Overview:

Responsible for communicating and proactively monitoring compliance with all applicable federal and state laws, regulations, policy directives and ethical requirements for all Quest Diagnostics staff and locations within the assigned Region.

Schedule: Hybrid (3 days onsite and 2 days Remote) at 1355 Mittel Blvd, Wood Dale, Illinois. 

Responsibilities:

Under supervision of the Regional Compliance Director, perform assigned activities to support all Regional Compliance efforts

Complete action items for compliance and reimbursement Incident Reports (IRs), investigations and any required follow-up, training or other actions directed by the corporate IR team.

Assist in Compliance training for assigned region including patient services, commercial, operations, logistics, customer solutions, sales support, etc.

Regional contact for all compliance inquiries either in-person, via phone/e-mail or regional compliance mailbox

Site monitoring of IOP or PSC sites, as directed by the Regional Director

Regional contact for corporate audit team to perform document retrieval, analysis and audit remediation support, including assisting with Regional/Corporate Audits under the Director's supervision.

Responsible for the performance of CCAP reviews such as Advance Beneficiary, Services Purchased, Services Sold, etc. following the corporate compliance review schedule.

Responsible for the project management of 1Compliance assignments as required (i.e.; PHIIT, Charitable Contributions, Health Fairs, etc.)

Responsible for supporting Regional Compliance Director with special assignments or projects, as needed

Ensure Regional understanding and alignment with Corporate Policies, SOPs and directives.

Research and review systems info in QLS, QBS, Quanum, OptiMaxx and other relevant document storage applications.

Qualifications:

Required Work Expericence: 

3+ years in the healthcare industry with a background in compliance, billing, operations and/or medical technology.

Experience conducting audits

Experience with Quest Lab Information System and related business systems highly desirable

Demonstrated project management experience and ability to prioritize activities

Physical and Mental Requirements

Perform job duties with frequent interruptions or distractions

Adjust priorities and focus quickly as circumstances dictate.

Ability to interact professionally with colleagues and/or customers for different purposes in different contexts.

Maintain composure under pressure

Effective oral and written communications skills

Concentrate on tasks

Ability to make informed decisions

Examine/observe details

Ability to work independently in a virtual team environment

Sitting or standing for long periods of time as routinely found in an office environment

Key Competencies       

Action Oriented

Customer Focused

Functional / Technical Skills

Decision Quality

Interpersonal Savvy

Composure

Approachability

Other Attributes

Understanding of all federal and state fraud and abuse laws and regulations.

Understanding of Compliance Policies and ability to explain and apply the policies.

Independently motivated with proven ability to follow through on initiatives

Highly engaging and collaborative style in working in a team and cross-functionally

Technical aptitude or experience with key MS Office and business applications expertise

Training and presentation abilities

Excellent interpersonal, customer service and oral communication skills, including the ability to communicate complex issues clearly and concisely

Proven problem-solving and follow up skills, with the ability to develop appropriate resolutions to improve deliverables or processes

Strong organizational and prioritization skills

Education:

A.S. in Medical Technology, Business Administration or comparable experience

B.S. or equivalent preferred

EEO:

Equal Opportunity Employer: Race/Color/Sex/Sexual Orientation/Gender Identity/Religion/National Origin/Disability/Vets