditing (M&A) plan on an annual basis through the assessment of risks and input from systemwide stakeholders.
Responsible for developing audits to support the system’s M&A efforts.
Responsible for communication of M&A expectations and standards to the Regional Corporate Responsibility Officers (RCROs) to ensure consistent and high-quality audit activities.
Responsible for evaluating audit activities, providing feedback and helping to assess institutional risk.
Responsible for reviewing and analyzing all audit findings and data from the M&A plan and providing concise, clear, and informative results and reports to regional and corporate leadership.
On-going or Ad-Hoc Auditing/Monitoring Activities
Perform high-risk or as-needed audits on behalf of the organization.
Oversee the Exclusion Monitoring process including reporting and responding to and identified exclusion risks.
Risk-Assessment and Regulatory Oversight
Responsible for monitoring the regulatory environment and assessing institutional risks and inform necessary audit and investigation activities.
Develop and perform an annual compliance risk assessment to identify perceived and actual institutional compliance risks.
Monitor key regulatory changes and/or activities impacting health care to inform M&A activities.
As directed by the Executive Director, perform high-risk investigations in a confidential and professional manner.
Conduct data analysis and interviews to inform the investigative process.
Perform a detailed analysis of investigative findings and summarize these findings in an investigative report.
Support regional and corporate investigative efforts by being a subject matter expert.
Create and establishing investigative standards and procedures to support investigation efforts across the organization.
Regulatory and Data Analysis
Interprets regulatory compliance policies and regulations.
Ability to define problems, collect and validate data, establish facts, and draw conclusions.
Interpret data and analyze results using statistical techniques.
Acquire data from multiple data sources to review trends and support audit and investigative activities.
Responsible for performing, managing, and executing other duties as assigned
What You Will Need:
Bachelor’s degree in relevant field
Minimum five years health care compliance experience.
Certification in Health Care Compliance or certification eligible, and certification obtained within first year
The Manager of Corporate Responsibility, Audits and Investigations, supports the Executive Director for Audits & Investigations to provide direction and oversight of systemwide monitoring and auditing activities that support the organizational Corporate Responsibility Program. As part of the Corporate Responsibility team, the Manager will be responsible for supporting the creation and implementation of the systemwide auditing and monitoring activities for the hospitals, physician groups, post-acute, population health, pharmacy, academic, research and clinical settings, utilizing a risk-based and regulatory approach. In addition to audit development, the Manager will be responsible for reviewing internal and external audit activities to ensure that systemwide risks are identified and responded to. The Manager will also serve as a substantive resource on the performance of investigations, including providing guidance on best practices and establishing investigational standards. The Manager will administer the system’s incident reporting system, including triaging and following up on Guideline calls. The Manager will also be responsible for performing certain auditing and monitoring activities and investigations to support regional and corporate efforts.
At AdventHealth, Extending the Healing Ministry of Christ is our mission. It calls us to be His hands and feet in helping people feel whole. Our story is one of hope — one that strives to heal and restore the body, mind and spirit. Our more than 80,000 skilled and compassionate caregivers in hospitals, physician practices, outpatient clinics, urgent care centers, skilled nursing facilities, home health agencies and hospice centers are committed to providing individualized, wholistic care.