Healthcare Compliance Manager & Policy Leader

Brault; San Dimas (CA); Vor Ort; USD 120.000 - 160.000; Vollzeit

Zusammenfassung

Brault in California is seeking a Compliance Manager to ensure adherence to applicable government laws and internal policies across the organization. The role focuses on maintaining a robust compliance program for officers, management, employees, business associates, and clients.

You will lead investigations, coordinate training, and collaborate with Legal, HR, and operations to prevent fraud and ensure regulatory compliance.

Qualifikationen

• Excellent organizational skills.
• Excellent written and oral communication skills.
• Excellent analytical skills.

Aufgaben

• Oversee adherence to the company’s compliance program using industry guidelines.
• Assist GC in implementing a compliance committee and lead meetings.
• Establish methods to improve efficiency, quality of services, and reduce fraud risk.
• Investigate and respond to compliance-related issues from employees, regulators, payers, and clients.
• Review governmental health plan publications and train staff on changes.
• Revise the program based on changes in laws and policies.
• Verify employees’ certifications and understanding of conduct standards.
• Develop and coordinate education/training on compliance programs for staff.
• Coordinate with HR and Provider Enrollment to avoid sanctions.
• Lead internal compliance reviews and monitor activities across departments.
• Independently investigate compliance matters and coordinate corrective actions.

Kenntnisse

Organizational skills

Written and verbal communication

Analytical skills

Ausbildung

Undergraduate degree (preferred)

Knowledge of ICD10-CM & CPT coding

Knowledge of federal regulations & policies

Jobbeschreibung

Brault in California is seeking a Compliance Manager to ensure adherence to applicable government laws and internal policies across the organization. The role focuses on maintaining a robust compliance program for officers, management, employees, business associates, and clients.

You will lead investigations, coordinate training, and collaborate with Legal, HR, and operations to prevent fraud and ensure regulatory compliance.