Compliance Manager

Southeastern Retina Associates, PC; Knoxville (TN); On-site; USD 90,000 - 120,000; Full time

Job summary

Southeastern Retina Associates, PC is seeking a Compliance Manager to design, implement, and manage a comprehensive program across multiple locations. You will work with executive leadership, clinical teams, and administrative departments to promote a culture of compliance and mitigate risk.

The role requires strong knowledge of HIPAA, Stark Law, Anti-Kickback Statute, OSHA/TOSHA, and related healthcare regulations, plus experience delivering effective training and investigations.

Qualifications

• Master’s degree in Healthcare Administration, Business, or related field, or significant direct healthcare compliance experience.
• Minimum 5–8 years of progressive healthcare compliance experience, preferably in physician groups or multi-site org.
• Certified in Healthcare Compliance (CHC) or equivalent credential required.

Responsibilities

• Design, implement, and maintain a comprehensive compliance program for a multi-location medical practice.
• Lead ongoing audits, risk assessments, and internal investigations.
• Develop and deliver training on legal obligations and policies; create training for high-risk functions such as billing/coding.
• Manage employee and vendor exclusion programs and vendor management.
• Oversee employee compliance reporting hotline; ensure regulatory reporting.
• Monitor regulatory changes and update policies accordingly.
• Serve as SME on compliance issues and report to executive leadership.
• Investigate and resolve potential compliance concerns with documented actions.
• Collaborate with HR, IT, billing/coding, and other departments.

Skills

Communication skills

Analytical skills

Problem-solving

Attention to detail

Stakeholder influence

Education

Master's degree in Healthcare Administration, Business, or related discipline

Certified in Healthcare Compliance (CHC) or equivalent credential

Job description

The Compliance Manager will be responsible for developing, implementing, and managing a comprehensive compliance program to ensure adherence to federal and state healthcare laws and regulations, including HIPAA, Stark Law, Anti-Kickback Statute, OSHA/TOSHA, and other applicable standards. This role will partner closely with executive leadership, clinical teams, and administrative departments to promote a culture of compliance and mitigate risk across the organization.

Key Responsibilities

• Design, implement, and maintain a comprehensive compliance program tailored to the needs of a multi-location medical practice.
• Continuously assess the effectiveness of the compliance program and recommend improvements to align with regulatory changes and organizational growth.
• Oversee ongoing compliance audits, risk assessments, and internal investigations.
• Develop and deliver engaging compliance training for physicians, staff, and leadership, ensuring understanding of legal obligations and organizational policies. Create specialized training programs for high-risk functions such as billing/coding.
• Managing employee and vendor exclusionary programs.
• Business associate and vendor management.
• Managing employee compliance hotline/reporting.
• Monitor regulatory changes and guide the organization in updating policies and practices accordingly.
• Serve as a resource and subject matter expert on compliance-related issues across the organization.
• Investigate and resolve potential compliance concerns, documenting findings and corrective actions.
• Prepare reports for executive leadership and participate in compliance committee meetings.
• Manage day-to-day needs of the Compliance Department, including investigating potential HIPAA breaches, OSHA safety incidents, reports of noncompliance, and the like. Ensure timely and accurate reporting to regulatory bodies.
• Collaborate with human resources, IT, billing/coding, and other departments on compliance matters.

Qualifications

• Master’s degree in Healthcare Administration, Business, or related discipline. Candidates without a relevant master’s degree may be considered with significant direct experience in healthcare compliance.
• Minimum of 5–8 years of progressive experience in healthcare compliance, preferably within a physician group, specialty practice, or multi-site healthcare organization.
• Strong knowledge of healthcare laws and regulations including HIPAA, Stark Law, Anti-Kickback Statute, Medicare and Medicaid rules, and OSHA standards.
• Significant experience drafting and updating policies and procedures.
• Certified in Healthcare Compliance (CHC) or equivalent credential required.
• Demonstrated experience conducting compliance audits, investigations, and risk assessments.
• Excellent written and verbal communication skills, with the ability to convey complex regulatory concepts clearly to diverse audiences.
• Strong analytical, organizational, and problem‑solving skills with keen attention to detail.
• Proven ability to build trust and influence at all levels of an organization.

PHYSICAL DEMANDS AND WORK ENVIRONMENT

The Physical Demands and Work Environment characteristics described below are critical features of this job and are representative of those that must be met by an employee to successfully perform the essential functions. They may be subject to change at any time due to reasonable accommodation or other reasons.

TYPICAL PHYSICAL DEMANDS

Work may require sitting for long periods of time; also stooping, bending and stretching for files and supplies. Occasionally lifting files or paper weighing up to 30 pounds.

Requires manual dexterity sufficient to operate a keyboard, operates a calculator, telephone, copier and other office equipment as necessary. It is necessary to view and type on computer screens for long periods.

TYPICAL WORKING CONDITIONS

Work is performed in an office environment. Work involves frequent contact with staff members and physicians.

Work may be stressful at times. Interaction with others is constant and interruptive. The noise level in the work environment is usually moderate