Oak Street Health
Oak Street Health is rebuilding healthcare as it should be.
Chicago, IL
Remote

Compliance Manager (J.D. Preferred) at Oak Street Health

| Chicago | Remote
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Description

Company: Oak Street Health

Title: Manager of Compliance

Location: Downtown Chicago (or Remote)

Oak Street Health is a rapidly growing public company of primary care centers for adults on Medicare in medically-underserved communities where there is little to no quality healthcare. Oak Street's care is based on a unique model that is focused on value for its patients, not on volume of services. The company is accountable for its patients' health, spending more than twice as long with its patients and taking on the risks and costs of their care. For more information, visit http://www.oakstreethealth.com .

Role Description

Perform compliance program oversight, risk mitigation for value based primary care businesses, manage compliance projects, programs, and processes and report progress to senior leadership. Particular areas of focus are likely to include employee training, business/operations support, project evaluation, compliance investigations, remediation and monitoring. Areas of expertise should include Medicare/Medicare Advantage, general healthcare billing and coding practices, the federal Anti-Kickback Statute, False Claims Act, and other laws and regulations related to healthcare compliance.

Responsibilities

  • Support CMS compliance through project management and engagement of key stakeholders.
  • Consistently exhibit behavior and communication skills that demonstrate Oak Street Health's commitment to rebuilding healthcare the way it should be.
  • Collaborate with key executives to activate a compliance work plan that identifies and prioritizes areas of significant compliance risk.
  • Manage multiple concurrent audits and oversight activities; assess the impact of results across the audited activity and, where necessary, devise corrective action.
  • Maintain knowledge of current and proposed laws, regulations and guidelines; evaluate the effectiveness of corrective action plans.
  • Track audit plan milestones; interact with internal and external clients and regulators.
  • Direct the preparation of reports of audit findings and recommendations so that responsible management may evaluate the functions and business units audited and take appropriate action.
  • Present reports to management for review prior to release and conduct correspondence for clarification, negotiation, and follow-up as may be requested.
  • Prepare and deliver education for teammates on compliance initiatives and policies.
  • Proactively identify new risks and projects through various intakes, including regular meetings with stakeholders, business leaders, legal, and external sources.
  • Oversee the management of issue intake and appropriate identification, tracking and follow up of all issues.
  • Through oversight, ensure internal controls are capable of preventing and detecting significant instances or patterns of illegal, unethical, or improper conduct.
  • Support the Development, implementation and operationalization of compliance policies and procedures.
  • Assist with investigations, including interview/fact finding and analysis, presentation of recommendations to executive leadership, and remediation/root cause process enhancements.
  • Support the business use of protected health information (PHI) in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.
  • Perform additional duties as assigned.

What we're looking for

We're looking for motivated, experienced individuals with:

  • Minimum of 5 years in healthcare industry and well versed in CMS policies, rules and regulations of Medicare and Medicare Advantage Part C and D.
  • J.D., Masters in Public Health, Masters in Healthcare Administration or similar graduate degree is strongly preferred.
  • Managed care compliance experience preferred.
  • Experience with coding and revenue cycle compliance is preferred.
  • High degree of interpersonal skills, influence, problem solving abilities and excellent communication skills.
  • Strong orientation to deadline and detail.
  • Ability to maintain confidentiality.
  • Advanced MS Excel and MS Word skills required.
  • Ability to plan, develop, and implement compliance-related programs.
  • Ability to travel as needed.
  • US work authorization.
  • Someone who embodies being "Oaky."

What does being "Oaky" look like?

  • Radiating positive energy
  • Assuming good intentions
  • Creating an unmatched patient experience
  • Driving clinical excellence
  • Taking ownership and delivering results
  • Being scrappy

Why Oak Street?

Oak Street Health offers our coworkers the opportunity to be at the forefront of a revolution in healthcare, as well as:

  • Collaborative and energetic culture
  • Fast-paced and innovative environment
  • Competitive benefits including paid vacation and sick time, generous 401K match with immediate vesting, and health benefits

Oak Street Health is an equal opportunity employer. We embrace diversity and encourage all interested readers to apply to oakstreethealth.com/careers.
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Where we are

30 W. Monroe St, Chicago, IL 60603

Technology we use

  • Engineering
  • Product
    • .NETLanguages
    • C#Languages
    • JavascriptLanguages
    • PythonLanguages
    • SqlLanguages
    • TypescriptLanguages
    • RxJSLibraries
    • gRPCLibraries
    • KafkaFrameworks
    • IstioFrameworks
    • KubernetesFrameworks
    • VueJSFrameworks
    • Material DesignFrameworks
    • CypressFrameworks
    • Microsoft SQL ServerDatabases
    • MongoDBDatabases
    • MongoDBDatabases
    • PiwikAnalytics
    • BalsamiqDesign
    • InVisionDesign
    • SketchDesign
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What are Oak Street Health Perks + Benefits

Culture
Friends outside of work
Open door policy
Diversity
Diversity Employee Resource Groups
Hiring Practices that Promote Diversity
Health Insurance & Wellness Benefits
Flexible Spending Account (FSA)
Disability Insurance
Dental Benefits
Vision Benefits
Health Insurance Benefits
Life Insurance
Wellness Programs
Mental Health Benefits
Retirement & Stock Options Benefits
401(K)
401(K) Matching
Company Equity
Employee Stock Purchase Plan
Performance Bonus
Child Care & Parental Leave Benefits
Child Care Benefits
Generous Parental Leave
Flexible Work Schedule
Remote Work Program
Family Medical Leave
Vacation & Time Off Benefits
Generous PTO
Paid Holidays
Paid Sick Days
Perks & Discounts
Commuter Benefits
Happy Hours
Relocation Assistance
Professional Development Benefits
Job Training & Conferences
Tuition Reimbursement
Diversity Program
Promote from within
Continuing Education stipend
Time allotted for learning
Customized development tracks

An Insider's view of Oak Street Health

What’s the vibe like in the office?

Everyone here truly believes in what we’re building which creates a collaborative and focused environment where we’re always willing to lend a hand. We love to work hard and also have fun every step of the way. There’s never a shortage of smiles and laughter during our team standups, lunches, happy hours, and company wide huddles.

Kelsey

Product Manager

What's the biggest problem your team is solving?

Traditional healthcare systems tend to leave care teams to figure things out on their own. Here, we apply today’s standards in UX and machine-learning to change that behavior for the better. Gathering direct feedback from our teams, we identify what’s most important to them and help them make clinically sound decisions for our patients’ care.

Mike

Sr. UX Designer

How has your career grown since starting at the company?

OSH has been a tremendous learning experience for my first full time job. My manager has prioritized building a strong foundation of coding skills, which helped me to learn and transition into our new tech stack. I was given learning resources to develop skills on my own and gained knowledge and best practices from collaborating with teammates.

Molly

Software Engineer

What projects are you most excited about?

I am most excited about our disease progression projects. For these projects, we compile unstructured data and combine it with more traditional health data like labs and vital signs to develop models that give providers the opportunity to proactively manage the health of our patients. At Oak Street, you have a direct impact on the patient's care

Brian

Data Scientist

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