Compliance Manager
About The Position
The Compliance Manager supports the organization’s compliance program by executing, tracking, and coordinating day‑to‑day compliance and performance improvement activities under the direction of the Senior Director of Compliance. This role is responsible for implementation, monitoring, documentation, and reporting, while strategic oversight, regulatory interpretation, and final decision‑making remain with the Senior Director of Compliance. The Compliance Manager serves as an operational partner to ensure compliance processes are followed consistently and issues are escalated appropriately, but does not independently establish compliance strategy or make final determinations on regulatory risk.
Requirements
- Bachelor’s degree required
- 3–5 years of experience in healthcare or behavioral health compliance, QA, auditing, or related field
- 3 years of direct experience supporting compliance programs
- Working knowledge of healthcare and behavioral health regulatory environments
- Knowledge and experience with electronic health records
- Strong organizational, documentation, and tracking skills
- Attention to detail and ability to follow established processes
- Understanding of billing and coding and reimbursement systems
- Ability to escalate issues appropriately and work within defined authority
- Strong written and verbal communication skills
Nice To Haves
- CHC or CHPC preferred
Responsibilities
- Executes compliance activities as directed
- Tracks, prepares, and summarizes compliance data and findings
- Escalates all identified risks, concerns, trends, and recommendations to the Senior Director
- Conduct routine compliance audits (clinical documentation, program/residential compliance, basic billing reviews) using audit plans developed by the Senior Director
- Track audit findings, trends, and corrective actions
- Prepare draft summaries and reports for review by the Senior Director
- Monitor follow‑up activity to ensure completion of assigned corrective actions
- Coordinate investigation workflows by tracking cases and timelines, maintaining documentation, ensuring required forms and records are completed, and reviewing completed investigations for completeness and documentation accuracy
- Route investigations, findings, and documentation to the Senior Director and leadership for final review, conclusions, and approval
- Maintain investigation logs and reporting tools
- Monitor applicable regulations (Medicaid, HIPAA, ADMH, CARF) for operational impact
- Flag potential compliance concerns and promptly escalate to the Senior Director
- Support preparation for external audits and reviews assigned
- Maintain regulatory tracking tools and documentation
- Support designated Privacy Officer activities, including processing release of information requests, maintaining accounting of disclosures, tracking rights‑of‑access requests, and maintaining privacy compliance documentation
- Immediately escalate suspected or potential privacy incidents to the Senior Director
- Assist with development and delivery of compliance training materials
- Track training completion and compliance requirements
- Support updates to policies and procedures as directed
- Support data collection and documentation for performance improvement initiatives
- Assist with CARF and accreditation preparation activities
- Track action items and follow‑up under the direction of the Senior Director
- Prepare routine compliance reports and dashboards for leadership review
- Provide regular status updates to the Senior Director
- Communicate compliance information internally in alignment with approved messaging
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Number of Employees
101-250 employees
