Manager of Compliance Operations

FreedomCare-posted 9 days ago

$93,000 - $105,000/Yr

Full-time • Manager

Remote • New York City, NY

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The Manager of Compliance Operations 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.

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 and 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.

Bachelor’s degree and a minimum of 5 years related experience
Extensive knowledge of regulations relating to Medicaid and/audit or compliance experience
Experience implementing policies and procedures
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.

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 managing a team within a customer centric, healthcare environment
Extensive knowledge of Billing and Coding preferred

We offer competitive compensation, medical benefits, retirement plans, wellness programs, fun company events and ongoing learning opportunities to grow your career.
This is a place where your voice matters, where we build great relationships, and your work has meaning and a tangible positive impact on others!

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