Compliance Manager

Atlanta, GA | Legal & Compliance

Position Summary:

The Compliance Manager is an important strategic leader within the Compliance Department in the areas of incident resolution and prevention, audit, policy development, risk assessment, regulatory research, and work plan projects in an outpatient, urgent care office setting. The incumbent may also assist with the review and resolution conflict of interest and other regulatory matters. The incumbent will be responsible for management of assigned internal compliance audits, recommendation and oversight of corrective action plans, and compliance education. The incumbent will interact with internal and external compliance stakeholders and must be critical-thinking, thorough, and solutions-focused.

JOB REQUIREMENTS

Education
  • Bachelor’s degree in health/public/business administration, public policy, health information management, or related field required.
  • Advanced degree in a related field (such as MHA, MPA, MBA, JD) preferred.
Work Experience
  • 2-6 years’ experience in a healthcare (or translatable) setting with compliance programs, regulatory research, auditing, and/or policy and procedure development required.
  • Experience in management of compliance programs preferred.
Licenses/Certifications
  • Certified in Healthcare Compliance (CHC) desired at time of or within 18 months of hire.
  • Other desired certifications: Certified in Healthcare Privacy Compliance (CHPC); Certified Professional Coder (CPC); Certified Coding Specialist (CCS).
Additional Knowledge, Skills and Abilities Required
  • Self-starter with attention to detail and ability to manage multiple projects, delivering timely, exceptional, and thorough work products
  • Ability to be a strategic thinker within the Compliance Department and provide guidance and direction on department initiatives
  • Desire to continue to expand skill sets and experience and willingness to take on new projects
  • Excellent interpersonal, written, and verbal communication skills
  • Ability to perform independent research and factual analysis of compliance matters and create proposed solutions to root causes
  • Ability to function within a fast-paced, dynamic, and growing environment
  • Ability to maintain patient confidentiality
  • Familiarity of federal and state regulations, such as False Claims Act, Stark Law, Anti-Kickback Statute, Civil Monetary Penalties Law, and HIPAA
Additional Knowledge, Skills, and Abilities Preferred
  • Epic or eClinicalWorks EMR experience
  • Proficiency with Microsoft Word, Excel, and SharePoint
  • Policy and procedure development
  • Familiarity of Medicare and Medicaid billing rules and guidelines, CPT and ICD coding guidelines
UPDATE: COVID Vaccine Announcement: GoHealth Urgent Care is requiring all new hires to disclose their COVID-19 vaccination status in all markets. In certain markets, it will be required that new hires be fully vaccinated and boosted for COVID-19 vaccine (either the Moderna or Pfizer vaccine series or the single dose Johnson & Johnson Janssen vaccine) prior to their first day of employment. This is a condition of employment, unless a faith-based or medical exemption is approved.

All qualified persons are granted an equal opportunity for employment without regard to race, color, religion, sex, sexual orientation and gender identity or expression, age, national origin, citizenship status, disability, genetic information, medical condition, family care leave status, pregnancy or pregnancy-related condition, otherwise qualified disabled or veteran status. The company will comply with all fair employment laws in each of the jurisdictions where we conduct business.


Keywords:
Job, emergency, healthcare, licensure, medical, clinical, wellness, career, employment, opening, staff, benefits, health care, clinic, primary care, urgent care


Why GoHealth?

GoHealth Urgent Care has outstanding career opportunities in Connecticut, Delaware, Houston, Maryland, Michigan, Missouri, New York City, North Carolina, Northwest Arkansas, Oklahoma City, San Francisco and the Portland-Vancouver area. And all of these positions have one thing in common: flexibility to practice urgent care medicine the way it was meant to be, without the stress and bureaucracy of hierarchical organizations. With reasonable work hours that don’t emotionally exhaust or burn them out, our team can balance and prioritize their professional and personal lives.

The lifestyle you can lead.

Atlanta is Georgia’s state capital and home to approximately half a million residents. Well known for its arts, theater, galleries and museums, cultural attractions, and institutions of higher education, Atlanta offers many things to do. Visit Georgia Aquarium, the largest public aquarium in the Western Hemisphere. Shop and enjoy great entertainment in Underground Atlanta. See wildlife shows at Zoo Atlanta. Catch a pro football, basketball or baseball game. Foodies will delight in local favorites, such as crab fritters, chicken biscuits, pulled pork sandwiches and salted caramel ice cream. Choose from many welcoming neighborhoods to live in, from downtown and midtown to Chastain Park, and from Buckhead to Cabbagetown, Kirkwood and Morningside. There’s also a good selection of public and private schools and nearby colleges and universities. Public transportation is excellent, and Atlanta is also served by Amtrak and Hartsfield-Jackson Atlanta International Airport.