Compliance Manager

This is a fully remote position, open to applicants in United States.

📋 Description

• Conduct comprehensive compliance investigations into policy infringements and breaches of state or federal regulations, encompassing HIPAA, privacy, and fraud-related matters.

• Actively recognize and evaluate compliance risks by examining internal departmental processes, new product developments, and evolving state/federal regulatory frameworks.

• Create key risk indicators and continuous monitoring programs to assess the effectiveness of risk mitigation efforts.

• Offer clear, actionable, and solution-focused guidance to individual staff, clinical leaders, and executive stakeholders concerning complex regulatory statutes and industry standards.

• Collaborate closely with internal policy owners to draft, design, and revise comprehensive operational policies that address crucial organizational risks.

• Liaise directly with regulatory agencies, payor entities, and legal counsel to assist with external accreditations, payor audits, and overall risk management strategies.

• Develop and deliver highly interactive and engaging compliance training sessions and presentations for patient-facing teams, translating complex clinical compliance and risk management concepts into practical, everyday processes.

• Undertake additional duties as assigned.

⛳️ Requirements

• Bachelor’s Degree.

• Over 5 years of experience in healthcare compliance, ideally within a high-growth healthcare startup or organization.

• At least 2 years of experience in conducting, documenting, and resolving intricate compliance and privacy investigations.

• Demonstrated success in managing external audits, identifying root-cause issues, and facilitating cross-functional coordination to implement corrective action plans and remediation efforts.

• Strong functional knowledge of healthcare laws and regulations, including HIPAA/HITECH, state Medicaid requirements, OIG guidelines, and corporate compliance standards.

• Proven ability to apply critical thinking and manage multiple high-priority projects in a fast-paced, dynamic environment.

• Exceptional verbal and written communication skills, with a knack for translating regulations into operational guidance and fostering relationships while gaining buy-in.

🏝️ Benefits

• Flexible PTO policy (3-5 weeks/year recommended) plus 11 paid company holidays.

• Generous parental leave.

• Competitive Medical, Dental, Vision, Life, and AD&D insurance.

• Equip covers a significant portion of benefits premiums for individuals and families.

• Spring Health, a fully employer-funded mental health benefit through Guardian.

• Access to 5 complimentary therapy sessions and 5 complimentary coaching sessions annually for you and each of your dependents.

• Employee Assistance Program (EAP), a company-funded resource for mental health, legal services, financial support, and more.

• HealthJoy, a fully employer-funded platform connecting you with a healthcare concierge to assist in navigating your benefits.

• 401K Option available!

• $50/month stipend directly added to an employee’s paycheck to cover home internet costs.

• $250/month stipend for utilizing a co-working space.

• Initial work-from-home stipend of up to $500.

• Reload of $200 on the home office stipend at the 3-year mark and subsequently every other year thereafter (years 5, 7, etc.).

• Company-provided laptop.