Senior Consultant – Healthcare Compliance

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

📋 Description

• Oversee and assist in the creation of compliance programs, encompassing policies, procedures, risk assessments, and workplans.

• Execute compliance risk assessments and gap analyses across clinical, operational, and revenue cycle sectors.

• Act as a subject matter expert for regulatory guidance, including federal and state healthcare laws and payer requirements.

• Assist clients with audit defense activities.

• Design and implement compliance training programs.

• Analyze data to uncover trends, outliers, and potential compliance risks; communicate findings to stakeholders.

• Provide guidance to clients on best practices for HIPAA privacy and breach response, and support the implementation and monitoring of corrective action plans and compliance initiatives.

• Work collaboratively with cross-functional teams to enhance workflows, internal controls, and documentation practices.

• Keep abreast of regulatory changes (e.g., CMS, OIG Work Plan, payer updates) and evaluate their impact on clients.

• Function as an outsourced/fractional compliance resource, addressing daily compliance needs and strategic initiatives.

• Contribute to client deliverables, reports, and presentations with clear, actionable recommendations.

• Engage in business development activities, including the development of proposals.

⛳️ Requirements

• 3-5+ years of experience in healthcare compliance, consulting, practice administration, or a related field.

• Experience in interpreting and applying healthcare regulations (e.g., CMS, OIG, HIPAA, and state-specific requirements).

• Preferred exposure to various care settings (e.g., physician practices, hospitals, outpatient services).

• Strongly preferred experience in supporting or participating in external audits or regulatory inquiries.

• Bachelor's degree is required.

• One or more relevant certifications are required: Certified in Healthcare Compliance (CHC), Certified in Healthcare Privacy Compliance (CHPC), CPC, or other AAPC or AHIMA coding/auditing credentials are a plus but not mandatory.

• Robust understanding of healthcare compliance program components and regulatory frameworks.

• Capability to conduct independent regulatory research and convert findings into practical guidance.

• Proficiency in Microsoft Office Suite (Excel, Word, PowerPoint, Outlook).

• Experience with Electronic Health Records.

🏝️ Benefits

• Access to benefits that extend beyond the usual offerings to enhance physical, mental, career, social, and financial well-being.