Compliance Manager

The Orthopaedic Institute; United States; Remote; USD 85,000 - 120,000; Full time

Job summary

The Orthopaedic Institute is seeking a remote Compliance Manager to support the Orthopedic Care Partners (OCP) Compliance Program and the Chief Compliance Officer. You will oversee non-coding audits, policy maintenance, education, and the compliance management system, while guiding assigned projects and initiatives across the organization.

Candidates should have a bachelor’s degree in a related field and at least 3 years’ healthcare compliance experience, with strong auditing, policy management,

Qualifications

• Bachelor’s degree in a healthcare-related field or equivalent experience.
• 3+ years in healthcare compliance, auditing, regulatory risk, or related area.
• Working knowledge of healthcare compliance requirements and effective programs.
• Experience with policy management, auditing, and corrective actions.

Responsibilities

• Manage non-coding compliance audits and monitoring per annual plan.
• Develop audit scopes, evaluate findings, report write-ups, and follow-up actions.
• Identify trends, control weaknesses, and escalate significant risks to CCO.
• Develop and maintain policies, procedures, and related education resources.
• Administer Healthicity CMS and support metrics, reporting, and governance.
• Coordinate compliance projects, timelines, and track Work Plan activities.
• Conduct regulatory research and assist with risk assessments and changes.
• Collaborate with departments on corrective actions and initiatives.

Skills

Compliance auditing

Policy management

Regulatory research

Project management

Data analysis

Communication

Attention to detail

Independence

Education

Bachelor's in healthcare admin or related

Tools

Healthicity CMS

Job description

The Compliance Manager supports the Orthopedic Care Partners (OCP) Compliance Program and the Chief Compliance Officer by managing non-coding compliance audits and monitoring activities, supporting policy maintenance and education, administering the compliance management system, managing assigned projects, and assisting with other compliance activities as needed.

ESSENTIAL FUNCTIONS INCLUDE, BUT ARE NOT LIMITED TO

• Manage and conduct non-coding compliance audits and monitoring activities identified through OCP’s annual auditing and monitoring plan, risk assessments, regulatory requirements, or at the direction of the Chief Compliance Officer.
• Develop audit scopes and tools, evaluate findings, prepare reports, and coordinate corrective actions and follow-up monitoring.
• Identify compliance trends, control weaknesses, and potential risks and elevate significant concerns to the Chief Compliance Officer.
• Support the development, review, implementation, and maintenance of compliance policies and procedures.
• Develop and coordinate compliance and policy education, communications, and related resources.
• Administer the Healthicity compliance management system, including applicable audit, policy, incident, education, and reporting functions.
• Manage assigned compliance projects and assist with implementation and tracking of Compliance Work Plan activities.
• Conduct regulatory research and assist with compliance risk assessments and evaluation of regulatory changes.
• Develop compliance metrics, reports, and materials for leadership and compliance governance activities.
• Support compliance investigations and other reviews as assigned.
• Collaborate with operational and corporate departments on compliance initiatives and corrective actions.
• Perform additional duties necessary to support the compliance function and under the direction of the CCO.

MINIMUM REQUIREMENTS / QUALIFICATIONS

• Bachelor’s degree in healthcare administration, business administration, health information management, nursing, public health, compliance, legal studies, or related field (or equivalent experience).
• Minimum 3 years of experience in healthcare compliance, auditing, regulatory, risk management, or related experience.
• Working knowledge of healthcare compliance requirements and the elements of an effective compliance program.
• Experience with compliance auditing and monitoring, policy management, corrective actions, or compliance program operations.
• Experience within a physician practice, medical group, ambulatory, or multi-site healthcare environment preferred.
• Experience administering compliance management software preferred.

  CORE COMPETENCIES:

  • Compliance auditing and monitoring
  • Policy management and compliance education
  • Regulatory research and analysis
  • Project management and follow-through
  • Data analysis and reporting
  • Professional communication and presentation skills
  • Strong attention to detail and organizational skills
  • Ability to work independently and appropriately escal…

  PHYSICAL REQUIREMENTS

  This is a remote position. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function.

  • Specific vision requirements include the ability to see at close range, distance vision, peripheral vision, depth perception, and the ability to adjust focus.
  • While performing the duties of this job, the employee is regularly required to talk and hear.
  • Possess the ability to fulfill any office activities normally expected in an office setting, to include, but not limited to: remaining seated for periods of time to perform computer-based work, participating in filing activity, lifting and carrying office supplies (paper reams, mail, etc.).
  • Frequently required to stand, walk, sit, use hands to feel, and reach with hand and arms
  • Occasionally lift and/or move up to 20-25 pounds.
  • Fine hand manipulation (keyboarding).
  • Travel to existing or new OCP locations may be required.