Compliance Manager jobs in United States
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Southeastern Retina Associates · 3 months ago

Compliance Manager

Southeastern Retina Associates is seeking a Compliance Manager to develop, implement, and manage a comprehensive compliance program ensuring adherence to healthcare laws and regulations. This role involves collaborating with executive leadership and clinical teams to promote a culture of compliance and mitigate risks across the organization.

Health CareHospitalMedical

Responsibilities

Design, implement, and maintain a comprehensive compliance program tailored to the needs of a multi-location medical practice
Continuously assess the effectiveness of the compliance program and recommend improvements to align with regulatory changes and organizational growth
Oversee ongoing compliance audits, risk assessments, and internal investigations
Develop and deliver engaging compliance training for physicians, staff, and leadership, ensuring understanding of legal obligations and organizational policies. Create specialized training programs for high-risk functions such as billing/coding
Managing employee and vendor exclusionary programs
Business associate and vendor management
Managing employee compliance hotline/reporting
Monitor regulatory changes and guide the organization in updating policies and practices accordingly
Serve as a resource and subject matter expert on compliance-related issues across the organization
Investigate and resolve potential compliance concerns, documenting findings and corrective actions
Prepare reports for executive leadership and participate in compliance committee meetings
Manage day-to-day needs of the Compliance Department, including investigating potential HIPAA breaches, OSHA safety incidents, reports of noncompliance, and the like. Ensure timely and accurate reporting to regulatory bodies
Collaborate with human resources, IT, billing/coding, and other departments on compliance matters

Qualification

Healthcare ComplianceCHC CertificationHealthcare Laws KnowledgePolicy DevelopmentCompliance AuditsAnalytical SkillsTrust BuildingCommunication SkillsOrganizational SkillsProblem-Solving Skills

Required

Master's degree in Healthcare Administration, Business, or related discipline. Candidates without a relevant master's degree may be considered with significant direct experience in healthcare compliance
Minimum of 5–8 years of progressive experience in healthcare compliance, preferably within a physician group, specialty practice, or multi-site healthcare organization
Strong knowledge of healthcare laws and regulations including HIPAA, Stark Law, Anti-Kickback Statute, Medicare and Medicaid rules, and OSHA standards
Significant experience drafting and updating policies and procedures
Certified in Healthcare Compliance (CHC) or equivalent credential required
Demonstrated experience conducting compliance audits, investigations, and risk assessments
Excellent written and verbal communication skills, with the ability to convey complex regulatory concepts clearly to diverse audiences
Strong analytical, organizational, and problem-solving skills with keen attention to detail
Proven ability to build trust and influence at all levels of an organization

Company

Southeastern Retina Associates

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When it comes to complex vitreoretinal cases, Southeastern Retina Associates (SERA) is the most experienced team in the East Tennessee region.

Funding

Current Stage
Growth Stage

Leadership Team

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Andy Laverghetta
Chief Executive Officer
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Jim Driscoll, CPA
Chief Financial Officer
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Company data provided by crunchbase