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Northwell Health · 16 hours ago

Research Compliance Program Manager

Lake Success, NY

Full-time

Onsite

Entry, Mid Level

$75K/yr - $126K/yr

1+ years exp

Northwell Health is seeking a Research Compliance Program Manager to oversee the daily administrative operations of compliance programs. The role involves managing research compliance billing, conducting audits, and providing education on regulations to mitigate compliance risks.

ConsultingHealth CareHealth DiagnosticsMedicalPublishing

Responsibilities

Manages the development of a research compliance billing program; produces a written plan of activities, addressing research compliance areas, with implementation plans, with the goal of achieving program goals and missions

Ensures implementation and evaluation of research billing policies and procedures; reviews policies and procedures for consistency with applicable regulations and professional standards; collaborates with research administration leadership and others in making suggestions for change as needed

Participates in assessment of research compliance risk areas and assists with billing/documentation and regulatory risk assessments; develops, implements, and oversees audit and compliance monitoring program relating to research billing and financials in research

Determines audit or monitoring objectives, scope, and procedure, audits or monitors ongoing research studies to ensure practices are consistent with applicable regulations, policies, departmental standards, and regulatory approvals

Reviews data, such as claims detail, coding and medical record documentation to determine compliance with appropriate coding and documentation requirements

Drafts reports detailing audit findings and communicates with research stakeholders

Promotes overall compliance with research billing through participation in education and training activities for professional staff; conducts research, interprets and communicates federal and state laws and guidelines pertaining to Medicare and NYS Medicaid

Provides general compliance education and support to audit and facility staff involved in research billing; focused training based on results of compliance audits, monitoring and self-assessments

Collaborates with internal audit, and faculty practice and corporate compliance to minimize overlap in compliance activities

Operates under general guidance and work assignments are varied and require interpretation and independent decisions on course of action

Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions

Qualification

HIPAA complianceResearch billingAudit managementRegulatory risk assessmentCompliance education

Required

Bachelor's Degree required, or equivalent combination of education and related experience

1-3 years of relevant experience, required

Company

Northwell Health

Glassdoor3.9

Northwell Health is New York State’s largest health care provider and private employer, with 28 hospitals, about 1,000+ outpatient facilities and more than 16,000 affiliated physicians.

Founded in 1997

Manhasset, New York, USA

10001+ employees