Manager, Compliance

Ventra Health; United States; On-site; USD 95,000 - 140,000; Full time

Benefits offered by this job

Performance-based incentive plan

Referral bonus program

Job summary

A leading business solutions provider is seeking a Manager, Compliance to enhance their compliance program. The role involves oversight of compliance policies, preparation of training materials, and driving a culture of compliance across the organization. Ideal candidates will have management experience in healthcare compliance and strong knowledge of U.S. compliance laws. The position offers competitive compensation and a performance-based incentive plan.

Qualifications

• Minimum of 3 years’ management experience in healthcare compliance.
• At least 5 years’ experience in revenue cycle management.
• Working knowledge of HIPAA, OIG compliance, U.S. healthcare laws.
• Working knowledge of HIPAA, OIG compliance, U.S. healthcare fraud and abuse laws, and related requirements.

Responsibilities

• Enhance compliance program and provide oversight of compliance policies.
• Prepare training materials and coordinate compliance training.
• Oversee compliance hotline and ensure documentation of matters.
• Coordinate rollout and training on new or updated policies.
• Oversee compliance hotline and incident tracking, ensuring proper documentation and timely resolution.
• Lead investigations for compliance incidents and report to regulators and clients.

Skills

Understanding of compliance frameworks

Exceptional analytical abilities

Strong leadership skills

Strong oral and written communication skills

Strong time-management skills

Ability to work in a collaborative environment

Cross-functional collaboration

Communication

Problem solving

Education

Bachelor's Degree or equivalent

Tools

Outlook

Word

Excel (pivot tables)

Job description

Join to apply for the Manager, Compliance role at Ventra Health

Ventra is a leading business solutions provider for facility‑based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. Focused on Revenue Cycle Management, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data‑driven solutions that solve the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities.

Come Join Our Team! As part of our robust Rewards & Recognition program, this role is eligible for our Ventra performance‑based incentive plan, because we believe great work deserves great rewards. Help Us Grow Our Dream Team — Join Us, Refer a Friend, and Earn a Referral Bonus!

Job Summary

The Manager, Compliance will be responsible for enhancing Ventra Health, Inc.’s (“Ventra”) compliance program and providing oversight and support of Ventra’s enterprise compliance policies, procedures, training programs, program initiatives, and controls to help ensure compliance with applicable laws, regulations, and Ventra’s internal policies and processes.

Essential Functions & Tasks

• Draft, update, implement, manage, maintain, and enforce Ventra’s compliance plan and all relevant compliance policies and procedures.
• Prepare compliance training materials, coordinate rollout of compliance training to new and existing employees and applicable contractors, and ensure completion of trainings by all applicable parties.
• Assist with the development, implementation, and maintenance of Ventra’s auditing and monitoring program.
• Coordinate rollout and training on new or updated policies and directives when required.
• Help drive a culture of compliance throughout the company, including implementation of compliance communication strategy.
• Oversee the day‑to‑day management of Ventra’s compliance hotline and incident tracking system, ensuring proper documentation, investigation, and timely resolution of compliance matters.
• Lead, manage, and/or participate in investigations for compliance incidents and issues.
• Ensure accurate and timely reporting of compliance incidents to regulatory agencies and clients.
• Conduct research on laws and regulations affecting the company.
• Provide timely advice and assistance to colleagues and leadership in relation to compliance issues and inquiries.
• Prepare materials for and participate in Compliance Committee meetings.
• Report on compliance issues and incidents to the Compliance Committee.
• Collaborate with cross‑functional teams, including People Team, Legal, and IT, to ensure alignment on compliance initiatives.
• Support the enterprise‑wide compliance program by assisting in global and local compliance‑related projects and initiatives.
• Ensure comprehensive documentation of compliance activities, including investigations, risk assessments, audits, and training records.

Education & Experience Requirements

• Minimum of Bachelor’s Degree or equivalent.
• At least 3 years’ management experience in healthcare compliance.
• At least 5 years’ experience working in revenue cycle management, coding, or other healthcare operations. Experience in Radiology, Anesthesia, Emergency Medicine and/or Hospital Medicine is strongly preferred.
• Working knowledge and experience with HIPAA, OIG compliance, U.S. healthcare fraud and abuse laws, and other country/local‑specific compliance laws, regulations and requirements.

Knowledge, Skills & Abilities

• Understanding of compliance frameworks, risk management, and regulatory requirements.
• Exceptional analytical and problem‑solving abilities, including strong judgment skills.
• Well‑organized with excellent attention to detail.
• Strong ethical standards, with a commitment to fostering a culture of integrity and compliance.
• Ability to read, understand, and apply state/federal laws, regulations, and policies.
• Strong leadership/management skills to motivate, manage, and set expectations with team members.
• Strong oral, written, and interpersonal communication skills.
• Strong time‑management, organizational, and decision‑making skills with the ability to prioritize tasks.
• Proactive, responsive, and detail‑oriented.
• Ability to communicate with diverse personalities in a tactful, mature, and professional manner.
• Ability to remain flexible and work within a collaborative and fast‑paced environment.
• Ability to collaborate effectively across departments and work with diverse stakeholders.
• Basic use of computer, telephone, internet, copier, fax, and scanner.
• Basic ten‑key skills.
• Basic math skills.
• Understand and comply with company policies and procedures.
• Strong knowledge of Outlook, Word, Excel (pivot tables), and database software skills.

Compensation

• Base Compensation will be based on various factors unique to each candidate including geographic location, skill set, experience, qualifications, and other job‑related reasons.
• This position is also eligible for a discretionary incentive bonus in accordance with company policies.

Equal Employment Opportunity

Ventra Health is an equal opportunity employer committed to fostering a culturally diverse organization. We strive for inclusiveness and a workplace where mutual respect is paramount. We encourage applications from a diverse pool of candidates, and all qualified applicants will receive consideration for employment without regard to race, color, ethnicity, religion, sex, age, national origin, disability, sexual orientation, gender identity and expression, or veteran status. We will provide reasonable accommodations to qualified individuals with disabilities, as needed, to assist them in performing essential job functions.

Recruitment Agencies

Ventra Health does not accept unsolicited agency resumes. Ventra Health is not responsible for any fees related to unsolicited resumes.

Solicitation of Payment

Ventra Health does not solicit payment from our applicants and candidates for consideration or placement.

Attention Candidates

There have been reports of individuals falsely claiming to represent Ventra Health or one of our affiliated entities. These scammers may attempt to conduct fake interviews, solicit personal information, and, in some cases, have sent fraudulent offer letters. To protect yourself, verify any communication you receive by contacting us directly through our official channels. If you have any doubts, please contact us at [e-mail] to confirm the legitimacy of the offer and the person who contacted you. All legitimate roles are posted on https://ventrahealth.com/careers/.

Statement of Accessibility

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