Healthcare Compliance Lead

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October 24

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Innovaccer

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Healthcare Insurance • Artificial Intelligence • SaaS

Innovaccer is a healthcare technology company dedicated to transforming how healthcare information is utilized and accessed. They provide a comprehensive Health Cloud that aims to accelerate digital transformation for providers, payers, and life sciences companies by offering unified healthcare data and analytics. Innovaccer leverages artificial intelligence to automate tasks, process medical data, and generate insights to improve clinical and financial outcomes. Their solutions focus on integrating and optimizing healthcare systems, promoting value-based care, improving patient engagement, and reducing the administrative burden on healthcare providers. Innovaccer's platform supports various healthcare stakeholders through advanced data activation, analytics, and streamlined workflows, striving to improve healthcare delivery and patient care globally.

1001 - 5000 employees

Founded 2014

⚕️ Healthcare Insurance

🤖 Artificial Intelligence

☁️ SaaS

💰 $150M Series E on 2021-12

📋 Description

• Leads the development, implementation, and oversight of the organization's healthcare compliance program to ensure adherence to federal and state regulations, accreditation standards (if applicable), and internal policies. • Provides strategic direction for compliance initiatives to mitigate risk and maintain regulatory compliance across the organization. • Continuously improve Innovaccer’s comprehensive compliance programs, policies, and procedures to ensure adherence to healthcare regulations including HIPAA, Medicare/Medicaid requirements, and fraud and abuse laws • Conduct regular risk assessments to identify potential compliance vulnerabilities and develop corrective action plans to address identified issues • Oversee and perform internal monitoring and auditing processes to evaluate compliance with federal and state regulations and organizational policies • Investigate potential compliance violations, recommend corrective actions, and implement preventive measures to mitigate future risks • Serve as a liaison during audits or investigations • Develop and deliver compliance training programs for staff at all levels of the organization • Prepare comprehensive compliance reports to various stakeholders including department leads and executive leadership • Leverage technology and analytics to enable actionable, effortless, and shared reports • Collaborate with legal counsel and information security teams to address complex compliance matters • Stay current on healthcare regulatory changes and emerging compliance trends to ensure organizational policies remain up-to-date • Perform other compliance-related tasks as requested

🎯 Requirements

• Minimum 5-7 years of progressive experience in healthcare compliance • At least 3 years of oversight of a compliance program within a company • Bachelor's degree in Healthcare Administration, Business, Law, or related field • Master's degree in Healthcare Administration, Business Administration, Law, or related field preferred. • Demonstrated experience developing and implementing compliance programs in healthcare settings • Comprehensive knowledge of healthcare regulatory frameworks including HIPAA, HITECH, Medicare/Medicaid regulations • Strong understanding of healthcare fraud and abuse laws (Anti-Kickback Statute, Stark Law, False Claims Act) • Proficiency in compliance risk assessment methodologies and audit techniques • Experience with compliance management software and data analysis tools • Knowledge of healthcare accreditation standards (Joint Commission, NCQA, etc.) • Exceptional leadership abilities • Strong analytical and problem-solving skills • Excellent written and verbal communication skills • Ability to influence and collaborate with stakeholders at all levels • High level of integrity and ethical decision-making

🏖️ Benefits

• Generous Paid Time Off: Recharge and relax with 22 days of fixed time off per year, in addition to company holidays—because we believe work-life balance fuels performance. • Best-in-Class Parental Leave: Spend quality time with your growing family. We offer one of the industry’s most generous parental leave policies to support you during life’s most important moments. • Recognition & Rewards: We celebrate wins—big and small. Get rewarded with monetary incentives and company-wide recognition for your impact and dedication. Your hard work won’t go unnoticed. • Comprehensive Insurance Coverage: Stay covered with medical, dental, and vision insurance, plus 100% company-paid short- and long-term disability and basic life insurance. Optional perks include discounted legal aid and pet insurance.