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Aledade, Inc. · 12 hours ago

Manager, Business Compliance (Remote)

United States

Full-time

Remote

Mid, Senior Level

5+ years exp

Aledade, Inc. is a public benefit corporation focused on empowering independent primary care. The Business Compliance Manager will support compliance initiatives, assess risks, and implement compliance programs while ensuring adherence to regulatory requirements and fostering a culture of compliance throughout the organization.

Health CareMedicalPrimary and Urgent CareWellness

Comp. & Benefits

Responsibilities

Act as the compliance point of contact for new Aledade alternate payment model initiatives with an ability to provide appropriate compliance guidance; Stay up-to-date on changes in laws, regulations, and internal policies and work closely with organization departments to ensure compliance with them; Assist in identifying and managing compliance requirements in contracts with new vendors; Provide guidance to questions received through the Compliance mailbox system for business related concerns and questions

Coordinating across departments, and implementing compliance mechanisms to ensure compliance obligations/agreed terms are being met

Assist in the identification and implementation of Compliance monitoring activities; Support the Business Risk Oversight Compliance Sub-Committee in areas like Coding and Billing, Quality, and alternate payment model compliance; Collaborate with Compliance leadership to assess current program maturity levels and identify opportunities for enhancement; Help identify and assess compliance risks, and develop strategies to mitigate them

Assist the Business Compliance Director in the continued implementation of the Corrective Action and Preventive Action and the Practice Partnership Integrity Programs

Assist in the continued development of compliance programs and procedures to ensure compliance with all applicable laws, regulations, and internal policies related to value-based care through governmental programs and contracts with commercial payers; Provide and track Compliance training and education to the Aledade Accountable Care Organizations

Qualification

Healthcare compliance managementHealthcare regulations knowledgeCompliance certificationCompliance management softwareAccountable Care OrganizationsRisk-based decision makingG-SuiteMicrosoft OfficeExceptional communication skillsInterpersonal skillsTeam collaboration

Required

Bachelor's degree in a relevant field (Healthcare Administration, Finance, etc.) or equivalent combination of education and experience

Minimum of 5 years of progressive experience in the healthcare industry with a strong focus on healthcare compliance program management, monitoring, auditing, or a combination of these areas

Strong knowledge of healthcare regulations, including HIPAA and fraud, waste, and abuse laws (Stark Law, Anti-Kickback Statute, False Claims Act)

Exceptional written and verbal communication skills, with the ability to translate complex data findings into clear and actionable guidance

Strong interpersonal skills and the ability to collaborate effectively with diverse teams

Ability to work independently or as part of a team

Demonstrated capability to render risk and business-based decisions in areas lacking explicit regulatory guidance

Preferred

Understanding of healthcare regulations, including those specific to Accountable Care Organizations (ACOs) and value-based care models (e.g., MSSP, Direct Contracting)

Compliance certification (e.g., CHC, CCEP)

Experience with compliance management software or platforms

Experience working in a rapidly growing organization or startup environment

Familiarity with compliance program maturity models (e.g., OIG Seven Elements, DOJ Guidelines)

Proficiency in G-Suite or Microsoft Office Suite

Benefits

Flexible work schedules and the ability to work remotely are available for many roles

Health, dental and vision insurance paid up to 80% for employees, dependents and domestic partners

Robust time-off plan (21 days of PTO in your first year)

Two paid volunteer days and 11 paid holidays

12 weeks paid parental leave for all new parents

Six weeks paid sabbatical after six years of service

Educational Assistant Program and Clinical Employee Reimbursement Program

401(k) with up to 4% match

Stock options

And much more!

Company

Aledade, Inc.

Glassdoor3.9

Aledade is the largest network of independent primary care, enabling clinicians to deliver better patient outcomes and generate more savings revenue through value-based care.

Founded in 2014

Bethesda, Maryland, USA

1001-5000 employees