Manager, Compliance (Remote) in Collegeville, PA at Quest Diagnostics

Date Posted: 1/4/2022

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    1201 South Collegeville Road
    Collegeville, PA
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:
    1/4/2022
  • Job ID:
    req81527

Job Description

Basic Purpose:

Responsible for providing Compliance support to assigned functions, which may include one or more business function and/or clinical franchise(s).  Partner with senior leadership of the assigned function(s) to ensure compliance and find solutions to compliance issues.  Responsible for communicating and proactively driving and monitoring compliance with all applicable federal and state laws, regulations, policy directives, compliance policies and procedures and ethical requirements, directly and through supervision of Compliance personnel within the assigned function(s).  Engaged in all aspects of the business and seen as a key driver of requirements in complex situations. 

Duties and Responsibilities: 

  • Act as primary Compliance support to assigned function(s) which may include one or more of the following:   ExamOne, Quest Health Connect, Insurer Solutions and/or one or more of the Clinical Franchise(s).
  • Drive compliance with federal and state fraud and abuse and related laws by the assigned functions.
  • Proactively enhance compliance in assigned functions.
  • Engage actively with the leadership team of assigned function(s) in key business initiatives to identify and address any compliance issues and to develop compliant solutions.
  • Drive the Quest Diagnostics compliance program by leading projects and overseeing the identification and resolution of corporate-wide compliance issues as assigned by the Sr. Director, Compliance.
  • Support due diligence activities as needed.
  • Provide feedback in the development and execution of corporate Compliance initiatives.
  • Initiate and lead special projects as needed to monitor compliance in designated areas.
  • Perform other compliance related tasks and projects as assigned. 

Supervision Exercised:

N/A 

Qualifications: 

Education Preferred

BS in Science Discipline, Business or related field

MT (ASCP) and CPC certification preferred

Work Experience

3+ years health care compliance experience

Experience in the clinical laboratory industry preferred

Experience in fact finding, analysis, problem solving, and evaluating health care compliance issues in order to make decisions

Demonstrated ability to effectively work in a fast-paced environment, including skill in prioritization

Physical and Mental Requirements

Ability to evaluate business proposals and identify potential legal, regulatory and compliance concerns.

Perform a variety of job duties with frequent interruptions or distractions, often changing from one task to another

Adjust priorities and focus quickly as circumstances dictate.

Ability to interact professionally with colleagues and/or customers for different purposes in different contexts; including medical colleagues regarding complex testing/concepts.

Effective verbal and written communication, including presentation skills, at a level appropriate for communication with director-level colleagues and customers

Ability to professionally interact with outside agencies

Ability to communicate complex issues clearly and concisely to internal and external constituencies

Maintain composure under pressure

Ability to make informed decisions

Examine/observe details

Key Competencies

Business and Financial Acumen

Strategic Agility

Process Management

Building Effective Teams

Innovation

Process Orientation

Organizational Savvy

Learning on the Fly

Dealing with Ambiguity

Drive for Results

Problem Solving

Functional / Technical Skills

Action Oriented

Customer Focus

Decision Quality

Interpersonal Savvy

Composure

Approachability

Ability to thoroughly understand and apply all compliance policies and procedures, including the rationale and application to diverse situations and the impact of potential violations

Ability to thoroughly understand and apply federal and state fraud and abuse laws and regulations or the ability to learn them

Ability to thoroughly understand health care coverage, payment and administrative policy, and its business impact on billing, operations and financials

Ability to review and understand complex medical information and how this information relates to Compliance

Proven ability to negotiate and influence change

Demonstrated ability to manage multiple priorities/projects simultaneously

Ability to complete projects while meeting goals within established time deadlines

Technical competency including Excel, Word, Outlook, Laboratory and Billing systems