COMPLIANCE MANAGER

Resources For Human Development; Philadelphia (Philadelphia County); On-site; USD 59,000 - 72,000; Full time

Benefits offered by this job

DailyPay

401(k) Retirement Plan

Paid Time Off

Employee Assistance Program

Wellness Programs

Company-Paid Training

Professional Development Opportunities

Compliance and Quality Leadership

Organization-Wide Impact

Regulatory and Risk Management

Leadership Development Programs

Job summary

Resources for Human Development (RHD) is seeking a Compliance Manager to lead the compliance monitoring program across fee-for-service programs. You will audit documentation, analyze trends, and collaborate with leadership to strengthen documentation practices, identify risks, and promote accountability.

This role advances quality assurance, regulatory compliance, and corrective action initiatives, with responsibilities spanning audits, training, and external review support.

Qualifications

• Bachelor’s Degree in Human Services, Social Work, Psychology, Healthcare Administration, Business Administration, or related field.
• Minimum of three years of relevant healthcare, behavioral health, or compliance experience.
• Experience conducting documentation reviews, audits, quality assurance, or compliance monitoring.
• Strong analytical, organizational, and problem-solving skills.
• Strong written and verbal communication skills; ability to manage multiple projects and deadlines.

Responsibilities

• Lead compliance monitoring across fee-for-service programs.
• Audit documentation for payer, regulatory, accreditation, and organizational standards.
• Develop corrective action plans and monitor implementation.
• Provide education and guidance on documentation standards and audit processes.
• Support external audits, licensing reviews, and regulatory surveys.
• Communicate findings and risks to leadership and quality teams.

Skills

Analytical thinking

Attention to detail

Auditing

Documentation reviews

Quality assurance

Regulatory compliance

Written communication

verbal communication

Project management

Leadership

Education

Bachelor's Degree in Human Services/related field

Tools

Electronic Health Records

Audit tools

Documentation management systems

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

COMPLIANCE MANAGER

Regular Full Time Management Philadelphia, PA, US

Salary: $65,000.00 Annually

Compliance Manager

Resources for Human Development (RHD)
Full-Time | Salaried
$65,000 Annually
Travel Required
DailyPay Available

Looking for More Than Just a Job?

At Resources for Human Development (RHD), we believe every person deserves the opportunity to live a meaningful, fulfilling, and independent life.

We’re seeking a detail-oriented and analytical Compliance Manager to lead RHD’s Compliance Monitoring Program and support regulatory, documentation, billing, and quality assurance efforts across our fee-for-service programs.

This is an exciting opportunity for a compliance professional who enjoys auditing, risk assessment, quality improvement, and collaborating with leadership to strengthen organizational performance. You'll play a critical role in identifying compliance risks, ensuring documentation quality, reducing financial exposure, and promoting a culture of accountability and continuous improvement.

About Resources for Human Development

For more than 50 years, Resources for Human Development (RHD) has provided innovative, person-centered services that support individuals and communities across a variety of human service settings.

As the Compliance Manager, you'll help ensure services meet payer requirements, regulatory standards, organizational expectations, and program-specific conditions of payment while supporting quality outcomes and operational excellence.

Why Join Our Team?

• DailyPay, access your earned wages before payday
• 401(k) Retirement Plan
• Paid Time Off
• Employee Assistance Program
• Wellness Programs
• Company-Paid Training
• Professional Development Opportunities
• Compliance and Quality Leadership Experience
• Organization-Wide Impact
• Regulatory and Risk Management Experience
• Leadership Development Programs

Meaningful Work That Matters

• Protect the integrity of services and billing practices
• Strengthen documentation quality and compliance
• Reduce organizational risk
• Partner with leaders across multiple programs
• Help ensure sustainable, high-quality services

What You’ll Do

As the Compliance Manager, you will lead compliance monitoring activities across RHD fee-for-service programs while helping ensure services meet payer, regulatory, accreditation, and organizational standards.

You’ll conduct audits, analyze trends, identify risk areas, support corrective action planning, and collaborate with leadership to strengthen documentation practices and improve compliance performance.

