Manager, Compliance and Regulatory Affairs

Suvida

$75K — $95K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's Degree required
  • Master's degree in Healthcare Administration or related field preferred
  • Certification in Healthcare Compliance (CHC) preferred
  • 5+ years' experience in healthcare compliance or regulatory affairs
  • Strong knowledge of healthcare laws and regulations including HIPAA and Stark Law
  • Bilingual (English and Spanish) preferred
  • Excellent written and verbal communication skills.

Responsibilities

  • Manage organization's healthcare compliance program and strategic planning
  • Perform internal audits to identify compliance risks
  • Monitor compliance with healthcare regulations like HIPAA and Medicare
  • Collaborate with department leaders to implement and monitor corrective actions
  • Investigate reported compliance concerns and potential fraud
  • Supervise and manage the Regulatory Compliance team
  • Develop and deliver compliance education and training programs.

Benefits

  • Opportunity for professional development in healthcare compliance
  • Engagement in strategic healthcare regulatory projects
  • Support for cultivating ethical decision-making across the organization
  • Collaboration with leaders to influence policy and compliance culture
  • Dynamic work environment that values effective communication and team relationship building.
Full Job Description
What You'll Do - Job responsibilities The Manager, Compliance and Regulatory Affairs reports to the AVP, Legal & Compliance and has a key role in supporting the implementation of the seven elements of an effective compliance and helping promote the Company's vision, mission, and culture. The Manager, Compliance and Regulatory Affairs supports the AVP, Legal & Compliance in the implementation and strategic direction of Suvida's Compliance Program ("Program"). This includes creating a compliance strategy that ensures business accountability for oversight over the day-to-day monitoring of the business areas as well as supporting business partners in implementing that strategy. Essential responsibilities consist of but not all inclusive: 3 Manage organization's healthcare compliance program and support ongoing compliance strategic planning 3 Perform internal audits and monitor operational practices to identify compliance risks 3 Monitor compliance with applicable regulations, including HIPAA, Medicare, Medicaid, CMS, OIG guidance, Stark Law, Anti-Kickback Statue and other healthcare regulations 3 Collaborate with department leaders to implement corrective actions and monitor their effectiveness including: 33 Identifying key watch areas 33 Providing short/long term solutions 33 Supporting accountability and enforcement 33 Monitoring outcomes and progress 33 Regulations and Regulatory Matters 33 Risk management, including privacy and security, patient complaints and other 3 Investigate reported compliance concerns, violations, and potential fraud, waste, or abuse. 3 Supervise and manage Regulatory Compliance team roles as assigned. 3 Develop and deliver compliance education and training programs for employees, providers and leadership. 3 Conduct risk assessments, maintain documentation related to compliance activities, investigation and regulatory inquiries. 3 Coordinate system projects by partnering with accountable business owners and proactively lead efforts to mitigate risks associated with business activities, confirm risk measurement/s and business monitoring and align with internal and regulatory requirements. 3 Create, modify, update and implement company compliance policies and chair the company's Policy Committee. 3 Proactively develop risk management strategies for known, unknown and/or anticipated company risks in partnership with direct supervisor and Compliance team. 3 Lead risk audits; identify risk and/or noncompliance areas and produce actionable, data-driven reports. 3 Monitor regulatory changes and communicate new requirements throughout the organization. 3 Coordinate Root Cause Analyses when indicated and proactively share data, risk management trends and educate stakeholders. 3 Promote ethical decision-making and maintain confidential reporting mechanisms. 3 Provide simple contract review support, analysis and oversight. 3 Perform other duties as assigned What You'll bring - Education Requirements 3 Bachelor's Degree required 3 Master's degree in Healthcare Administration, Business Administration, Public Health or a related field in healthcare legal preferred. 3 Certification in Healthcare Compliance (CHC) preferred. What You'll Bring - Experience Requirements 3 5+ years' experience with healthcare compliance, healthcare administration, auditing or healthcare regulatory affairs. 3 Strong knowledge of healthcare laws and regulations, including: 33 HIPAA Privacy and Security Rules 33 Medicare and Medicaid regulations 33 Medicare Advantage regulations 33 CMS Conditions of Participation 33 OIG Compliance Program Guidance 33 Stark Law 33 Anti-Kickback Statute 33 False Claims Act 3 Experience working in healthcare quality, compliance, operations and supporting the risk assessment process, monitoring or audit activities and response to inquiries. 3 Experience conducting compliance audits and investigations (including breach responsiveness). 3 Bilingual (English and Spanish) preferred. 3 Self-starter and interested in learning and developing expertise in new and emerging areas through education, networking and new experiences. 3 Critical thinking and problem-solving skills. 3 Effective communication and presentation skills; written and verbal. 3 Strong analytical, organizational, and problem-solving skills. 3 Ability to embrace and simplify complex concepts. 3 Strong attention to detail. 3 Excellent written and verbal communication skills. 3 Enjoy building and developing relationships. 3 Located in Texas or Arizona.

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