Medicaid Full Job Description Primary City/State:

Greeley, Colorado Department Name:

Compliance-Corp Work Shift:

Day Job Category:

Compliance Great careers are built at Banner Health. There's more to health care than doctors and nurses. We support all staff members as they find the path that's right for them. Apply today, this could be the perfect opportunity for you. Located just 45 minutes north of Denver, Northern Colorado offers trendy restaurants, a thriving retail sector, and endless cultural amenities. Between wildflower-filled meadows and spectacular views of the Rocky Mountains, you will find adventures by horse, mountain bike and boat plus, endless hiking trails and world class skiing. This position is required to be onsite. It covers Banner Health's Northern Colorado facilities (Banner North Colorado Medical Center (NCMC) and Banner Fort Collins Medical Center (BFCMC) with a dedicated office at NCMC, and rotating schedule at BFCMC. This team does work from home on Fridays. In this role you will plan, design, implement, and maintain a compliance program including related policies, procedures, and processes with a principal focus on the Northern Colorado facilities, in conjunction with the company's Compliance Programs and related standards. You will also serve as a role model for ethical management behavior and promote an awareness and understanding of high ethical standards consistent with the organization's values as well as federal and state legal requirements and serve as the Compliance Program and HIPAA resource and liaison for the Northern Colorado facilities. Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.

POSITION SUMMARY

This position is responsible for developing, implementing, maintaining, and enforcing a designated compliance program area of Banner Health's Corporate Compliance Program. The role promotes compliance with federal, state, and local regulations including Medicare, Medicaid, and Health Insurance Portability and Accountability Act (HIPAA) requirements. The position serves as the program owner and subject matter expert, promoting high ethical standards consistent with the organization's values and legal requirements.

CORE FUNCTIONS 1.

Develops, implements, maintains, and enforces compliance standards and procedures for a designated compliance program area within Banner Health's Corporate Compliance Program. Applies industry best practices and a risk-based methodology to deliver an effective compliance framework consistent with the organization's compliance philosophy and strategies within assigned area of responsibility. 2. Develops, implements, and coordinates with internal stakeholders, including others in Compliance, program-specific workplans reflecting current external and internal compliance risks within assigned area of responsibility. 3. Designs and conducts routine and ad hoc auditing and monitoring activities that address assigned area's identified risks, failures, or government enforcement priorities. 4. Creates and monitors ethical and compliance standards expected by employees and takes corrective action to address failures. Monitors program effectiveness and implements improvements to enhance compliance outcomes. 5. Develops and delivers comprehensive training and education programs that promote understanding of and behavior consistent with the organization's compliance culture and expectations. 6. Provides regular reports to leadership and compliance committees on compliance program activities and metrics. Presents program updates to board committees as needed. 7. Investigates and responds to compliance concerns, questions, and complaints, ensuring appropriate, documented, and timely resolution. Manages complex, program-related investigations and coordinates responses to government inquiries, audits, and enforcement actions within the designated program area. Documents compliance activities consistent with legal requirements and organizational expectations. 8. Maintains awareness of applicable laws, regulations, sub-regulatory guidance, and enforcement actions through personal initiative, seminars, training programs, and peer contact. 9. If applicable, directs, supervises, and evaluates the work of staff, while holding them accountable and developing them to promote continued professional growth.

MINIMUM QUALIFICATIONS

Bachelor's degree in Healthcare or other relevant field. Five to seven years of experience in healthcare compliance or operations, or other relevant field. Knowledge of laws and regulations pertaining to healthcare, regulatory compliance, Medicare/Medicaid, and HIPAA. Strong oral and written communication skills. Ability to interact effectively with executives, management teams, physicians, and regulatory agencies. Excellent problem-solving and planning skills. Proficiency with computers and relevant applications.

PREFERRED QUALIFICATIONS

Master's degree in relevant field. Healthcare compliance certification. Previous healthcare compliance experience. Experience with compliance program activities related to effective compliance program elements. Additional related education and/or experience preferred.

Estimated Pay Range:

$50.12 - $83.54 / hour Banner Health is committed to pay equity and transparency. The posted compensation range is a reasonable estimate that extends from the lowest to the highest pay Banner Health in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. This range is based on possible base salaries and does not include the value of our total rewards package. Actual pay determined at offer will be based on years of relevant work experience, education, certifications, skills, and geographic location, along with a review of current employees in similar roles to ensure pay equity is achieved and maintained. Anticipated Closing Window (actual close date may be sooner): 2026-12-10

EEO Statement:

EEO/Disabled/Veterans Our organization supports a drug-free work environment.

Privacy Policy:

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