Your Responsibilities May Include:

Compliance Auditing & Monitoring

• Conduct documentation compliance audits using approved monitoring tools and methodologies.
• Review clinical and service documentation supporting billed services.
• Evaluate documentation for compliance with payer, regulatory, accreditation, and organizational requirements.
• Complete monthly documentation reviews and quality monitoring activities.
• Review progress notes, treatment plans, assessments, service authorizations, daily schedules, and other required service documentation.
• Verify documentation supports billed services and demonstrates medical necessity.
• Assess documentation for completeness, timeliness, signatures, and required service elements.
• Analyze audit results to identify trends, recurring deficiencies, systemic concerns, and potential financial or regulatory risks.
• Prepare audit reports, compliance summaries, dashboards, and performance metrics.
• Communicate findings and identified risks to program leadership and quality teams.
• Monitor compliance performance and identify areas requiring additional oversight.
• Support leadership in understanding compliance-related risks and opportunities.

Corrective Action & Quality Improvement

• Assist programs with developing corrective action plans.
• Monitor corrective action implementation and progress.
• Validate completion and effectiveness of corrective measures.
• Escalate unresolved, recurring, or ineffective corrective actions when necessary.
• Conduct follow-up reviews to measure sustained compliance improvements.
• Support quality improvement initiatives through data analysis and compliance monitoring.

Education, Coaching & Program Support

• Provide compliance education and guidance to supervisors, managers, and staff.
• Assist with training and onboarding related to documentation standards and audit processes.
• Offer technical assistance regarding compliance expectations and best practices.
• Partner with Program Leadership, Regional Directors, and Quality Assurance teams to support program success.
• Promote a culture of accountability, continuous improvement, and documentation excellence.

Regulatory Compliance & External Review Support

• Assist with preparation for external audits, licensing reviews, payer reviews, and accreditation surveys.
• Help review findings and develop responses to regulatory requirements.
• Maintain compliance monitoring records and audit documentation.
• Ensure compliance with HIPAA, OSHA, organizational policies, and applicable regulatory requirements.
• Participate in organizational committees, workgroups, and quality improvement initiatives.

Who We’re Looking For

You may be a great fit if you are:

• Highly analytical and detail-oriented
• Passionate about quality improvement and compliance
• Experienced in auditing and documentation review
• Comfortable identifying and communicating risk
• Skilled at interpreting regulations and requirements
• Organized and able to manage multiple priorities
• A strong writer and communicator
• Comfortable presenting findings to leadership teams
• Collaborative and solutions-focused
• Committed to accountability and continuous improvement

Qualifications

Required

• Bachelor’s Degree in Human Services, Social Work, Psychology, Healthcare Administration, Business Administration, or a related field.
• Minimum of three years of relevant experience in healthcare, behavioral health, intellectual/developmental disability services, compliance, or quality assurance.
• Demonstrated experience conducting documentation reviews, audits, quality assurance activities, or compliance monitoring.
• Strong analytical, organizational, and problem-solving skills.
• Strong written and verbal communication skills.
• Ability to manage multiple projects and deadlines.

Preferred

• Knowledge of Medicaid billing standards and managed care requirements.
• Experience with electronic health records, audit tools, and documentation management systems.
• Experience supporting compliance monitoring, quality assurance, or regulatory oversight activities.
• Familiarity with accreditation, payer, and governmental compliance standards.

Additional Requirements

• Valid Driver’s License
• Current vehicle registration
• Access to a functional vehicle
• Ability to travel up to 25%
• Ability to work occasional evenings and weekends as needed

Schedule & Compensation

• Full-Time
• Travel up to 25% required
• Schedule flexibility may be required based on business needs, including occasional evenings, weekends, and multiple work locations.

Physical Requirements

• Ability to sit at a desk or meeting table for extended periods.
• Ability to stand, bend, stoop, reach, twist, climb stairs, and drive a vehicle.
• Ability to lift 50 pounds or more when necessary.
• Ability to travel between office and program locations.
• Ability to perform essential job functions with or without reasonable accommodation.

About Our Organization

Resources for Human Development (RHD) is part of the Inperium family of companies.
Employment for this position is administered through Apis Services, Inc.

Equal Opportunity Employer

Apis Services, Inc., Inperium Inc., and affiliates provide equal employment opportunities for all employees and applicants for employment in compliance with all federal and applicable state and local laws and regulations, including nondiscrimination in hiring and employment.

All employment decisions are made without regard to race, color, religion, sex, national origin, ancestry, age, sexual orientation, gender identity or expression, disability, genetic information, marital status, pregnancy, childbirth, veteran status, or any other status protected by law.

This policy of nondiscrimination and equal employment opportunity extends to every phase and aspect of hiring and employment.