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Compliance Manager

Compliance Manager

InStride HealthRichmond, VA, US
Hace 4 días
Tipo de contrato
  • A tiempo completo
Descripción del trabajo

Compliance Manager

InStride Health's mission is to deliver specialty anxiety and OCD care that works for every kid, teen, young adult, and family who needs it. Through this mission, we are expanding access to insurance-based care, increasing engagement in treatment, and improving treatment outcomes. We are doing this by combining research-backed clinical care and innovative technology to eliminate the major problems with care today : difficulty finding providers, months of waiting to be seen, arduous onboarding processes, and inconsistent use of evidence-based therapies and outcomes tracking. Our vision is to become the nation's most trusted provider of pediatric anxiety and OCD care.

InStride Health is embarking on an exciting period of rapid growth. We are seeking a Compliance Manager to help enable that growth across our team. We are looking for a candidate with strong compliance experience - ideally a healthcare attorney - but we are also open to candidates who have worked in the compliance function of a telehealth company, hospital, or similar healthcare setting.

The role will collaborate with and report to our Chief Compliance Officer and will work closely with our outside regulatory counsel, Chief Clinical Operations Officer, Chief Technology Officer, Chief Information Security Officer, and Chief Financial Officer. This role will primarily support clinicians and business teams on compliance matters while partnering cross-functionally to operationalize and strengthen compliance practices across the organization.

Responsibilities

  • Serve as a primary point of contact for clinicians and business teams on compliance questions, especially regarding topics like HIPAA, patient privacy, consent, licensing, and care delivery.
  • Partner with the Chief Compliance Officer to design and improve operational processes that support compliance (e.g., streamlining forms, clarifying workflows)
  • Draft, maintain, and update policies and procedures that help staff understand and meet regulatory requirements.
  • Develop and deliver compliance education for staff, including onboarding training, annual education, and topic-specific refreshers.
  • Support delegated credentialing activities, including ensuring compliance with health plan credentialing requirements and responding to payor audits.
  • Contribute to payor contract compliance oversight and participate in payor audits as needed.
  • Support the continued development of the Quality Program, including monitoring quality metrics, assisting with audits, and participating in quality committees.
  • Collaborate with other departments to direct compliance issues to the appropriate channels for investigation and resolution.
  • Identify and escalate potential areas of compliance vulnerability and risk, and help develop corrective action plans to address them.
  • Support compliant expansion into new markets by partnering with legal and clinical leadership and providing education on new regulatory requirements.

What You Need To Succeed In The Role

  • 5+ years of experience in healthcare compliance or regulatory work (Bachelor's degree required; J.D. preferred)
  • Strong working knowledge of key topics such as HIPAA, patient consent, licensing, privacy, contract compliance, and mandatory reporting
  • Demonstrated ability to operate as a self-starter who can exercise sound judgment, make informed decisions, and drive projects forward
  • Excellent analytical, organizational, investigative, and communication skills
  • Experience working in a fast-paced, rapidly changing environment (ideally in a healthcare-tech start-up)
  • Solutions-focused, progressive thinker with a passion for transforming pediatric mental health care
  • Team-oriented, energetic, and ambitious, with a healthy balance of curiosity, humility, and assertiveness
  • The expected annual salary for this role is between $135,000-$155,000. Actual starting salary will be determined on an individualized basis and will be based on several factors including but not limited to specific skill set, work experience, etc.

    Generous benefits package (401k with match, Flexible PTO, paid holidays, 4 week paid sabbatical, 12 week paid parental leave, health benefits starting on your first day, and more)

    Opportunity to join a mission-driven company that is changing the landscape of pediatric mental health treatment

    Chance to make a far-reaching impact by helping children and families access desperately-needed, evidence-based care

    Opportunity to work with talented and experienced team members who have devoted their lives to solving this problem

    Fully virtual : work from the comfort of your home with periodic in-person retreats

    Commitment to Diversity, Equity, Inclusion, & Belonging (DEIB)

    We want to make our clinical services available for everyone, no matter where you come from, what you look like, or how you identify. To achieve this, we recognize we must continually make progress in building a more diverse, equitable, and inclusive team. Through these efforts, we support two primary objectives at InStride Health :

  • Providing high quality patient care to families. We are in a privileged position to support families during a vulnerable time in their lives. We approach all families and each other with compassion and are most effective as a diverse team where all individuals feel valued, respected, and accepted.
  • Building a mission-driven business that lasts. Specifically, we believe our commitment to a supportive culture improves innovation, decision-making, and efficiency.
  • We invite you to share any additional information about yourself or your experiences that may not be reflected in your CV. Inclusion of this information is completely voluntary.

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    Compliance Manager • Richmond, VA, US

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