- Implements and administers policies, training, programs, and practices to ensure compliance with all aspects of compliance relating to physician practice management, including but not limited to Stark, Anti-Kickback Statute, billing and Coding, DEA, HIPAA, accreditation, and other legal and regulatory rule and regulations and standards.
- Monitors and administers compliance aligned with federal, state, and local regulations. Assists in creating, monitoring, and publishing the Annual Compliance Program workplan and applicable performance metrics.
- Assists in creating and implementing risk assessment and workplan to identify and prevent fraud, waste, and abuse; incorporates into policies, trainings, auditing and monitoring.
- Performs other risk assessments as necessary.
- Serves to facilitate and support Compliance Committee meetings
- Performs a variety of administrative support tasks at the direction of the Chief Compliance Officer relating to Board meetings and preparation of materials for all meetings relating to compliance and legal activities and support
- Performs regular assessments and investigates potential violations to ensure that all appropriate corrective action is taken as necessary.
- Monitors hotline
- Serves as a contact for employees seeking guidance on compliance-related matters and fosters open communication between departments and diverse constituencies.
- Acts as liaison with agencies and coordinates site visits, as necessary.
- Ensures project, departmental or organizational compliance related requirements and goals are met, while adhering to approved protocols and budgets
- Other duties or schedules, including holidays, nights, on call, or weekends, may be assigned based on patient care or business needs.
- 5+ years prior experience in risk management or compliance roles as an individual contributor
- 2+ years supervisory experience preferred
- Bachelor's degree in healthcare administration, law, ethics, finance, or associated certifications (e.g., RHIA, CHC, CHPS, CHPC); JD preferred
- Exemplify strong knowledge of industry protocols and best practices
- Strong priority and time management skills
- Excellent influencing, collaboration, and communication skills
- Known for an attention to detail, analytical thinking skills, and ability to interpret complex policies and regulatory documents
- Competitive Salary and Health Benefits (Medical, Dental, Vision)
- Generous time off (start accruing on your first day - no waiting period)
- Paid Holidays
- 401(k)
- Company Discounts
- Collaborative work environment - we want our employees to have a say in how we run our office
- Employee Recognition - we encourage employee recognition through our GEMS program
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Compliance Manager - Torrance, United States - Unio Health Partners
Description
COMPANY DESCRIPTIONUnio Health Partners (UHP) is a highly differentiated physician practice management platform with the goal of transforming care delivery across the Western United States. UHP partners with leading physician practices, creating a cohesive, quality-oriented clinical culture and facilitating best practice sharing across the platform. Our affiliated practices gain access to a broader suite of services, providing a meaningful benefit to both physicians and patients. UHP's best-in-class clinical program covers three sub-specialties (urology, gastroenterology, and radiation oncology) and offers numerous ancillary services, including pathology lab, in-office dispensing, and chronic care management. We are led by a highly accomplished management team and provide a full suite of management services to its affiliated practices. UHP is currently affiliated with 182 providers consisting of 119 physicians and 63 advanced practice providers operating out of 54 locations across Southern, Central, and Northern California.
POSITION SUMMARY
The Compliance Manager is responsible for assisting the Chief Compliance Officer by providing enterprise-wide compliance administration.
What you will be doing