Compliance Manager
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Base pay range

$75,000.00/hr - $85,000.00/hr

TCA Health, Inc. NFPJob DescriptionJob Title: Compliance ManagerDepartment: AdministrationReports To: Chief Executive OfficerFLSA Status: Full Time ExemptSalary: $75,000 - $85,000TCA Benefits: 401K Retirement Savings Plan and up to a 4% match; Medical Insurance- employer pays 85% of single HMO rate. Dental and Vision Insurance- employer pays 100% of single HMO rate. Employer-Paid Life and Accidental Death & Dismemberment (AD&D) Insurance. Employer- Paid Long Term Disability. Nine (9) paid holidays per year. Twenty-one (21) days of paid time off.Position SummaryThis individual will be responsible for ensuring adherence to federal, state, and local healthcare regulations, mitigating risk, and fostering a culture of compliance within the organization.ESSENTIAL DUTIES AND RESPONSIBILITIES (include but are not limited to the following);

• Regulatory Compliance & Monitoring
• Lead the development, execution, and oversight of an effective Compliance Monitoring and Testing Program to ensure adherence to healthcare regulations.
• Assess and analyze the regulatory and legislative environment to identify emerging compliance issues and upcoming changes affecting FQHC operations.
• Conduct internal audits and risk assessments to proactively address compliance concerns.
• Ensure adherence to HRSA, HIPAA, OSHA, OIG, and other federal/state regulatory requirements.
• Issue Identification & Resolution
• Collaborate with department leaders to identify areas of potential non-compliance.
• Develop and implement corrective action plans in response to compliance risks, ensuring timely resolution of issues.
• Engage with leadership to provide guidance on compliance best practices.
• Marketing & Communications Compliance
• Review marketing and promotional materials to ensure compliance with healthcare regulations and market conduct requirements.
• Maintain, update, and manage disclaimers, disclosures, and other compliance-related documentation.
• Research and draft new disclosures as required to align with regulatory changes.
• Business & Vendor Oversight
• Facilitate business monitoring activities in collaboration with company Directors and Analysts.
• Manage compliance vendors and ensure adherence to intercompany Service Level Agreements (SLAs).
• Conduct training sessions to educate staff on compliance policies and regulatory requirements.

Education / Experience Requirements

• Strong knowledge of HRSA, HIPAA, OSHA, CMS, OIG, and other applicable healthcare regulations.
• Experience conducting compliance audits, risk assessments, and corrective action planning.
• Excellent communication, problem-solving, and analytical skills.

Required:

• Bachelor's degree in Healthcare Administration, Public Health, Business, Law, or a related field.
• Minimum 5 years of experience in healthcare compliance, regulatory affairs, or risk management, preferably within an FQHC, community health center, or nonprofit healthcare setting.

Preferred:

• Master's degree in Healthcare Compliance, Public Health, Business, or a related field.
• Certified in Healthcare Compliance (CHC) or similar compliance certification.
• Experience working with electronic health records (EHR) systems and compliance monitoring tools.
• Familiarity with value-based care, managed care, and population health compliance frameworks.

PHYSICAL DEMANDSThe physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.WORKING CONDITIONSNormal office and health center environment. Frequent evening and occasional weekend work.DISCLAIMER The above duties and responsibilities are essential job functions, subject to reasonable accommodations. All job requirements listed indicate the minimum level of knowledge, skills and/or abilities deemed necessary to perform the job proficiently. This job description is not intended to be construed as an exhaustive statement of duties, responsibilities, or requirements. Employees may be required to perform any other job-related instructions, as requested by their supervisor, subject to reasonable accommodation.

Seniority level

• Seniority levelMid-Senior level

Employment type

• Employment typeFull-time

Job function

• Job functionLegal
• IndustriesHospitals and Health Care

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