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Project Renewal · 2 days ago

Senior Manager, Compliance

New York, NY

Contract

Onsite

Mid, Senior Level

$90K/yr - $100K/yr

5+ years exp

Project Renewal is an organization focused on providing high-quality healthcare and human services. They are seeking a Senior Manager, Compliance to oversee and implement their compliance program, ensuring adherence to regulations particularly within healthcare settings. This role involves risk management, policy development, and training to maintain regulatory compliance and mitigate risks.

Addiction TreatmentHealth CareHealth DiagnosticsNon Profit

Responsibilities

Support the Director of Legal Affairs and Compliance in executing and enhancing the organization’s compliance program and assist in developing strategies to mitigate risks

Ensure compliance with federal, state, and local healthcare regulations (e.g., HIPAA, Stark Law, Medicaid/Medicare, Part 2)

Ensure the organization’s compliance program meets FQHC and Article 28 standards

Develop, update and enforce compliance policies and procedures that align with HIPAA, Part 2, FQHC, Article 28 and other applicable standards and promote compliance with healthcare regulations

Work with the Director of Legal Affairs and Compliance and department leadership to develop and implement policy management procedures to meet regulatory and programmatic requirements

Conduct reviews and internal audits related to billing, patient privacy, patient data access, clinical documentation, and operational procedures

Assess and analyze contracts, subpoenas, authorizations, forms and other documents for compliance and privacy obligations, risks and issues

Identify compliance and privacy risks and recommend corrective actions

Track compliance issues and ensure timely resolution

Develop and deliver ongoing compliance training for staff on topics including privacy, billing, ethics, and regulatory compliance

Ensure employees understand their role in compliance efforts and have clear reporting channels for concerns

Investigate and report on potential breaches of protected health information (PHI) or other violations, staff concerns, and regulatory issues

Maintain a confidential reporting system for staff to raise compliance-related concerns

Acting as the main contact for patient privacy inquiries and complaints

Support compliance-related reporting to regulatory agencies as needed

Stay updated on changing laws and regulations impacting agency programs such as FQHCs, Article 28 clinics, and substance use disorder-focused programs

Coordinate audit responses, inspections, and compliance reporting for regulatory bodies (such as HRSA, OMIG, OASAS, OMH, and DOHMH)

Serve as a primary point of contact for compliance- and privacy-related inquiries within the organization

Qualification

Healthcare ComplianceHIPAARegulatory StandardsCertified in Healthcare ComplianceAnalytical ThinkingEthical JudgmentCommunicationAttention to DetailLeadership & Collaboration

Required

Bachelor's degree in Healthcare Administration, Law, Public Health, Compliance, or a related field

Minimum 5 years of compliance experience in a healthcare or human services setting

Strong knowledge of HIPAA, Medicaid/Medicare, Stark Law, Part 2, and healthcare regulatory standards

Analytical Thinking: Ability to analyze complex regulatory issues, legal documents and healthcare data and recommend solutions

Communication: Excellent verbal and written skills for a variety of audiences and purposes, such as formal reporting, staff training and interactions with regulators

Ethical Judgment: High level of integrity and ethical judgment in handling sensitive issues and documents

Attention to Detail: Strong ability to review and analyze complex documents and to track and document compliance activities

Leadership & Collaboration: Ability to foster a culture of compliance throughout the organization and to work well with cross-functional teams