National Partners In Healthcare · 1 month ago
Manager, Compliance
Richardson, TX
Full-time
Hybrid
Senior Level
5+ years expNational Partners in Healthcare (NPH) is a progressive healthcare company specializing in anesthesiology. They are seeking a Manager of Compliance to develop, direct, and manage the Compliance Program, ensuring adherence to the Code of Conduct, HIPAA, and other regulations governing healthcare.
Health CarePersonal HealthWellness
Responsibilities
Work with company leaders to accomplish annual goals and objectives for the corporate compliance plan
Maintain, disseminate, and act upon knowledge of all applicable rules, regulations, policies, procedures, guidelines, and laws to ensure compliance with all regulatory bodies
Evaluate and revise the organization’s Compliance Plan on an annual basis along with applicable policies and procedures
Chair and conduct regular meetings of the Corporate Compliance Committee where applicable issues, projects and updates related to Compliance are discussed and considered
Develop and oversee educational training courses including Code of Conduct training, Compliance Policy and Procedure training, Compliance laws and regulations training
Conduct and manage internal audits for billing and operational centers. Participate in meetings, calls regarding significant carrier audits, investigations and disclosures
Work with regulatory, law enforcement, and accrediting agencies and staff as needed
Extensive interaction with Providers, Information Services, Billing, Credentialing, Patient Financial Services, Legal, Human Resources and Risk Management departments and functions
Prepare management reports, documents, etc. as required including financial, investigative, and operational; present Compliance updates and reports to the Board on a regular basis
Ensure maintenance of compliance records including review logs, hotline logs, inquiry logs
Direct the preparation and maintenance of billing and coding audit and project reports; prepare periodic reports for presentation for Board of Directors and senior management as required
Responsible for executing internal audit plan
Oversee provider and employee Compliance training as well as ensure that all applicable exclusions list and sanction checks are completed for providers and applicable employed staff
Identify and communicate internal control deficiencies; document and communicate changes to the internal control system
Implement and maintain the Compliance Hotline service and oversee any inquiry or investigation related to reports made to the hotline
Respond to all complaints and concerns regarding billing, coding, third party audits, and provider contracts on a timely and thorough manner
Keep CEO, President and General Counsel informed of any issues, audits, etc
Identify and communicate internal control deficiencies; document and communicate changes to the internal control system
Adhere to all company policies and procedures
Adherence to and compliance with information systems security is everyone’s responsibility. It is the responsibility of every computer user to: Know and follow Information Systems security policies and procedures. Attend Information Systems security training, when offered. Report information systems security problems
Perform other duties as assigned
Travel is required approximately 30% of the time
Qualification
Required
5 - 10 years previous healthcare related experience, including knowledge of clinical records and healthcare billing
2-3 years of previous audit experience is required in healthcare or regulatory agency setting; or an equivalent combination of
Ability to Travel 30% of the time
Broad understanding and familiarity of common business functions including accounting, finance, HR, RCM, marketing, credentialing, managed care contracting etc
Bias for action / Entrepreneurialism - Willingness to “roll up her/his sleeves” and work in a lean fast paced start-up environment
Collaboration - Comfortable working in decision making teams - and ability to influence important constituents
Strong analytical skills
Good interviewing and negotiation skills
Effective verbal and written communication skills
Knowledge of auditing procedures and techniques
Excellent problem-solving skills
Working knowledge and understanding of current applicable laws and regulations
People First / Leadership Versatility - NPH is building a culture where people matter (Employees, Doctors, Vendors). It is important that the individual is able to effectively work with people from many areas with diverse backgrounds
Critical Thinking - Must be able to make well-thought out recommendations using data when possible
Accountable - Must stand behind commitments, take responsibility for words/actions and be accountable for individual and team goals Adhere to all company policies and procedures
Intermediate level Microsoft Office skills including; Word, Excel, PowerPoint, and Outlook
Preferred
A Bachelor's degree is preferred
Master's Degree in relevant field a plus
Benefits
Competitive Pay and Benefits Package
Annual Bonus
Generous Paid Time Off
401K Contribution/Safe Harbor
Flexible Work Environment
Career Advancement Opportunities with a Growing Company
On-site Fitness Center and Café
Underground Parking with Badge Access
Company
National Partners In Healthcare
National Partners in Healthcare partners with physicians and health systems to deliver high-quality care, aligning synergies, and practices.
501-1000 employees
Funding
Current Stage
Late StageTotal Funding
$125MKey Investors
Texas Capital Bank
2023-04-21Debt Financing· $125M
Leadership Team
Nick Bohra, CPA, MBA
Chief Financial Officer
Carey Polson
Executive Assistant To Chief Executive Officer
Recent News
Company data provided by crunchbase