Compliance Manager

Dozee•Dallas, TX

57d•Remote

About The Position

Dozee Health AI is seeking a Compliance Manager to build, execute, and continuously improve the company's healthcare compliance program. This role is responsible for ensuring adherence to all regulatory domains, including Medicare RPM billing, HIPAA privacy and security, FDA device compliance, and Anti-Kickback Statute adherence. Reporting to the VP Administration, the Compliance Manager will act as the primary day-to-day compliance operator, translating policy into procedure and ensuring all business functions operate within legal and regulatory boundaries.

Requirements

Minimum 5 years in healthcare compliance
Experience in Medicare billing, HIPAA, or post-acute / RPM environment strongly preferred.
Certified in Healthcare Compliance (CHC) required or obtainable within 12 months of hire.
Working knowledge of CPT coding (99453–99470), CMS PFS Final Rules, OIG Work Plan, MAC audit processes, and AKS/Stark safe harbors.
Strong SOP writing skills.
Strong audit documentation skills.
Strong cross-functional communication skills.
Ability to deliver training to clinical and non-clinical staff.
Proficiency in Microsoft 365 required.
Bachelor's degree required.

Nice To Haves

CHPC (privacy) a plus.
Familiarity with healthcare compliance platforms.

Responsibilities

Own the monthly billing compliance review cycle, validating CPT code selection, data-day thresholds, and mutual exclusivity rules before claims are released.
Monitor CMS Final Rules, MAC Local Coverage Determinations (LCDs), and OIG Work Plan items affecting RPM billing, briefing leadership on material changes within 30 days.
Maintain the pre-bill dual-attestation workflow and enforce the 99458 MUE cap and time-counting rules.
Serve as Dozee's designated HIPAA Compliance Officer, conducting annual Security Risk Assessments, managing the Notice of Privacy Practices, and overseeing the BAA lifecycle for all vendors and SNF partners.
Lead breach investigation and notification workflows, coordinating with Melvin Law Group on any reportable incidents.
Own and maintain the full CAIT/Dozee SOP library, initiating updates within 30 days of any material regulatory change.
Manage the annual SOP review cycle, obtaining CEO and VP sign-off, and tracking version history and change logs.
Conduct monthly random-sample claims audits (minimum 10% of submitted claims), verifying documentation completeness, code accuracy, and consent/care-plan compliance.
Track audit findings in the Compliance Tracking Log, escalating repeat findings to the VP Administration, and implementing and verifying corrective actions within agreed timelines.
Design, deliver, and track annual compliance training for all clinical, billing, and administrative staff, covering CMS billing rules, HIPAA, AKS, and the OIG RPM Compliance Framework.
Maintain training attestation records in Circle Health Domain 0.2, generating compliance attestation reports for the VP and CEO annually.
Maintain the Overpayment Tracking Log, ensuring all identified overpayments are investigated, classified, and refunded within the 60-day statutory deadline.
Coordinate with the Billing Manager on MAC refund submissions and consult Melvin Law Group on any systemic overpayment before refund.
Monitor applicable state NP practice act changes across CAIT's six operating states and Dozee's expansion targets.
Track RHTP, THRIVE, and NIH grant compliance obligations as Dozee enters new government programs.
Review all SNF partner and vendor agreements against the Anti-Kickback Statute checklist before execution, escalating any FMV or referral-contingency concerns to the VP Administration and Melvin Law Group.
Maintain executed contract files and the annual contract review schedule.