Technical Lead, Corp Compliance (Lab)

This position supports the Manager of Compliance for DaVita Labs and assists in
existing and new compliance activities. The Technical Lead is responsible for
identifying, developing, and implementing strategies to mitigate risk in a developing
healthcare regulatory landscape, with a key focus on Fraud, Waste, and Abuse (FWA)
laws like the False Claims Act (FCA) and record retention policies.
This role combines deep expertise in revenue cycle processes and End-Stage Renal
Disease (ESRD) billing rules with broader compliance program support. The position
involves conducting focused reviews of medical records, billing data, and clinical
systems to ensure services are generated and billed in accordance with established
policies and regulatory requirements. This teammate will perform complex data
analysis, lead projects, provide daily compliance guidance, and collaborate with
business and legal partners to foster a proactive approach to compliance.

Essential Duties & Responsibilities
* Compliance Program Management: Support the annual compliance risk assessment
and implementation of the compliance plan. Develop, review, and update policies,
training materials, and other communications to address compliance risks.
* Auditing and Data Analysis: Develop and conduct focused assessments of billing,
laboratory, and clinical systems to ensure compliant practices. Perform complex
data analysis to identify trends and risks, conduct post-audit reviews of system
updates, and develop comprehensive written reports on findings for stakeholders.
* Investigation and Case Management: Assist in compliance investigations to
identify root causes and implement corrective action. Lead the full lifecycle of
monitoring and inquiry cases within the case management system, including
tracking corrective actions through completion.
* Strategic Collaboration: Develop strong, collaborative relationships with business
partners, Senior Lab Leadership, and Legal to foster proactive compliance and
implement strategies for process improvement. Provide daily compliance guidance
on matters involving federal healthcare program laws.

*The above statements describe the general nature and level of work being performed by individuals employed in this position.

This job description is not
intended to be an exhaustive list of all duties and responsibilities required in this position. This job description does not constitute an employment contract.

* Develop and maintain charge mapping oversight activities to ensure accurate
chargemaster setup and maintenance. Manage communications regarding these
systems across various laboratory and non-laboratory platforms.
* Work independently on special projects, help with the implementation of new
processes and controls, and maintain databases that support compliance reporting
needs.
* Support the development of quarterly Management Compliance Committee
materials, preparing presentations on data findings and strategies.
* Lead various compliance education and engagement initiatives.
* Must be self-motivated, team player with proven ability to identify issues and
manage priorities in a fast-paced environment while striving for practical business
solutions.
* Ability to handle confidential information and/or issues using discretion and
judgment.
* Other Duties as Assigned

Education and Requirements
* Bachelor's degree or equivalent relevant work experience required.
* Minimum five (5) years of Revenue Cycle or relevant experience required,
preferably in a healthcare business setting.
* Minimum of three (3) years audit experience required
* Preferred experience working with Medicare regulations, healthcare billing or
coding and respective electronic health records and billing IT systems.
* Intermediate knowledge of Structured Query Language (SQL) or Oracle PL/SQL
preferred.
Certificates, Licenses, and Registrations
* Healthcare Compliance Certification (e.g., CHC-HCCA, CPCO-AAPC) is
preferred.
* Certified Medical Coder certification preferred (CPC, CCS, CMC)
* Data analytics or visualization certification (e.g., Tableau) or database
certification (e.g., SQL, Oracle) preferred.
Travel and Time Requirements
* Travel required: This position requires up to 10% travel, with additional travel
possible depending on business needs.

Additional Requirements
Language Skills: Fluent in the written and verbal skills necessary to successfully
perform the essential functions, duties, and responsibilities of the position.
ADA/Reasonable Accommodations: DaVita provides reasonable accommodations to
enable otherwise qualified individuals with disabilities to perform the essential Physical
and/or Mental functions of a position.
Work Environment: Level III - Moderate noise (e.g., business office with computers or
printers, light traffic). No required tasks involve greater exposure to blood, body fluids

Visual: Vision adequate to perform the essential duties/responsibilities of position.
May be required to demonstrate the ability to differentiate colors on a test strip.
Physical Demands: Physical requirements can vary. These must be reviewed with
management. However, in general, the position requires the following activities:
* Ability to lift minimum of 5 lbs to a max of 50 lbs unassisted and able to stand,
sit, stoop, walk, stretch, reach, and use full range of body motions.
* Manual dexterity as required for specific equipment and ability to use computer
keyboard and peripherals.

What We'll Provide:

More than just pay, our DaVita Rewards package connects teammates to what matters most. Teammates are eligible to begin receiving benefits on the first day of the month following or coinciding with one month of continuous employment. Below are some of our benefit offerings.

• Comprehensive benefits: Medical, dental, vision, 401(k) match, paid time off, PTO cash out
• Support for you and your family: Family resources, EAP counseling sessions, access Headspace , backup child and elder care, maternity/paternity leave and more
• Professional development programs: DaVita offers a variety of programs to help strong performers grow within their career and also offers on-demand virtual leadership and development courses through DaVita's online training platform StarLearning.

For location-specific minimum wage details, see the following link: DaVita.jobs/WageRates