Job Description

The Compliance Manager provides compliance leadership through:

1. Analysis of Internal Business Processes
2. Policy Development and Implementation
3. Risk Management Identification and Strategies
4. Employee Training
5. Cross-Functional Collaboration

The Compliance Manager monitors compliance program effectiveness and conducts confidential investigations of potential violations of law, regulations, Spectrum’s Code of Conduct, or company policies, from intake through investigative summary and reporting outcomes.

Additionally, the Compliance Manager manages the day-to-day functions of the compliance program and escalates significant matters to the Chief Compliance & Privacy Officer for resolution. Compliance Manager prepares reports, presentations, and updates for the Compliance Employee Committee, the Spectrum Board Quality Committee, and the Spectrum Board of Directors. The Compliance Manager collaborates cross-functionally across the organization to embed compliance in business and clinical operations.

Competencies:

• Technical Skills
• Reporting and Analysis
• Process Orientation
• Project Management
• Detail Oriented
• Problem Solving
• Team Building
• Decision Making
• Knowledge of healthcare operations, regulatory requirements, and compliance standards (OIG, HRSA, HIPAA, HITECH, OSHA, payor requirements).
• Communication (verbal and written)
• Regulatory interpretation
• Conflict resolution
• Presentation skills

General Information

• Complies with organizational policies, procedures, performance improvement initiatives and maintains organizational and industry policies regarding confidentiality.
• Communicates clearly and effectively to other employees and vendors, payors and patients.
• Builds and maintains constructive, cooperative, and trust-based working relationships across the organization. Encourages a culture of integrity, trust, and respect Exercises independence of judgment, maintains the highest standards of ethical conduct, and demonstrates the ability to handle sensitive matters with discretion.

Qualifications/Experience:

• Bachelor’s degree in business administration, Healthcare Administration, or related field or 3+ year experience in Healthcare or regulatory fields
• Strong knowledge of healthcare compliance, regulatory, auditing, or legal experience with strong knowledge of healthcare regulations and operations.
• Experience in healthcare provider, FQHC, payor, or regulatory environment. Outstanding communication and interpersonal abilities
• Ability to travel, as may be needed