Compliance & Risk Specialist

Compass Surgical Partners

About The Position

The Compliance and Risk Specialist plays a key role in two areas: (1) protecting Compass Surgical Partners’ assets to ensure financial and operational stability and (2) ensuring adherence to federal, state, and accreditation standards through compliance/HIPAA auditing, risk assessment, and corrective action monitoring. This position is responsible for managing enterprise insurance and risk-financing programs across all lines of business. You will serve as the primary liaison with brokers, carriers, and third-party administrators to ensure comprehensive coverage and cost-effective solutions. This role is critical in mitigating exposure across property, operations, and corporate activities, supporting strategic decision-making, and maintaining compliance with regulatory, contractual, and joint venture obligations. You will also support the corporate compliance function in regards to OIG guidance, federal billing guidelines and HIPAA regulatory requirements. The ideal candidate has strong audit skills, attention to detail, and a passion for maintaining a culture of compliance and patient privacy.

Requirements

Bachelor degree in Risk Management, Healthcare Administration, Business/Finance, or a related field; ARM or CPCU preferred
2+ years of experience in commercial risk management or insurance program administration
Experience managing complex, multi-line insurance programs; healthcare or multi-site organization experience strongly preferred
Knowledge of commercial property and casualty coverages, underwriting, and policy language
Familiarity with healthcare-specific exposures and regulatory requirements, including ASC licensure and CMS conditions
Working knowledge of HIPAA Privacy and Security rules
Familiarity with the corporate compliance function of a healthcare organization
Strong analytical, quantitative, and problem-solving skills
Excellent written and verbal communication skills
Highly organized, self-directed, and able to manage multiple priorities with minimal supervision

Responsibilities

Manage a full suite of commercial insurance lines, including general liability, property, workers’ compensation, D&O, EPLI, cyber liability, umbrella/excess, commercial auto, and fiduciary liability
Lead the annual insurance renewal process, including preparing and submitting applications, loss history, and supplemental underwriting information
Evaluate coverage terms, limits, retentions, and premiums; negotiate with brokers and carriers to optimize program value
Maintain the master certificate of insurance schedule and respond to requests from landlords, joint venture partners, health systems, and other stakeholders
Review and provide guidance on insurance-related provisions in contracts, leases, and vendor agreements
Conduct periodic risk assessments to identify emerging exposures across the ASC portfolio and corporate operations and provide regular reporting to senior leadership on key risk indicators
Serve as the primary contact for all non-clinical claims, including property, auto, workers’ compensation, and general liability
Coordinate with third-party claims administrators, defense counsel, and carriers to ensure timely and appropriate resolution
Track open claims, monitor reserves, and report on status to leadership
Support litigation management in collaboration with legal counsel
Maintain organized records of all policies, binders, endorsements, and correspondence
Manage ongoing relationships with insurance brokers, specialty consultants, and other risk-related service providers
Conduct periodic broker performance reviews and lead competitive broker or market solicitations as needed
Stay informed of market trends, emerging products, and best practices in risk management for healthcare and ASC operations
Conduct scheduled and ad hoc compliance audits of ASC operations
Perform HIPAA Privacy and Security audits to evaluate use and disclosure practices, minimum necessary standards, and access controls
Review medical records, billing records, workflows, and policies to identify compliance gaps
Document audit findings, risk levels, and improvement recommendations
Collaborate with leadership to develop and monitor corrective action plans (CAPs). Track remediation efforts and verify timely resolution of audit findings
Assist with ongoing compliance risk assessments and program effectiveness reviews
Support the development, review, and maintenance of compliance and privacy policies and procedures
Assist with onboarding and annual compliance and HIPAA training
Provide guidance to ASC staff and on regulatory and privacy requirements
Prepare audit summaries and reports for compliance leadership
Maintain audit documentation and tracking logs
Support external audits, surveys, and regulatory inquiries
Serve as a compliance resource to ASC administrators and clinical leadership