Compliance Manager
$96,000–$120,000 year
RemoteUnited States
Job Summary
Conduct thorough compliance investigations into policy violations and state or federal regulatory breaches, including HIPAA, privacy, and fraud-related cases. Proactively identify and assess compliance risks by reviewing internal departmental processes, new product initiatives, and changing state/federal regulatory landscapes. Develop key risk indicators and continuous monitoring programs to evaluate the effectiveness of risk mitigation strategies. Provide clear, actionable, and solution-oriented guidance to individual personnel, clinical leaders, and executive stakeholders regarding complex regulatory statutes and industry standards. Partner closely with internal policy owners to write, design, and update comprehensive operational policies that address key organizational risks. Coordinate directly with regulatory bodies, payor entities, and legal counsel to support external accreditations, payor audits, and overall risk management. Design and deliver highly interactive, engaging compliance training and presentations for patient-facing teams, translating dense clinical compliance and risk management concepts into practical, everyday workflows. Perform other duties as assigned. This role supports Equip's mission to ensure access to evidence-based eating disorder treatment across all 50 states.
Required Qualifications
- Bachelor's Degree
- 5+ years of healthcare compliance experience, preferably in a high-growth healthcare startup or organization
- 2+ years of experience conducting, documenting, and resolving complex compliance and privacy investigations
- Proven track record of managing external audits, identifying root-cause issues, and driving cross-functional coordination to implement corrective action plans and remediation
- Strong functional knowledge of healthcare laws and regulations, including HIPAA/HITECH, state Medicaid requirements, OIG guidelines, and corporate corporate compliance standards
- Proven ability to apply critical thinking and manage multiple high-priority projects in a fast-paced, dynamic environment
- Outstanding verbal and written communication skills, with a talent for translating regulations into operational guidance and gaining buy-in as well as cultivating and maintaining relationships
- Work is performed 100% from home with no requirement to travel
- This is a stationary position that requires the ability to operate standard office equipment and keyboards as well as to talk or hear by telephone
- Sit or stand as needed
Hiring someone like this?
Get your role in front of qualified candidates on Sorce.