Client Compliance Manager Jobs (NOW HIRING)

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The Compliance Manager is responsible for developing, implementing, and overseeing the organization’s compliance program to ensure adherence to federal and state regulations, healthcare and privacy laws, and internal policies/standards. This role partners with leadership across clinical, operational, and administrative functions to promote a culture of ethics, integrity, and accountability.

Regulatory and Contractual Compliance Oversight

• Ensure organizational compliance with federal and state regulations (including, but not limited to HIPAA, CMS, OIG guidance, and 42 CFR Part 2 regulations) and contractual requirements
• Implement corrective action to ensure regulatory and contractual compliance including policy, procedure and/or training updates
• Maintain, update, and draft necessary organizational policies, procedures, and standards of conduct to ensure compliance with regulations and contractual requirements and to meet operational needs

Auditing, Monitoring, and Risk Assessment

• Manage external regulatory audits including state licensing, contractual reviews, and Department of Corrections PREA audits; coordinate and lead required responses including documentation, appeals, and corrective action plans
• Lead internal audit efforts and monitoring activities across departments to mitigate risk in areas including confidentiality and disclosure practices, clinical documentation and billing accuracy, client rights and PREA compliance and incident reporting
• Analyze trends in external and internal audit findings to proactively identify compliance risks and improvement opportunities
• Stay current on regulatory requirements and industry best practices to anticipate and mitigate risk exposure
• Advise leadership on compliance obligations and emerging risks, and collaborate with operational and clinical teams to investigate issues and ensure timely resolution
• Develop, implement, and track corrective actions and continuous improvement initiatives

Training & Communication

• Design comprehensive and compliant training program for staff and leadership
• Create awareness of compliance standards across the organization and promote a culture of transparency, accountability, and client-centered care
• Investigations & Incident Management
• Lead internal incident reporting and investigation efforts and ensure appropriate follow-up including documentation of findings
• Coordinate with other departmental leaders including Human Resources and clinical leadership, as needed, to appropriately respond to investigation outcomes
• Track and report on compliance metrics and key risk indicators
  

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Educational Requirements

• Bachelor’s degree - Healthcare Administration, Public Health, Business, Law, or related field required

Experience

• 5-8+ years of experience in healthcare compliance, regulatory affairs, audit oversight/management, or related field required
• Experience in a nonprofit healthcare delivery setting strongly preferred

Licensure/Credentials/Certifications

• Certificate(s) in healthcare compliance, privacy, internal investigations, ethics or similar disciplines preferred

Leadership

• Manages performance by providing expectations, accountability, and ongoing feedback
• Fosters a positive and productive work environment while setting a personal example by modeling Meta House’s values
• Builds and develops talent by hiring and training thoughtfully; identifies growth opportunities and supports continuous skill development of team members
• Ensures operational excellence by leading execution while focusing on quality, efficiency, and consistency
• Builds alignment by connecting team’s work to organizational goals and strategy
• Operates department within approved budget while making thoughtful, values-aligned decisions about resource utilization
• Connects frontline experience to organizational decision making by regularly gathering feedback from team and communicating same to senior management.
• Creates conditions for team to thrive by addressing workflow issues, resource gaps, and operational challenges so employees can focus on delivering high-quality service
• Strong knowledge of healthcare and privacy regulations (HIPAA, 42 CFR Part 2, Medicare/Medicaid, billing compliance)
• Analytical, auditing, and risk assessment skills
• Ability to manage sensitive/confidential issues with discretion
• Excellent communication and stakeholder engagement skills
• Project management and organizational skills

Physical Requirements

• Tolerate occasional hot orcold days.
• Sit or stand for extended periods of time including alternating sitting or standing at will.
• Lift up to 25 pounds on a regular basis.
• Ascend and descend stairs using feet and legs.
• Bend, stoop, twist, squat, and kneel to perform essential functions.
• Reach overhead, and at or below shoulder level.
• Read and enter text or data into a computer or other system.
• Seize, hold, grasp, turn, or otherwise work withhands.
• Touch, pick, punch or otherwiseworkingwith fingers.
• Hear, understand, and distinguish speech and/or other soundsin order tocommunicate with clients and/or colleagues.
• Express or exchange ideasby means ofspoken word to impart oral information to clients or the public and convey detailed spoken instructions to others accurately, loudly, or quickly.
• See clearly at approximately 20 inches or less includinguseof computers ortablet.
• Visuallyidentifyclients and others for reasons including but not limited to security and presence in the building.

Welcome to a virtual tour of one of the Meta House Residential Houses led by President & CEO Valerie P. Vidal.