Compliance Manager

Astera Cancer Care; Nashville (TN); On-site; USD 90,000 - 120,000; Full time

Job summary

OneOncology is seeking a Compliance Manager in Nashville, TN to support enterprise and affiliated practices with developing and managing compliance programs. This role reports to the Director of Compliance and involves audits, risk assessments, and implementing systems across practices.

You will conduct onsite audits, provide subject matter expertise on healthcare coding and billing, prepare regulatory risk assessments, and generate reports for leadership.

Qualifications

• BA/BS at a minimum; advanced degrees not required.
• 5+ years of healthcare compliance experience.
• Willingness to travel up to 50%.
• Strong communication and analytical skills.

Responsibilities

• Plan and conduct compliance audits and monitoring.
• Visit onsite practices; travel required.
• Develop and update compliance programs and policies.
• Provide guidance on healthcare coding, billing, and fraud prevention.
• Generate reports for leadership and boards.
• Collaborate with legal and operations to ensure standardized processes.

Skills

Communication skills

Multitasking

Verbal and written communication

Team collaboration

Education

Bachelor's degree

Tools

Microsoft Office Suite

Ethico

HealthStream

PolicyStat

Job description

OneOncology is positioning community oncologists to drive the future of medical care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer and other diseases. Our team is bringing together leaders to the market place to help drive OneOncology’s mission and vision.Why join us? This is an exciting time to join OneOncology. Our values-driven culture reflects our startup enthusiasm supported by industry leaders in oncology, urology, technology, and finance. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of independent physicians and the patients they serve.Job Description:The Compliance Manager will report to the Director of Compliance. This role will be a vital part of the organization’s commitment to assisting OneOncology’s enterprise platform and owned and affiliated physician practices with the development, implementation, and management of their compliance programs. The Compliance Manager will have primary responsibility for and will require involvement with all compliance operational functions, auditing and monitoring, risk assessments, and will properly and adequately escalate activities that require involvement by OneOncology management or leadership teams. The Compliance Manager will be expected to use critical thinking, sound judgment and clear communication when supporting the development of a practice compliance program. The Compliance Manager will be involved in planning and implementing assigned tasks for owned and affiliated physician practices, as well as for OneOncology’s corporate compliance program.Responsibilities:Plan, coordinate, and conduct compliance audits and ongoing monitoring activities to evaluate the effectiveness of internal controls and processes.Onsite practice visits, which will require travel, to conduct compliance assessments routinely.Assist Directors with the development of compliance programs at assigned practices from thedue diligence stage to operational standardization of a practice, including addressing practicegrowth and the integration of add on physician acquisitions.Provide subject matter expertise in healthcare compliance to owned and affiliated physician practices, healthcare coding, billing and reimbursement, fraud waste and abuse compliance, and conflicts of interest.Prepare regulatory risk assessments and develop corrective actions with the compliance leader(s).Provide support and guidance to the designated compliance leader(s) at each OneOncology owned and affiliated practice, including administrators and physician leaders serving in such roles.Generate reports on compliance activity at owned and assigned practices to OneOncology, Practice leadership, and respective governing boards, as requested.Implement compliance systems and processes at owned and assigned practices and support the sustainability of those systems.Develop, implement and update compliance policies with consideration of applicable federal and state laws and regulations.· Develop and maintain productive working relationships between compliance, legal, and operations at the corporate and practice level to ensure that processes are consistently applied, and compliance related efforts are coordinated. · Maintain up to date regulatory knowledge of applicable federal and state healthcare compliance and accreditation standards (e.g., ACHC) and develop initiatives to implement at owned and/or assigned practices.Additional responsibilities as assigned to help drive our mission of improving the lives of everyone living with cancer.Qualifications:BA/BS at a minimum; experience can be substituted for educational requirements.Certifications in general healthcare compliance strongly preferred.5+ years of experience in Compliance in healthcare required.Up to 50% travel, at a minimum required.Essential Competencies:Attendance is an essential job function.Established Compliance professional in the physician practice or healthcare provider industries.Ability to manage, prioritize and multi-task various responsibilities.Strong communication skills (verbal/written/listening)Strong technical skills in Microsoft Office Suite, compliance/legal tracking and research systems (e.g., Ethico, HealthStream, PolicyStat, etc.)Detail-oriented, ability to oversee complex problems, maintain a high level of confidentiality, requires minimal direction and ability to work within a team environment.Proactively prioritize needs and effectively manage resources.Communicate clearly and concisely, verbally and in writing. This includes utilizing proper punctuation, correct spelling and the ability to transcribe accurately.