Manager of Compliance Audit

FreedomCare • Holtsville, NY

3d • $93,000 - $105,000 • Remote

About The Position

The Manager of Compliance Audit is responsible for keeping FreedomCare compliant with all new and updated healthcare regulations.
In broad strokes, this role is responsible for auditing organizational compliance, making recommendations and implementing processes to improve compliance. This role will oversee a team of compliance personnel dedicated to auditing and enforcing compliance standards at FreedomCare.
At FreedomCare, we are dedicated to fighting fraud and holding the highest standards for compliance. This role is a key piece in monitoring and improving these efforts as we grow.

Requirements

• Bachelor’s degree and a minimum of 5 years related experience
• Extensive knowledge of regulations relating to Medicaid and/audit or compliance experience
• Two to four years of prior leadership experience strongly preferred
• Experience should encompass demonstrated ability to be a lead to others, and ability to monitor team’s work against standards.
• Experience implementing policies and procedures
• Experience managing a team within a customer centric, healthcare environment
• Ability to exercise good judgment in decision making using knowledge of best practices, regulations, and knowledge of business processes
• Ability to work independently with limited supervision on complex matters; self-starter and takes initiative
• Demonstrated ability to be detail-oriented and thorough; comfortable with developing effective processes for tracking information and changes
• Reliable and detail oriented;
• Ability to collaborate effectively with people at all levels; excellent communication skills, both verbal and written
• Recommends priorities and decisions within policies and guidelines that impact on the level of service/ operations and the team’s ability to meet objectives, metrics and/or deadlines.

Nice To Haves

• Extensive knowledge of Billing and Coding preferred

Responsibilities

• Oversee and manage compliance team daily operations to ensure efficient work distribution and enforcement of compliance standards at FreedomCare.
• Work with leadership to improve processes to drive stronger compliance.
• Oversee internal compliance audits. Design and implement protocols and processes for internal audits to ensure compliance with regulations and FreedomCare standards and policies.
• Support any external audits.
• Be a resource for compliance concerns and escalations. Communicate any changes in policies or procedures.
• Work with IT to ensure proper security solutions for HIPAA compliance
• Routinely monitor state and federal regulations. Update internal policies and procedures with any new regulations.
• Track company compliance with HIPAA.
• Work with Learning & Talent Development in coordinating annual required compliance training.
• Recommends decisions within policies and guidelines that impact the level of service/ operations and the team’s ability to meet objectives, metrics and/or deadlines.
• Has supervisory responsibilities for a team of non-exempt support or junior level professional staff; sets priorities for employees to complete their activities.

Benefits

• We offer competitive compensation, medical benefits, retirement plans, wellness programs, fun company events and ongoing learning opportunities to grow your career.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager