Senior Compliance Manager

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $130k - $145k / year

⏰ Full Time

🟠 Senior

🚔 Compliance

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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Teladoc Health

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

🏥 Healthcare

👥 B2C

☁️ SaaS

💰 $80M Post-IPO Debt - Teladoc Health on 2016-07

Healthcare • B2C • SaaS

Teladoc Health is a telehealth company that connects patients with care providers through a virtual care platform offering 24/7 urgent care, primary care, mental health (therapy and psychiatry), chronic condition management (diabetes, hypertension, weight management), specialty consultations, and wellness services. It serves individuals directly and partners with employers, health plans, hospitals and health systems to deliver integrated virtual care solutions and technology at scale.

📋 Description

• Support execution of Teladoc Health’s day-to-day Compliance Program in partnership with senior leadership • Collaborate with Legal and cross-functional teams on compliance program execution • Serve as a subject matter expert for designated compliance areas • Develop, update, implement, and oversee compliance policies and procedures • Ensure adherence to internal controls and organizational compliance standards • Monitor regulatory changes, applicable laws, regulations, standards, and compliance best practices • Provide guidance on regulatory matters concerning accessibility • Assist with RCM compliance-based training covering coding, billing, claims, denials, and revenue integrity • Manage internal compliance audit controls focused on RCM, billing, and coding • Identify enhanced monitoring and investigative opportunities • Track compliance activities, trends, results, and improvement opportunities • Conduct internal audits and implement corrective actions • Contribute to the annual audit and compliance work plan and report results • Own the RCM, billing, and claims compliance framework and annual plan • Provide dashboards and executive reporting on RCM compliance posture, issues, trends, corrective actions, and key risk indicators • Investigate compliance concerns and allegations related to RCM, billing, and coding • Gather and analyze information to determine root causes • Partner with Legal, HR, and other departments during investigations • Assist with investigations involving regulatory inquiries such as CMS and OIG • Escalate issues appropriately, implement corrective actions, resolve compliance issues, and track outcomes • Lead the annual RCM compliance risk assessment across business lines, modalities, specialties, and payer segments • Design and maintain preventive and detective revenue-cycle controls • Conduct risk assessments and gap analyses • Monitor federal and state regulatory changes and communicate impacts to leadership • Develop and support processes addressing evolving regulatory requirements • Maintain compliance-related documentation and resources • Partner with Legal and business functions on investigations and compliance initiatives • Support regulatory responses and compliance-related activities • Analyze compliance data to identify risks and trends • Improve monitoring, investigative, and compliance processes • Support the Chief Compliance Officer in executing the Enterprise Compliance Program • Perform additional compliance-related duties as needed

🎯 Requirements

• Bachelor’s degree in a relevant field preferred • 8-10 years of experience in compliance, risk management, audit, or a related function • Experience in regulated environments preferred, such as healthcare, financial services, insurance, or similar industries • Certified Compliance & Ethics Professional (CCEP), Certified Healthcare Compliance (CHC), or equivalent preferred • Other relevant certifications in risk, audit, or quality preferred, such as CPHQ, CIA, or CISA • Strong knowledge of compliance frameworks, regulatory requirements, and internal control principles • Experience with audits, investigations, and risk assessments • Ability to interpret regulations and translate them into actionable business practices • Excellent communication and interpersonal skills, with ability to influence stakeholders • Ability to manage multiple priorities in a fast-paced environment • High attention to detail, organization, and accountability • Proficiency with standard business and reporting tools, such as Microsoft Office or equivalent • Currently authorized to work in the United States without current or future visa sponsorship • Must successfully complete identity and credential verification, interviews, and fraud or misrepresentation screening

🏖️ Benefits

• Performance bonus • Flexible Vacation Policy • 80 hours of Paid Sick, Safe, and Caregiver Leave annually • Benefits program centered around employees and their families • Meaningful career growth opportunities • Inclusive workplace culture • Candidate resources and recruiter support