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Compliance Supervisor - CPC or CCS

Primary Location Riverside, California Worker Location Flexible Job Number 1304617 Date posted 09/03/2024
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Description:
Job Summary:

This position is primarily responsible for leading company compliance activities in collaboration with internal and external stakeholders and providing insight and recommendations for the design, development, and execution of strategic compliance initiatives. Responsibilities include developing compliance reports, conducting compliance investigations, coordinating implementation of compliance efforts, and assisting with regulatory compliance through monitoring regulatory changes. This position also supports the management of projects or compliance components of larger cross-functional projects including assisting in development and coordination of plans and coordinating with stakeholders.


Essential Responsibilities:

  • Pursues professional growth by soliciting and acting on performance feedback; building collaborative relationships; training and developing talent for growth opportunities; delegating tasks and decisions; fostering open dialogue amongst team members; supporting execution of performance management guidelines and expectations; ensuring team collaboration; providing team members feedback; and mentoring and coaching to drive performance improvement.
  • Supervises and coordinates daily activities of designated work team or unit by monitoring the execution and completion of tactical action items and work assignments; ensuring all policies and procedures are followed; delegating tasks to meet short term objectives; aligning team efforts and measuring progress in achieving results; identifying and recommending improvement opportunities; and removing obstacles that impact performance.
  • Leads company compliance activities by collaborating with internal and external stakeholders; applying established regulations and standards to compliance efforts; providing insight and recommendations for the design, development, and execution of strategic compliance initiatives; and documenting compliance activities.
  • Develops compliance reports by evaluating and summarizing compliance data, audit information, and potential risks and remedies; reporting to management on key compliance drivers, liabilities, and performance indicators (for example, adherence to standards, incorporation of new regulations); and developing draft presentations to convey key findings.
  • Conducts compliance investigations by collecting and analyzing quantitative and qualitative data; conducting interviews as appropriate; researching key business issues; identifying potential action steps; and providing input for the creation of corrective action plans for substantiated allegations.
  • Supports the management of projects or compliance components of larger cross-functional projects by coordinating stakeholder contacts; recommending team resources based on project needs and team member strengths; assisting in the development, analysis, and management of project plans; and coordinating project schedules and resource forecasts.
  • Assists with ensuring regulatory compliance by monitoring regulatory changes; conducting analysis on regulatory impacts; and supporting the implementation of designated changes.
  • Coordinates the implementation of compliance efforts by identifying compliance requirements; assessing the current state of compliance to identify gaps and corrective actions; creating or revising moderately complex compliance standards, policies and procedures, and training; and monitoring ongoing compliance adherence.
Minimum Qualifications:

  • Bachelors degree in Health Care Administration, Clinical, Law, Public Health, Business or related field AND Minimum six (6) years experience in compliance, health care operations (quality, risk, etc.), audit, finance, regulatory or public policy development, investigations, information security, or insurance/health plan governance or a directly related field. Additional equivalent work experience in a directly related field may be substituted for the degree requirement.

Additional Requirements:

Preferred Qualifications:
  • Four (4) years medical coding experience and CPC or CCS (coding certifications)
  • Three (3) years' experience working cross-functionally across departments, functions, or business lines.
  • Two (2) years' experience in a leadership role with or without direct reports.
Primary Location: California,Riverside,Riverside Administration Scheduled Weekly Hours: 40 Shift: Day Workdays: Mon, Tue, Wed, Thu, Fri Working Hours Start: 08:00 AM Working Hours End: 04:00 PM Job Schedule: Full-time Job Type: Standard Worker Location: Flexible Employee Status: Regular Employee Group/Union Affiliation: NUE-SCAL-01|NUE|Non Union Employee Job Level: Team Leader/Supervisor Specialty: Compliance General Department: Regional Offices - Pasadena - Med Center Compliance Ops - 0806 Pay Range: $97500 - $126060 / year The ranges posted above reflect the location in the job posting. The salary range may vary if you reside in a different location or state than the location posted. Travel: No Flexible: Work location is on-site at a KP location, with the flexibility to work from home. Worker location must align with Kaiser Permanente's Authorized States policy. At Kaiser Permanente, equity, inclusion and diversity are inextricably linked to our mission, and we aim to make it a part of everything we do. We know that having a diverse and inclusive workforce makes Kaiser Permanente a better place to receive health care, a more supportive partner in our communities we serve, and a more fulfilling place to work. Working at Kaiser Permanente means that you agree to and abide by our commitment to equity and our expectation that we all work together to create an inclusive work environment focused on a sense of belonging and wellbeing.

Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status. Submit Interest