4460 Manager Compliance & Regulatory

Innovaccer; United States; On-site; USD 120,000 - 180,000; Full time

Benefits offered by this job

Generous PTO

Parental Leave

Rewards & Recognition

Insurance Benefits

Job summary

Innovaccer is hiring a senior healthcare compliance leader to develop, implement, and oversee our comprehensive compliance program. You will coordinate audits, training, and reporting to stakeholders, ensuring adherence to HIPAA, Medicare/Medicaid, and other regulations.

The role requires 5-7 years in healthcare compliance with at least 3 years in program oversight, plus CHC certification preferred. You will partner with Legal and Information Security to address evolving regulatory challenges

Qualifications

• Minimum 5-7 years of progressive experience in healthcare compliance.
• At least 3 years of oversight of a compliance program within a company.
• Experience developing and implementing compliance programs in healthcare settings.
• CHC certification preferred.

Responsibilities

• Develops, implements, and oversees components of the organization\'s healthcare compliance program to mitigate risk.
• Provides strategic direction for compliance initiatives to maintain regulatory compliance.
• Oversee and perform internal monitoring and auditing processes to evaluate compliance with regulations.
• Investigate potential compliance violations and implement preventive actions.
• Serve as a liaison during audits or investigations.
• Develop and deliver compliance training programs for staff at all levels.
• Prepare comprehensive compliance reports for stakeholders.
• Collaborate with legal counsel and information security teams on compliance matters.
• Stay current on healthcare regulatory changes and emerging compliance trends.

Skills

Healthcare compliance

Regulatory compliance

HIPAA/Medicare/Medicaid

Audit & risk assessment

Policy development

Education

Bachelor's degree in Healthcare Administration

Master's degree in Healthcare Administration

RCM/Medical Coding background preferred

Tools

Compliance software

Data analysis tools

Job description

Develops, implements, and oversees components of the organization's healthcare compliance program to ensure adherence to federal and state regulations, accreditation standards (if applicable), and internal policies. Provides strategic direction for compliance initiatives to mitigate risk and maintain regulatory compliance across the organization.Education

• Bachelor's degree in Healthcare Administration, Business, Law, or related field
• Master's degree in Healthcare Administration, Business Administration, Law, or related field preferred
• Continuously improve Innovaccer's comprehensive compliance programs, policies, and procedures to ensure adherence to healthcare regulations including HIPAA, Medicare/Medicaid requirements, and fraud and abuse laws,
• Background from RCM OR Medical Coding is preferred.
• Conduct regular risk assessments to identify potential compliance vulnerabilities and develop corrective action plans to address identified issues
• Oversee and perform internal monitoring and auditing processes to evaluate compliance with federal and state regulations and organizational policies
• Investigate potential compliance violations, recommend corrective actions, and implement preventive measures to mitigate future risks
• Serve as a liaison during audits or investigations
• Develop and deliver compliance training programs for staff at all levels of the organization
• Prepare comprehensive compliance reports to various stakeholders including department leaders and executive leadership
• Leverage technology and analytics to enable actionable, effortless, and shared reports
• Collaborate with legal counsel and information security teams to address complex compliance matters
• Stay current on healthcare regulatory changes and emerging compliance trends to ensure organizational policies remain up to date
• Perform other compliance-related tasks as requested

Experience

• Minimum 5-7 years of progressive experience in healthcare compliance
• At least 3 years of oversight of a compliance program within a company
• Demonstrated experience developing and implementing compliance programs in healthcare settings

Technical Skills

• Comprehensive knowledge of healthcare regulatory frameworks including HIPAA, HITECH, Medicare/Medicaid regulations
• Strong understanding of healthcare fraud and abuse laws (Anti-Kickback Statute, Stark Law, False Claims Act)
• Proficiency in compliance risk assessment methodologies and audit techniques
• Experience with compliance management software and data analysis tools
• Knowledge of healthcare accreditation standards (Joint Commission, NCQA, etc.)

Soft Skills

• Exceptional leadership abilities
• Strong analytical and problem-solving skills
• Excellent written and verbal communication skills
• Ability to influence and collaborate with stakeholders at all levels
• High level of integrity and ethical decision-making

Preferred Qualifications

• Certified in Healthcare Compliance (CHC) certification
• Additional certifications preferred: Certified in Healthcare Privacy Compliance (CHPC) or Certified Compliance and Ethics Professional (CCEP)
• Experience in multiple healthcare settings (physician practice, health plan)
• Experience in revenue cycle management and/or delegated services
• Knowledge of emerging healthcare compliance issues related to telehealth, digital health, or value-based care models

Here’s What We Offer

• Generous PTO Benefits:Enjoy PTO benefit accrual of 20 days per year.
• Parental Leave:Experience one of the industry's best parental leave policies to spend time with your new addition.
• Rewards & Recognition:Unlock your potential and be rewarded generously with both monetary incentives and widespread recognition for your dedication and outstanding performance. Unlock your potential and be rewarded generously with both monetary incentives and widespread recognition for your dedication and outstanding performance.
• Insurance Benefits:We offer medical, dental, and vision benefits along with 100% company-sponsored short and long-term disability and basic life insurance. Legal aid and pet insurance options are available at a discounted rate.

Innovaccer is an equal opportunity employer. We celebrate diversity, and we are committed to fostering an inclusive and diverse workplace where all employees, regardless of race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, marital status, or veteran status, feel valued and empowered.

Disclaimer:

Innovaccer does not charge fees or require payment from individuals or agencies for securing employment with us. We do not guarantee job spots or engage in any financial transactions related to employment. If you encounter any posts or requests asking for payment or personal information, we strongly advise you to report them immediately to our HR department at [e-mail]. Additionally, please exercise caution and verify the authenticity of any requests before disclosing personal and confidential information, including bank account details.

About Innovaccer

Innovaccer activates the flow of healthcare data, empowering providers, payers, and government organizations to deliver intelligent and connected experiences that advance health outcomes. The Healthcare Intelligence Cloud equips every stakeholder in the patient journey to turn fragmented data into proactive, coordinated actions that elevate the quality of care and drive operational performance. Leading healthcare organizations like CommonSpirit Health, Atlantic Health, and Banner Health trust Innovaccer to integrate a system of intelligence into their existing infrastructure- extending the human touch in healthcare. For more information, visit.