Compliance Manager

Position Summary :

The Compliance Manager will be responsible for developing, implementing, and managing a comprehensive compliance program to ensure adherence to federal and state healthcare laws and regulations, including HIPAA, Stark Law, Anti-Kickback Statute, OSHA / TOSHA, and other applicable standards. This role will partner closely with executive leadership, clinical teams, and administrative departments to promote a culture of compliance and mitigate risk across the organization.

Key Responsibilities

• Design, implement, and maintain a comprehensive compliance program tailored to the needs of a multi-location medical practice.
• Continuously assess the effectiveness of the compliance program and recommend improvements to align with regulatory changes and organizational growth.
• Oversee ongoing compliance audits, risk assessments, and internal investigations.
• Develop and deliver engaging compliance training for physicians, staff, and leadership, ensuring understanding of legal obligations and organizational policies. Create specialized training programs for high-risk functions such as billing / coding.
• Managing employee and vendor exclusionary programs.
• Business associate and vendor management.
• Managing employee compliance hotline / reporting.
• Monitor regulatory changes and guide the organization in updating policies and practices accordingly.
• Serve as a resource and subject matter expert on compliance-related issues across the organization.
• Investigate and resolve potential compliance concerns, documenting findings and corrective actions.
• Prepare reports for executive leadership and participate in compliance committee meetings.
• Manage day-to-day needs of the Compliance Department, including investigating potential HIPAA breaches, OSHA safety incidents, reports of noncompliance, and the like. Ensure timely and accurate reporting to regulatory bodies.
• Collaborate with human resources, IT, billing / coding, and other departments on compliance matters.

Qualifications

• Master’s degree in Healthcare Administration, Business, or related discipline. Candidates without a relevant master’s degree may be considered with significant direct experience in healthcare compliance.
• Minimum of 5–8 years of progressive experience in healthcare compliance, preferably within a physician group, specialty practice, or multi-site healthcare organization.
• Strong knowledge of healthcare laws and regulations including HIPAA, Stark Law, Anti-Kickback Statute, Medicare and Medicaid rules, and OSHA standards.
• Significant experience drafting and updating policies and procedures.
• Certified in Healthcare Compliance (CHC) or equivalent credential required.
• Demonstrated experience conducting compliance audits, investigations, and risk assessments.
• Excellent written and verbal communication skills, with the ability to convey complex regulatory concepts clearly to diverse audiences.
• Strong analytical, organizational, and problem-solving skills with keen attention to detail.
• Proven ability to build trust and influence at all levels of an organization.