Director, Compliance Investigations Ensemble RCM LLC

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9 Blue Ash, OH Job Details Full-time 19 hours ago Benefits Tuition reimbursement Qualifications Investigations regulatory compliance Internal compliance assessments Investigating compliance violations Full Job Description Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.

E Purpose:

Customer Obsession:

Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.

Embracing New Ideas:

Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. Striving for

Excellence:

Execute at a high level by demonstrating our "Best in KLAS" Ensemble Difference Principles and consistently delivering outstanding results.

The Opportunity:

At Ensemble Health Partners, we are redefining the healthcare revenue cycle through innovation, operational excellence, and an unwavering commitment to compliance and integrity. We are seeking an experienced compliance leader to oversee investigations, regulatory risk management, and compliance program support across our organization. The Director, Compliance Investigations will lead complex compliance investigations, provide guidance on healthcare regulatory matters, support corrective action initiatives, and partner with operational and executive leaders to foster a culture of ethics, accountability, and compliance. This role is ideal for a strategic compliance professional who enjoys solving complex problems, leading high-impact investigations, and driving meaningful organizational change. Key Responsibilities Compliance Investigations Leadership Lead and oversee the investigation of reported compliance concerns, allegations of misconduct, and potential regulatory violations. Manage the intake, triage, prioritization, and assignment of compliance matters to ensure timely and consistent resolution. Conduct and oversee complex investigations involving healthcare compliance, regulatory requirements, and operational risk. Evaluate investigative findings and provide recommendations for corrective actions, process improvements, and risk mitigation strategies. Prepare reports and presentations summarizing investigative activity, outcomes, trends, and compliance risks for senior leadership. Regulatory Compliance & Risk Management Serve as a trusted advisor on healthcare compliance, fraud, waste and abuse regulations, and regulatory risk management. Stay informed of federal and state healthcare regulations, enforcement activities, payer audits, and industry developments impacting revenue cycle operations. Research and respond to compliance-related inquiries while providing practical guidance to operational and business leaders. Identify emerging compliance risks and recommend proactive solutions to strengthen organizational compliance programs. Corrective Actions & Program Improvement Partner with operational leadership to develop, implement, and monitor corrective action plans arising from investigations, audits, and compliance reviews. Support claim correction efforts, overpayment and refund initiatives, and remediation strategies when necessary. Track corrective action completion and ensure appropriate escalation of unresolved issues. Identify opportunities to improve compliance processes, controls, and organizational effectiveness. Compliance Education & Partnership Develop and deliver compliance education and training related to investigations, regulatory developments, audit findings, and industry best practices. Build collaborative relationships with compliance, operational, legal, and executive stakeholders. Support client-facing compliance activities, including monitoring, reporting, and regulatory communications. Promote a culture of integrity, accountability, and ethical decision-making throughout the organization. Qualifications Required Bachelor's degree or equivalent combination of education and experience. Minimum of 5 years of healthcare compliance, healthcare operations compliance, legal, regulatory, audit, or related experience. Experience conducting and managing compliance investigations, risk assessments, and corrective action initiatives. Strong knowledge of healthcare regulatory requirements and compliance program operations. Proven ability to communicate effectively with leaders at all levels of the organization. Preferred Certified in Healthcare Compliance (CHC) or other relevant compliance certification. Master's degree, Juris Doctor (JD), Nursing, Healthcare Administration, or related advanced degree. 7-10 years of progressive healthcare compliance, legal, audit, or regulatory experience. 3-5 years of leadership experience managing teams, programs, or enterprise initiatives. Experience supporting healthcare revenue cycle operations and regulatory compliance programs. Join an award-winning company Five-time winner of "Best in KLAS" 2020-2022, 2024-2025 Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024 22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024 Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024 Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023 Energage Top Workplaces

USA 2022-2024

Fortune Media Best Workplaces in Healthcare 2024 Monster Top Workplace for Remote Work 2024 Great Place to Work certified 2023-2024 Innovation Work-Life Flexibility Leadership Purpose + Values Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive.

A few of those include:

Associate Benefits

• We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs. Our Culture
• Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation. Growth
• We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement. Recognition
• We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.

Ensemble is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble also prohibits harassment of applicants or employees based on any of these protected categories. Ensemble provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact . This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role's range. Employment Disclaimers

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