Healthcare Compliance & Risk Manager

Telos Residential Treatment, Llc; Orem (UT); On-site; USD 70,000 - 110,000; Full time

Job summary

Telos Residential Treatment, Llc seeks a Compliance lead to ensure Utah licensing, Joint Commission standards, and Medicaid/third‑party payor requirements are met across all campuses. You’ll oversee clinical documentation quality, incident management, staff training and risk mitigation.

Key duties include conducting chart reviews, managing critical incidents, coordinating corrective actions, licensing renewals, payor credentialing, safety oversight, and preparing for mock surveys and inspections

Qualifications

• 3+ years of experience in healthcare, behavioral health, or compliance.
• Working knowledge of Utah licensing requirements for behavioral health and residential treatment.
• Experience with compliance audits, chart reviews, quality assurance, or regulatory inspections.
• Strong understanding of clinical documentation standards, HIPAA, incident reporting, and healthcare compliance.
• Experience with insurance payors, credentialing, audits, recoupments, or claims documentation.
• Ability to investigate incidents, identify root causes, and implement corrective actions.
• Ability to deliver staff training on compliance, safety, policies, and regulatory requirements.
• Strong organizational skills to manage deadlines, inspections, audits, renewals, and projects.
• Ability to translate regulations into practical operational expectations.
• Collaborative ability with clinical, administrative, HR, billing, and leadership teams.
• Maintain confidentiality of sensitive information.
• Pass background checks and meet licensing requirements.

Responsibilities

• Conduct regular chart reviews and audits to ensure charting compliance and 20 hours per week per client.
• Submit critical incident reports within 1 business day and review incidents for root causes.
• Train staff on Policies & Procedures and ensure understanding of expectations across campuses.
• Maintain knowledge of Utah licensing requirements and ensure ongoing regulatory compliance.
• Manage Medicaid/third-party payor credentialing, payment documentation, and appeals.
• Oversee safety, risk management, and facility upkeep; prepare for inspections and mock surveys.

Skills

Compliance audits

Chart reviews

HIPAA knowledge

Incident reporting

Staff training

Tools

Bluestep EHR

Job description

Telos Residential Treatment, Llc seeks a Compliance lead to ensure Utah licensing, Joint Commission standards, and Medicaid/third‑party payor requirements are met across all campuses. You’ll oversee clinical documentation quality, incident management, staff training and risk mitigation.

Key duties include conducting chart reviews, managing critical incidents, coordinating corrective actions, licensing renewals, payor credentialing, safety oversight, and preparing for mock surveys and inspections