Job Description
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.
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:
Education Preferred
A.S. in Medical Technology, Business Administration or comparable experience
B.S. or equivalent preferred
Work Experience
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
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Quest Diagnostics honors our service members and encourages veterans to apply.
While we appreciate and value our staffing partners, we do not accept unsolicited resumes from agencies. Quest will not be responsible for paying agency fees for any individual as to whom an agency has sent an unsolicited resume.
or any other legally protected status.
Equal Opportunity Employer: Race/Color/Sex/Sexual Orientation/Gender Identity/Religion/National Origin/Disability/Vets
