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Sword Health · 3 months ago

Director of Compliance

United States

Full-time

Remote

Director/Executive

$296K/yr - $297K/yr

8+ years exp

Sword Health is on a mission to free two billion people from pain, leveraging AI Care to change lives and save millions for their enterprise clients. As the Senior Compliance Manager, you will lead compliance programs ensuring adherence to regulations, manage audits, risk assessments, and promote a culture of ethics and compliance across the organization.

Artificial Intelligence (AI)Health CareMedicalmHealthTherapeutics

No H1B

Responsibilities

Design and manage compliance programs encompassing applicable regulatory and other contractual requirements

Stay up-to-date on changes in applicable federal and state regulations, guidance, and other relevant policies

Work closely with various internal departments to draft, review, and implement compliance policies, procedures, and standards of conduct, ensuring they align with regulatory requirements and organizational values

Conduct regular internal audits, risk assessments, and monitoring activities to identify potential areas of non-compliance, evaluate effectiveness of controls, and implement corrective actions

Develop and deliver training programs on compliance topics to employees, leadership, and third-party vendors, fostering awareness and understanding of obligations

Manage and investigate reported incidents of non-compliance and potential Fraud, Waste, and Abuse (FWA), coordinating with relevant teams to implement corrective actions and ensure timely reporting to regulatory agencies

Establish and maintain comprehensive documentation and record-keeping systems related to compliance activities, audits, policies, training, and corrective actions

Qualification

Compliance programs developmentHealthcare regulations knowledgeRisk assessmentAnalytical skillsCertifications CHCCertifications CHCPCertifications CHRCCommunication skillsOrganizational skillsTraining developmentGovernment compliance experienceNegotiation skillsProblem-solving skillsAttention to detail

Required

Bachelor's degree in healthcare administration, law, business administration, or a related field

Proven experience (typically 8+ years) in compliance

Familiarity with other relevant healthcare laws and regulations such as HIPAA, Anti-kickback statute, and Stark Law

Strong analytical, problem-solving, and critical thinking skills

Excellent communication (written and verbal), interpersonal, and negotiation skills

Ability to work independently, manage multiple priorities, and meet deadlines

Excellent written and verbal communication skills, with the ability to communicate complex concepts effectively

Exceptional organizational skills and attention to detail, with the ability to manage multiple priorities in a fast-paced environment

Preferred

Relevant certifications such as Certified Healthcare Compliance (CHC), Certified in Healthcare Privacy (CHCP), Certified in Healthcare Research Compliance (CHRC)

Experience in a Third-Party Administrator (TPA) environment or similar healthcare setting

Knowledge of Medicare regulations, CMS compliance program requirements (7 Core Elements), and guidelines

Government compliance experience is a plus