Compliance Manager

Job not on LinkedIn

🔥 11 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🚔 Compliance

👻 Ghost score 10%

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Logo of Orthopedic Care Partners

Orthopedic Care Partners

201 - 500 employees

🏥 Healthcare

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Healthcare • Healthcare Insurance • Pharmaceuticals

Orthopedic Care Partners (OCP) is a leading and expansive network of orthopedic care providers, offering a comprehensive growth platform for orthopedic practices across the United States. OCP is known for its superior clinical reputation, scaled infrastructure, and outstanding patient experience. Through strategic partnerships and affiliations, OCP has become one of the largest orthopedic platforms, supported by over 138 physician partners and 42 clinics. They focus on maintaining clinical autonomy for practices, while leveraging shared resources to optimize value-based care. OCP is actively involved in Medicare’s BPCI Program and commercial bundled contracts, capitalizing on data analytics to enhance patient outcomes and reduce costs. Their commitment is to superior clinical outcomes and a great patient experience, while providing a vertically integrated clinical offering and strong physician alignment. The company is well positioned to thrive within the healthcare industry's shifts towards value-based care models.

📋 Description

• Manage and conduct non-coding compliance audits and monitoring activities • Develop audit scopes and tools, evaluate findings, prepare reports, and coordinate corrective actions and follow-up monitoring • Identify compliance trends, control weaknesses, and potential risks and escalate significant concerns to the Chief Compliance Officer • Support the development, review, implementation, and maintenance of compliance policies and procedures • Develop and coordinate compliance and policy education, communications, and related resources • Administer the Healthicity compliance management system, including audit, policy, incident, education, and reporting functions • Manage assigned compliance projects and assist with implementation and tracking of Compliance Work Plan activities • Conduct regulatory research and assist with compliance risk assessments and evaluation of regulatory changes • Develop compliance metrics, reports, and materials for leadership and compliance governance activities • Support compliance investigations and other reviews • Collaborate with operational and corporate departments on compliance initiatives and corrective actions • Perform additional duties supporting the compliance function under the direction of the Chief Compliance Officer

🎯 Requirements

• Bachelor’s degree in healthcare administration, business administration, health information management, nursing, public health, compliance, legal studies, or related field (or equivalent experience) • Minimum 3 years of experience in healthcare compliance, auditing, regulatory, risk management, or related experience • Working knowledge of healthcare compliance requirements and the elements of an effective compliance program • Experience with compliance auditing and monitoring, policy management, corrective actions, or compliance program operations • Experience within a physician practice, medical group, ambulatory, or multi-site healthcare environment preferred • Experience administering compliance management software preferred • Certified in Healthcare Compliance (CHC), Certified in Healthcare Privacy Compliance (CHPC), or other relevant certification preferred • Compliance auditing and monitoring • Policy management and compliance education • Regulatory research and analysis • Project management and follow-through • Data analysis and reporting • Professional communication and presentation skills • Strong attention to detail and organizational skills • Ability to work independently and appropriately escalate compliance concerns • Ability to perform computer-based office activities, including remaining seated for periods of time, filing, and lifting/carrying office supplies • Ability to occasionally lift and/or move up to 20–25 pounds • Fine hand manipulation/keyboard proficiency

🏖️ Benefits

• Fully remote work arrangement • Reasonable accommodations for individuals with disabilities • Potential travel to existing or new OCP locations

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