Compliance Manager - Healthcare Facilities

Dozee; Clifton (TX); Sur place; USD 120 000 - 160 000; Plein temps

Résumé du poste

Dozee is seeking a Compliance Manager to lead the healthcare compliance program across Medicare RPM billing, HIPAA privacy and security, FDA device compliance, and AKS. You’ll translate policy into procedures, oversee audits, and drive staff training to maintain regulatory alignment.

You will collaborate with clinical, billing, and administrative teams to ensure ongoing adherence, perform risk-based reviews, and support Dozee’s expansion into new government programs.

Qualifications

• Minimum 5 years in healthcare compliance — Medicare billing, HIPAA, or post‑acute / RPM environment strongly preferred.
• Certified in Healthcare Compliance (CHC) required or obtainable within 12 months of hire.
• Working knowledge of CPT coding (99453–99470), CMS PFS Final Rules, OIG Work Plan, MAC audit processes, and AKS/Stark safe harbors.
• Strong SOP writing, audit documentation, and cross‑functional communication skills. Ability to deliver training to clinical and non‑clinical staff.

Responsabilités

• Own the CMS / Medicare RPM Billing Compliance program, validate CPT code selections and rules before claims release.
• Lead monthly internal audits and attestation programs; monitor regulatory updates and implement changes.
• Design and deliver annual compliance training; maintain attestation reports across departments.
• Track regulatory intelligence and ensure contract and AKS compliance support as needed.

Connaissances

SOP writing

Audit documentation

Cross-functional communication

Training delivery

Formation

Bachelor's degree in Healthcare Administration or related field

Outils

Microsoft 365

Description du poste

Dozee Health AI is the pioneer in Contactless Remote Patient Monitoring (RPM), proven to drive transformation at scale. Headquartered in Bengaluru, India, Dozee has emerged as India’s no. We are seeking visionary individuals to help us in this very exciting journey. As a part of our dynamic team, you’ll have the opportunity to collaborate with top healthcare providers in the country, applying AI-powered RPM solutions to tackle some of the most pressing challenges in healthcare - enhancing staff efficiency, improving patient outcomes, and pioneering the next generation of care models.

Position Summary

The Compliance Manager is responsible for building, executing, and continuously improving Dozee's healthcare compliance program across all regulatory domains — Medicare RPM billing, HIPAA privacy and security, FDA device compliance, and Anti-Kickback Statute adherence. Administration and is the organization's primary day-to-day compliance operator, translating policy into procedure and ensuring every business function performs within established legal and regulatory boundaries.

\\CMS / Medicare RPM Billing Compliance

• Own the monthly billing compliance review cycle — validate CPT code selection (99453–99470), data-day thresholds, and mutual exclusivity rules before claims are released.
• Monitor CMS Final Rules, MAC Local Coverage Determinations (LCDs), and OIG Work Plan items affecting RPM billing; brief leadership on material changes within 30 days.
• Serve as Dozee's designated HIPAA Compliance Officer — conduct annual Security Risk Assessments, coordinate with Melvin Law Group on any reportable 30 days of any material regulatory change.

Internal Audit — Monthly Claims Sampling

• Conduct monthly random-sample claims audits (minimum 10% of submitted claims) — verify documentation completeness, code accuracy, and consent/care-plan compliance.

Staff Training & Annual Attestation

• Design, deliver, and track annual compliance training for all clinical, billing, and administrative staff — covering CMS billing rules, HIPAA, AKS, and the OIG RPM Compliance Framework.
• Maintain training attestation records in Circle Health Domain 0.2; generate compliance attestation reports.

Regulatory Intelligence & State Monitoring

• Track RHTP, THRIVE, and NIH grant compliance obligations as Dozee enters new government programs.

Contract & AKS Compliance Support

• Escalate any FMV or referral‑contingency concerns to VP Administration and Melvin Law.
• Maintain executed contract files and the annual contract review schedule.

Requirements Experience

Minimum 5 years in healthcare compliance — Medicare billing, HIPAA, or post‑acute / RPM environment strongly preferred.

Certifications

Certified in Healthcare Compliance (CHC) required or obtainable within 12 months of hire. Working knowledge of CPT coding (99453–99470), CMS PFS Final Rules, OIG Work Plan, MAC audit processes, and AKS/Stark safe harbors.

Skills

Strong SOP writing, audit documentation, and cross‑functional communication skills. Ability to deliver training to clinical and non‑clinical staff.

Systems

Familiarity with healthcare compliance platforms (preferred); proficiency in Microsoft 365 required.

Bachelor's degree

required; healthcare administration, law, or clinical field preferred.

\\Save Million lives with Health AI

Dozee is India’s leading AI‑Powered contactless Remote Patient Monitoring (RPM) and Early Warning System (EWS). A solution that continuously monitors patients and provides early warnings of clinical deterioration, enabling timely interventions and enhancing patient safety in hospitals, nursing facilities and patient homes. A "Made in India for the World" solution, Dozee has pioneered the world’s first non‑contact blood pressure monitoring system. Trusted by leading healthcare providers in India, the USA, and Africa, Dozee is transforming patient safety and care by enhancing outcomes and reducing costs.

Dozee has monitored over 1 Mn Patients, Delivered 35000+ Life Saving Alerts and Saved 10 Mn+ Nursing Hours.

Videos

Science Behind Dozee : Ballistocardiography & Artificial Intelligence

Leading Healthcare Game changers work with Dozee

Dozee in News

• From AI Beds to Remote ICUs, Startups are plugging India's health Gaps
• Now, You Can Remotely Monitor Your Loved Ones in Hospital With Bengaluru Start-Up's 'Shravan'
• Analytics India Magazine - Oct 29, 2024
• Dozee Harness AI for Personalised Patient Care
• We trust AI everyday - From Google Maps to Smartphones, So why not use it to enhance patient safety in healthcare?

Dozee's AI-Powered System Predicts Patient Deterioration 16 Hours in Advance

• A tertiary care hospital study published in JMIR , validated Dozee’s Early Warning System (EWS), showing it identified 97% of deteriorating patients, provided alerts ~19 hours in advance , and generated 5x fewer alerts, reducing alarm fatigue and improving patient outcomes.
• A study at King George Medical University, Lucknow, and published in Frontiers in Medical Technology demonstrated that Dozee’s automation can potentially save 2.5 hours of nursing time per shift , improving workflow efficiency and allowing more focus on patient care.
• A study on remote patient monitoring in general wards published in Cureus found that 90%+ of healthcare providers reported improved care and patient safety, 74% of patients felt safer , and there was a 43% increase in time for direct patient care.
• Research by Sattva , an independent consulting firm, demonstrates Dozee's substantial impact: for every 100 Dozee-connected beds, it can save approximately 144 lives , reduce nurses’ time for vital checks by 80% , and decrease ICU average length of stay by 1.3 days.

Headquarters

Bangalore, India | Houston, USA | Dubai, UAE

Business

Providing Continuum of care with AI-powered contactless Remote Patient Monitoring (RPM) and Early Warning System (EWS) for Hospitals and Home

Times Network

• India Health Awards 2024 for AI innovation in Bharat Healthcare tech
• BML Munjal Award for Business Excellence using Learning and Development
• FICCI Digital Innovation in Healthcare Award
• Anjani Mashelkar Inclusive Innovation Award Marico Innovation For India Award

We celebrate diversity and are committed to creating an inclusive environment for all employees.” Dozee does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non‑disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided on the basis of qualifications, merit, and business need.