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Regional Compliance Manager

Pediatric Associates Family of Companies
Est. $96,461 - $230,000 / year
Posted Apr 02
Full Time
Hybrid

Hybrid work schedule Address: 900 South Pine Island Road PRIMARY FUNCTION The Regional Compliance Manager is responsible for the administration of the Pediatric Associates Compliance Program to ensure compliance with company’s policies and procedures, federal and state regulatory requirements in accordance with the seven elements in their assigned region. The Regional Compliance Manager is responsible for the ongoing activities of internal auditing and monitoring programs to prevent, detect, and correct compliance risks related issues along with employee education and awareness of the Compliance Program.


ESSENTIAL DUTIES AND RESPONSIBILITIES
This list may not include all the duties that may be assigned.

  1. Assist the Director of Compliance in the development and execution of the Company’s Compliance Program to ensure compliance with applicable laws and regulatory requirements
  2. .Assist in development and implementation of internal audit plans with monitoring of compliance related activities to include but not limited to billing, coding, documentation of healthcare services
  3. .Responsible for the effectiveness of the Compliance Program through ongoing daily auditing, monitoring, and education of compliance related activities to include HIPAA, privacy, limitations, and disclosures, outside activities, and other related compliance matters
  4. .Responsible for the management of privacy patient monitoring controls to protect and detect inappropriate activities, user accessing to maintain patient confidentiality
  5. .Responsible for investigating, track and trend HIPAA and privacy breaches with proper notification and reporting as required by Office for Civil Rights
  6. .Responsible for drafting, updating, implementing compliance related policies
  7. .Responsible for ensuring internal compliance controls are adequate and collaborating with key stakeholders to ensure best practices are in place
  8. .Responsible to investigate, analyze, respond, and trend all compliance hotline calls received, all reported and identified compliance concerns with oversight on any applicable corrective action plans with updates to leadership
  9. .Responsible to develop, lead, and report to leadership updates on the Compliance Program key performance indicators, goals, and strategies
  10. .Serve as a subject-matter expert on compliance topics, maintains a comprehensive knowledge of applicable laws, regulations, and policies and responsible to analyze and disseminate any proposed or enacted legislation or state regulation that may impact the Company
  11. .Provides new hire and focused in-service employee compliance related education
  12. .Responsible for and in collaboration with key stakeholders to ensure all compliance related required training is completed as per company policy
  13. .Responsible for the management of the outside activities and vendor exclusions verification database and approval processes
  14. .Collaborate with departmental stakeholders to develop formal corrective actions to compliance related issues
  15. .Responsible for preparing and reporting activities to the Director of Compliance for Compliance Committee reporting
  16. .Assist with other duties and projects as needed

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QUALIFICATION
S EDUCATI O N:Bachelor’s degree in healthcare related field required and master’s degree preferre d.EXPERIENC E:A minimum of 5 years of compliance experience required, and 5 years of healthcare related experience preferre d.LICENSURE / CERTIFICATIO N:CHC, CHPC preferred and/or required within a minimum of 2 years of employmen

t.
KNOWLEDGE, SKILLS, AND ABILIT IESStrong critical thinking skills & detail orien tedStrong leadership presence with effective written and communication ski llsAdministrative skills include the ability to develop employee training and presentations, time management, data trending and analys is.Ability to multi-t askStrong computer skills; Microsoft Power Point, Excel, and other software progr amsKnowledge of healthcare terminology and princip lesAble to lead and work in a te am.Self-directed, self-starter, organized, and capable of handling multiple projec ts.Strong analytical and problem-solving skills with great attention to det ailability to prioritize tas ks.Advance level of proficiency in Microsoft Office applications including Word, PowerPoint, Excel, Vizio and other windows applicati onsFlexibility and ability to effectively perform in a fast-paced environment, and responsive to multiple requests with a strong sense of urgen cy.Excellent interpersonal skills and ability to interact effectively with all tenure levels and across departments and business uni ts.Highly dependable, professional integrity, good judgment, and respect for confidential

ity

TYPICAL WORKING CONDI TIONSMay rotate working in the office and remote/tele work.May involve high and frequent meetings, calls, and email vo lume.Travel locally up to 30%; may be required to travel nationally up to

10%.
OTHER PHYSICAL REQUIR EMENTS VisionSense of soundSense of

touch

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