Accountable for leading, guiding, and directing the Trinity Health ministry or enterprise functional responsibilities. Enable ministry-level or enterprise-wide functional strategy to address internal or external business & regulatory issues; provide functional expertise and ensure fulfillment of performance and service standards. Responsible for consistent operating performance and achieving financial goals. Identifies, defines & solves complex problems that impact the management & direction of the business; Collaborates with System Services Areas, Regions, and Health Ministries to ensure consistency and integration of strategy and operations. Maintaining awareness of new industry developments and standards. Provides decision support, operations &/or optimization leadership focus.
Functional Role (not inclusive of titles or advancement career progression)
Assist the Integrity and Compliance Director with guiding and managing the compliance activities and initiatives for assigned ministry(ies). Provides advice, guidance and program management to ministry leaders in developing, implementing and attaining program goals while ensuring alignment to compliance strategies. Conducts investigations for local ministry and provides recommended action in response to outcome of investigation. Participates in Service Area and Enterprise Integrity and Compliance projects with a focus on standardization and process improvements.
Support the Integrity and Compliance Director in developing, executing, and overseeing compliance initiatives within the ministry.
Provide expert advice and strategic guidance to ministry leaders on program goals and compliance strategies.
Lead and conduct internal investigations related to compliance concerns, ensuring thorough, timely, and objective outcomes.
Deliver well-documented recommendations for corrective actions based on investigative findings.
Partner with leaders across local ministries and enterprise functions to implement and sustain compliance strategies.
Actively participate in Service Area and Enterprise-level compliance projects, focusing on process improvement and standardization.
Collaborate on the development and rollout of organization-wide policies, training, and communication tools to foster a culture of ethics and compliance.
Monitor emerging risk areas and regulatory changes, ensuring proactive and appropriate organizational response.
Contribute to audit readiness activities and help strengthen internal controls across the ministry.
Track compliance performance metrics and support continuous improvement initiatives to enhance overall program effectiveness.
Minimum Qualifications
Bachelor’s level degree in business, health administration, or a related field, a law degree, or an equivalent combination of education & experience.
Minimum of five 5 years of relevant experience with increasing levels of responsibility in health care compliance &/or consulting including regulatory compliance, program metrics, performance assessment, & reporting outcomes, etc.
Must possess a thorough understanding and knowledge of health care legal and regulatory practices, financial and internal control systems/procedures.
Previous project, program, supervisory or management experience.
Additional Qualifications (nice to have)
Experience within a health care organization (including ambulatory and hospital settings) or equivalent work experience involving clinical documentation and coding reviews and working knowledge of Conditions of Payment including government and third- party payer regulations. Must understand and have expertise with Patient Driven Payment Models, Patient Driven Groupings Models, IRF-PAI and OASIS requirements. Comprehensive understanding of Medicare Physician Fee Schedule and Medicare Claims Processing Manual for professional services. . Comprehensive understanding of Conditions of Participation and Accreditation Standards.
CHC, CHPC, CHRC, CCEP or equivalent certification.
Lean/Six Sigma training and/or certification
.
Physical & Mental Requirements & Working Conditions (General Summary)
Direct Healthcare Services / Indirect Healthcare / Support Services:
Exposure to conditions which may be considered unpleasant to sight, touch, sound & / or smell. Occasional
Exposure to fumes, odors, dusts, mists & gases, biohazards / hazards (mechanical, electrical, burns, chemicals, radiation, sharp objects, etc.). Occasional
Exposure to or subject to noise, infectious waste, diseases & conditions. Occasional
Exposure to interruptions, shifting priorities & stressful situations. Frequent
Ability to follow tasks through to completion, understand & relate to complex ideas / concepts, remember multiple tasks & regimens over long periods of time & work on concurrent tasks / projects. Frequent
Ability to read small print, hear sounds & voice / speech patterns, give / receive instructions & other verbal communications (in-person & / or over the phone / computer / device / equipment assigned) with some background noise. Frequent
Perform manual dexterity activities & / or grasping / handling. Continuous
Ability to climb, kneel, crouch & / or operate foot controls. Occasional
Use a computer / other technology. Frequent
Sit with the ability to vary / adjust physical position or activity. Frequent
Maintain a safe working environment & use available personal protective equipment (PPE). Continuous
Comply with Trinity Health’s Code of Conduct, policies, procedures & guidelines. Continuous
Ability to provide assistance in the event of an emergency. Occasional
Direct Healthcare Services:
Perform activities that require standing / walking with the ability to vary / adjust physical position or activity. Occasional
Lift a maximum of 30 pounds unassisted. Occasional
Use upper & lower extremities, engage in bending / stooping / reaching & pushing / pulling. Occasional
Work indoors (subject to travel requirements) under temperature-controlled & well-lit conditions. Continuous
Encounter worksites (e.g., patient homes) or travel to worksites that may have variable internal & external environmental conditions. Occasional
Perform work that involves physical efforts (e.g., transporting, moving, positioning & / or ambulating patients). Occasional
Indirect Healthcare / Support Services:
Perform activities that require standing / walking with the ability to vary / adjust physical position or activity. Occasional
Lift a maximum of 30 pounds unassisted. Occasional
Experience of long periods of walking / standing / stooping / bending / pulling & / or pushing. Occasional
Encounter a clinical / patient facing / hands on interactive work environment. Occasional
Work indoors (subject to travel requirements) under temperature-controlled & well-lit conditions. Continuous
Work outdoors with variable external environmental conditions. Occasional
Hourly pay ranges: $47.23 - $70.85
Average Workday Activity: Occasional - O (1% - 33%), Frequent - F (34% - 66%), Continuous - C (67% - 100%)
Hourly pay range: $47.23 - $70.85
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
Skills Required
- Bachelor's degree in business, health administration, law, or equivalent combination of education and experience.
- Minimum of five years of relevant experience in health care compliance and/or consulting, including regulatory compliance, program metrics, performance assessment, and reporting.
- Thorough understanding of health care legal and regulatory practices, financial and internal control systems/procedures.
- Previous project, program, supervisory or management experience.
- Experience within a health care organization or equivalent clinical documentation and coding review experience (e.g., Conditions of Payment, PDPM, PDGM, IRF-PAI, OASIS, Medicare rules).
- Certifications such as CHC, CHPC, CHRC, CCEP.
- Lean/Six Sigma training and/or certification.
What We Do
Trinity Health is one of the largest not-for-profit, Catholic health care systems in the nation. It is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians caring for diverse communities across 25 states. Nationally recognized for care and experience, the Trinity Health system includes 88 hospitals, 131 continuing care locations, the second largest PACE program in the country, 125 urgent care locations and many other health and well-being services. Based in Livonia, Michigan, its annual operating revenue is $20.2 billion with $1.2 billion returned to its communities in the form of charity care and other community benefit programs.
