Compliance Manager
New
E
evolvedMDBehavioral Health
This position can be remote in AZ, UT, CO, or NMFull-TimeManager
Salary$85,000 - $115,000 annually (DOE)
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Job Details
- Experience
- Minimum of 3 years of healthcare compliance, audit, quality, risk management, behavioral health, or related experience.
- Required Skills
- Data AnalysisMicrosoft OfficeRisk ManagementHIPAA
Requirements
- Bachelor's degree in healthcare administration, public health, business administration, compliance, or related field.
- Minimum of 3 years of healthcare compliance, audit, quality, risk management, behavioral health, or related experience.
- Experience interpreting healthcare regulations and conducting compliance investigations.
- Experience developing corrective action plans and monitoring remediation activities.
- Strong understanding of healthcare compliance program requirements and regulatory frameworks.
- Knowledge of HIPAA, fraud, waste and abuse prevention, and Medicare regulations.
- Proficiency with Microsoft Office applications and data analysis tools.
- Ability to manage multiple priorities and deadlines independently.
- Experience in outpatient behavioral health, psychiatry, or Collaborative Care Model (CoCM) programs preferred.
- Experience with Medicare and Medicaid billing compliance preferred.
- Experience supporting accreditation readiness (CARF, Joint Commission, etc.) preferred.
Responsibilities
- Support implementation and ongoing administration of the company's compliance program.
- Develop and execute compliance auditing and monitoring activities.
- Manage compliance concerns, hotline reports, and internal investigations.
- Monitor regulatory changes across the healthcare landscape and translate requirements into policies.
- Lead accreditation readiness and compliance efforts.
- Develop and deliver compliance education and awareness programs.
- Partner with clinical operations, quality, credentialing, and revenue cycle teams.
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