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Sys Manager Physician Compensation Valuation-Compliance

CommonSpirit Health Englewood, Colorado
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The posted compensation range of $46.96 - $68.10 /hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law.

Requisition ID 2024-389192 Employment Type Full Time Department Corporate Compliance Hours/Pay Period 80 Shift Day Weekly Schedule Monday - Friday Remote Yes Category Risk and Compliance
Overview

CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.


Responsibilities

Job Summary / Purpose

Contributes to the organization by providing physician compensation fair market value expertise and valuation analysis services. Manages the independent valuation process and contractual relationships with independent valuation firms. Manages a team of valuation analysts to ensure applicable state and federal laws and regulations are met with respect to fair market value. Supports continuous improvement of the compliance program and implementation of program enhancements as needed. Participates in monitoring activities, due diligence activities, and other projects as necessary. This position requires an understanding of the Federal and State laws and regulations regarding physician self- referral (Stark law), Anti kickback statute, fraud and abuse, and tax exemption. Additionally, the position must have advanced knowledge in the various compensation models related to employed and non employed physicians. The position must be able to personally perform, as well as train others, on valuation analysis, and be financially literate. This position has a good understanding of hospital and physician practice operations and fosters an ethical and compliant culture while supporting the organization’s operational strategies and goals.
Essential Key Job Responsibilities 
  1. Manages the centralized independent valuation process ensuring consistency, accurate data, and correct assumptions are relied upon. Identifies, negotiates preferred pricing, and manages the contractual relationships with independent valuation firms as well as manages individual engagements/projects system-wide.
  2. Develops, leads, and sustains a high-functioning and effective team to provide in-house physician compensation valuation analysis services.
  3. Serves as a consultant when fair market value guidance is required. Assists with ongoing education as needed.
  4. Assists with developing tools to assist operators with basic fair market value analysis.
  5. Assists with monitoring activities and other projects as necessary.
  6. As requested, participates in the Physician Arrangements Review process.
  7. Responsible for staff recruitment and developing subject-matter experts, including professional and career development, training and performance evaluations for applicable staff.
  8. As requested, manages fair market value due diligence and organizational integration work efforts involving both growth and divestiture activities.

Qualifications

Required Education and Experience

  • Bachelor’s Degree required. Master’s Degree in Finance/Accounting, Health Care Administration, Business or other related field preferred.
  • Minimum of three (3) years of progressive physician compensation valuation experience required, and two (2) additional years healthcare, finance, or related experience required.
  • Supervisory experience preferred.

Required Licensure and Certifications

  • Certification in Provider Compensation Valuation (CPCV) or Certified Valuation Analyst (CVA) preferred.

Required Minimum Knowledge, Skills, Abilities and Training

  • Advanced knowledge in provider compensation valuation and provider compensation models.
  • Good understanding of healthcare operations, specifically hospital and physician practice, and revenue cycle.
  • Good understanding of the Federal and State laws and regulations regarding physician self-referral (Stark law), Anti- kickback statute, fraud and abuse, and tax exemption
  • Financially literate, strong analytical and planning skills.
  • Success working collaboratively with key stakeholders to accomplish compliance goals.
  • Demonstrates strong verbal and written communication skills with the ability to communicate effectively with internal and external constituencies at all levels.

Unless directed by a Collective Bargaining Agreement, applications for this position will be considered on a rolling basis. CommonSpirit Health cannot anticipate the date by which a successful candidate may be identified.

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Depending on the position offered, CommonSpirit Health offers a generous benefit package, including but not limited to medical, prescription drug, dental, vision plans, life insurance, paid time off (full-time benefit eligible employees may receive a minimum of 14 paid time off days, including holidays annually), tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings, as may be amended from time to time. For more information, please visit https://www.commonspirit.careers/benefits.

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Equal Opportunity

CommonSpirit Health™ is an Equal Opportunity/Affirmative Action employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law. For more information about your EEO rights as an applicant, please click here [PDF].

CommonSpirit Health™ will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c). External hires must pass a post-offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances. If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request. We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA). CommonSpirit Health™ participates in E-Verify.