Healthcare Compliance Program Manager

POSITION SUMMARY:

The Compliance Program Manager is responsible for administering and refining FastMed’s strategic compliance programs, policies, and procedures. This position will hold primary responsibility for receiving and managing compliance incidents generally and will ensure the organization maintains operational compliance in the specific areas of privacy and healthcare fraud and abuse. The position reports to and will collaborate with the Chief Compliance Officer.

DUTIES AND RESPONSIBILITIES:

• Responsible for the execution and maintenance of organization’s compliance program 
• Administers FastMed’s compliance hotline and software platform  
• Performs internal audits and ongoing review of regulatory requirements to create organizational systems that will enhance compliance 
• Coordinate site visits by auditors and/or regulators 
• Participates in internal compliance committee activities 
• Investigates reports of misconduct, and policy violations  
• Assist in developing and delivering compliance training content for staff covering HIPAA, healthcare fraud and abuse, PCI-DSS, and other relevant topics 
• Monitor changes in the healthcare industry relating to compliance and enforcement  
• Assists in due diligence activities of potential business ventures  
• Other duties may include the following: 
• Participate in professional development efforts to ensure currency in health care policies and trends 
• Maintain detailed knowledge of practice electronic medical record system and other relevant software relating to job functions 
• Attend annual Compliance, Coding/Auditing, OSHA, or other designated training programs 
• Attend required meetings and participate in committees as requested 
• Perform other tasks and projects assigned by the Chief Compliance Officer 

QUALIFICATIONS:

• Bachelor’s Degree in legal/paralegal, healthcare, risk management, or other compatible field 
• Minimum of five years of progressive career development in healthcare compliance, with an emphasis or focus in privacy 
• Relevant certification in healthcare compliance or privacy (CHC, CIPP, CHPC, etc.) or completion of a relevant graduate certification program a plus 

Skills

• Exceptional analytical skills 
• Strong written and verbal communication skills 
• Ability to be flexible and highly responsive to needs and requests  
• Strong ability to prioritize and perform multiple projects concurrently 
• Proven ability to collaborate and develop practical business solutions  
• Attention to detail with a high level of accuracy 

PHYSICAL DEMANDS:

The physical demands described here are representative of those that must be met by a member to successfully perform the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

While performing the duties of this job, the employee is frequently required to sit and talk or listen.  The member is frequently required to walk; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; climb or balance; and stoop, crouch, and kneel. 

The employee must be able to occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close, distance, color, and peripheral vision, and the ability to adjust focus. 

WORK ENVIRONMENT:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.  The noise level in the work environment is usually moderate such as found in a normal business office with computers.