Compliance Manager

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

Job summary

A medical practice is seeking a Compliance Manager to oversee compliance with federal and state healthcare laws, including HIPAA and OSHA. The role involves developing and maintaining a compliance program, conducting audits, and training staff. Ideal candidates will have a Master's degree or healthcare compliance experience, along with 5–8 years in the field. Effective communication and problem-solving skills are essential. Join a team committed to promoting a culture of compliance.

Qualifications

• Master's degree in a relevant field or significant direct experience in healthcare compliance.
• Minimum of 5–8 years in healthcare compliance, ideally in a physician group or multi-site organization.
• Strong knowledge of HIPAA, Stark Law, Anti-Kickback Statute, and OSHA standards.

Responsibilities

• Develop and manage a comprehensive compliance program for a multi-location medical practice.
• Conduct ongoing compliance audits and risk assessments.
• Deliver compliance training to staff and leadership.

Skills

Healthcare compliance

Regulatory knowledge

Policy drafting

Communication skills

Analytical skills

Education

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

Certified in Healthcare Compliance (CHC)

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.