Sys Manager Physician Compensation Valuation-Compliance
US-CO-ENGLEWOOD
commonspirit_careers
Req #: 389192
Type: Day
|
|
||||||||||
|
|||||||||||
Overview: Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care, community benefits and unreimbursed government programs. Together with our patients, physicians, partners, and communities, we are creating a more just, equitable, and innovative healthcare delivery system. Responsibilities: Job Summary / Purpose Contributes to the organization by providing physician compensation fair market value expertise and valuation analysis services. Manages the independent valuation process and contractual relationships with independent valuation firms. Manages a team of valuation analysts to ensure applicable state and federal laws and regulations are met with respect to fair market value. Supports continuous improvement of the compliance program and implementation of program enhancements as needed. Participates in monitoring activities, due diligence activities, and other projects as necessary. This position requires an understanding of the Federal and State laws and regulations regarding physician self- referral (Stark law), Anti kickback statute, fraud and abuse, and tax exemption. Additionally, the position must have advanced knowledge in the various compensation models related to employed and non employed physicians. The position must be able to personally perform, as well as train others, on valuation analysis, and be financially literate. This position has a good understanding of hospital and physician practice operations and fosters an ethical and compliant culture while supporting the organization's operational strategies and goals. Essential Key Job Responsibilities * Manages the centralized independent valuation process ensuring consistency, accurate data, and correct assumptions are relied upon. Identifies, negotiates preferred pricing, and manages the contractual relationships with independent valuation firms as well as manages individual engagements/projects system-wide. * Develops, leads, and sustains a high-functioning and effective team to provide in-house physician compensation valuation analysis services. * Serves as a consultant when fair market value guidance is required. Assists with ongoing education as needed. * Assists with developing tools to assist operators with basic fair market value analysis. * Assists with monitoring activities and other projects as necessary. * As requested, participates in the Physician Arrangements Review process. * Responsible for staff recruitment and developing subject-matter experts, including professional and career development, training and performance evaluations for applicable staff. * As requested, manages fair market value due diligence and organizational integration work efforts involving both growth and divestiture activities. Qualifications: Required Education and Experience * Bachelor's Degree required. Master's Degree in Finance/Accounting, Health Care Administration, Business or other related field preferred. * Minimum of three (3) years of progressive physician compensation valuation experience required, and two (2) additional years healthcare, finance, or related experience required. * Supervisory experience preferred. Required Licensure and Certifications * Certification in Provider Compensation Valuation (CPCV) or Certified Valuation Analyst (CVA) preferred. Required Minimum Knowledge, Skills, Abilities and Training * Advanced knowledge in provider compensation valuation and provider compensation models. * Good understanding of healthcare operations, specifically hospital and physician practice, and revenue cycle. * Good understanding of the Federal and State laws and regulations regarding physician self-referral (Stark law), Anti- kickback statute, fraud and abuse, and tax exemption * Financially literate, strong analytical and planning skills. * Success working collaboratively with key stakeholders to accomplish compliance goals. * Demonstrates strong verbal and written communication skills with the ability to communicate effectively with internal and external constituencies at all levels.
Share this job:
