Manager – Compliance & Regulatory

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

📋 Description

• Design, implement, and manage elements of Innovaccer’s healthcare compliance program.

• Provide strategic guidance for compliance initiatives to reduce risk and ensure adherence to regulations.

• Continuously enhance compliance programs, policies, and procedures related to HIPAA, Medicare/Medicaid, and fraud and abuse legislation.

• Conduct risk assessments and formulate corrective action plans.

• Oversee and conduct internal monitoring and auditing activities.

• Investigate potential compliance breaches and enforce corrective and preventive strategies.

• Act as a point of contact during audits or investigations.

• Design and deliver training programs on compliance.

• Prepare compliance reports for departmental leaders and executive management.

• Utilize technology and analytics to generate actionable reports.

• Collaborate with legal counsel and information security teams on intricate compliance issues.

• Keep abreast of changes in healthcare regulations and emerging compliance trends.

• Perform additional compliance-related tasks as assigned.

⛳️ Requirements

• Bachelor’s degree in Healthcare Administration, Business, Law, or a related discipline.

• A minimum of 5–7 years of progressive experience in healthcare compliance.

• At least 3 years of experience overseeing a compliance program within an organization.

• Proven experience in developing and executing healthcare compliance programs.

• In-depth knowledge of HIPAA, HITECH, and Medicare/Medicaid regulations.

• Strong understanding of the Anti-Kickback Statute, Stark Law, and the False Claims Act.

• Proficient in compliance risk assessment methodologies and auditing techniques.

• Experience with compliance management software and data analysis tools.

• Familiarity with healthcare accreditation standards such as Joint Commission and NCQA.

• Outstanding leadership, analytical, problem-solving, communication, collaboration, integrity, and ethical decision-making abilities.

• Certification in Healthcare Compliance (CHC) is preferred.

• CHPC or CCEP certifications are preferred.

• Background in revenue cycle management or medical coding is preferred.

• Experience across various healthcare settings is preferred.

• Experience in revenue cycle management and/or delegated services is preferred.

• Knowledge of compliance issues concerning telehealth, digital health, or value-based care is preferred.

🏝️ Benefits

• PTO benefit accrual of 20 days per year.

• Parental leave.

• Monetary incentives and recognition through rewards programs.

• Medical, dental, and vision benefits.

• 100% company-sponsored short- and long-term disability insurance.

• Basic life insurance.

• Discounted legal aid and pet insurance options.