Director, Regulatory Compliance & Regulatory Affairs

R1 RCM; United States; Remote; USD 112,000 - 168,000; Full time

Job summary

A leading company specializing in technology-driven solutions in revenue cycle management seeks a Director of Regulatory Compliance & Regulatory Affairs. The role involves overseeing regulatory strategies, managing compliance submissions, and engaging with stakeholders to ensure adherence to regulations. Ideal candidates should possess extensive experience in healthcare law and a strong understanding of compliance requirements.

Benefits

Competitive benefits package

Annual bonus plan

Qualifications

• At least five years of progressive healthcare law, regulatory/government affairs and/or compliance experience.
• Knowledge of physician reimbursement and compliance, including Medicare-specific requirements.
• Experience presenting to stakeholders at all levels.

Responsibilities

• Provide strategic and operational regulatory leadership in RCM strategy.
• Act as a liaison with regulatory agencies on compliance issues.
• Prepare compliance reporting for senior management.

Skills

Compliance risk management

Relationship building

Regulatory analysis

Presentation skills

Education

Bachelor’s degree in business, law, or compliance

Job description

Director, Regulatory Compliance & Regulatory Affairs

R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry’s most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration.

As our Director, Regulatory Compliance & Regulatory Affairs, you will be responsible for overseeing and executing regulatory strategies to ensure compliance with industry regulations and standards, managing regulatory submissions, and providing expertise to internal teams and external client leaders. You will be accountable for identifying, establishing, maintaining, and reviewing compliance risk controls and compliance strategy throughout the organization. Every day you routinely interact with senior executives, managers, clients and regulatory agencies in response to regulatory changes or specific requests. You will provide oversight and leadership for internal processes and programs for compliance.

Here’s what you will experience working as a Director, Regulatory Compliance & Regulatory Affairs :

• Provide strategic and operational regulatory leadership in the development and administration of Revenue Cycle Management (RCM) strategy and service excellence.
• Play a leadership role crafting and developing comments and responses to new or proposed regulatory rules that impact the organization’s strategy and RCM to improve outcomes.
• Serve as the regulatory lead on projects or significant organizational initiatives.
• Act as a liaison with regulatory agencies, internal and external stakeholders, and other control groups on compliance and RCM-related issues.
• Perform extensive research and analysis on new or existing laws, rules, and regulations, and provide guidance and support to Operational and external client leaders.
• Prepare compliance reporting for senior management and the board of directors.
• Participate in and lead complex compliance investigations.

Required Skills:

• Bachelor’s degree in related field, such as business, law, or compliance. Equivalent industry experience is acceptable in lieu of a degree.
• At least five years of progressive healthcare law, regulatory/government affairs and/or compliance experience.
• Knowledge of and experience with physician reimbursement and compliance, including Medicare-specific reimbursement requirements.
• Prior experience building relationships and credibility quickly with key stakeholders, such as physicians and senior leaders. You must have the ability to spot issues and ask appropriate follow-up questions, giving you the ability to build trust quickly and recommend solutions.
• Prior experience and comfort level presenting to internal and external stakeholders at all levels, including C-level executives to the Operators.

R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry’s most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration.

As our Director, Regulatory Compliance & Regulatory Affairs, you will be responsible for overseeing and executing regulatory strategies to ensure compliance with industry regulations and standards, managing regulatory submissions, and providing expertise to internal teams and external client leaders. You will be accountable for identifying, establishing, maintaining, and reviewing compliance risk controls and compliance strategy throughout the organization. Every day you routinely interact with senior executives, managers, clients and regulatory agencies in response to regulatory changes or specific requests. You will provide oversight and leadership for internal processes and programs for compliance.

Here’s what you will experience working as a Director, Regulatory Compliance & Regulatory Affairs :

• Provide strategic and operational regulatory leadership in the development and administration of Revenue Cycle Management (RCM) strategy and service excellence.
• Play a leadership role crafting and developing comments and responses to new or proposed regulatory rules that impact the organization’s strategy and RCM to improve outcomes.
• Serve as the regulatory lead on projects or significant organizational initiatives.
• Act as a liaison with regulatory agencies, internal and external stakeholders, and other control groups on compliance and RCM-related issues.
• Perform extensive research and analysis on new or existing laws, rules, and regulations, and provide guidance and support to Operational and external client leaders.
• Prepare compliance reporting for senior management and the board of directors.
• Participate in and lead complex compliance investigations.

Required Skills:

• Bachelor’s degree in related field, such as business, law, or compliance. Equivalent industry experience is acceptable in lieu of a degree.
• At least five years of progressive healthcare law, regulatory/government affairs and/or compliance experience.
• Knowledge of and experience with physician reimbursement and compliance, including Medicare-specific reimbursement requirements.
• Prior experience building relationships and credibility quickly with key stakeholders, such as physicians and senior leaders. You must have the ability to spot issues and ask appropriate follow-up questions, giving you the ability to build trust quickly and recommend solutions.
• Prior experience and comfort level presenting to internal and external stakeholders at all levels, including C-level executives to the Operators.

For this US-based position, the base pay range is $112,151.00 - $167,640.70 per year . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.This job is eligible to participate in our annual bonus plan at a target of 20.00%

The healthcare system is always evolving — and it’s up to us to use our shared expertise to find new solutions that can keep up. On our growing team you’ll find the opportunity to constantly learn, collaborate across groups and explore new paths for your career.

Our associates are given the chance to contribute, think boldly and create meaningful work that makes a difference in the communities we serve around the world. We go beyond expectations in everything we do. Not only does that drive customer success and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of our team — including offering a competitive benefits package.

R1 RCM Inc. (“the Company”) is dedicated to the fundamentals of equal employment opportunity. The Company’s employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person’s age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.

If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at 312-496-7709 for assistance.

CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights California Consent

To learn more, visit: R1RCM.com

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R1 RCM Inc. is an American revenue cycle management company servicing hospitals, health systems and physician groups across the United States.

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