Compliance Program Manager – Enterprise Risk

Role Overview

• Works collaboratively with the Compliance team members and key stakeholders across the system to implement the compliance program elements for the functional area(s).
• Assists in the development of the annual compliance workplan within assigned functional areas by performing risk assessments including interviewing operational staff, reviewing high risk areas highlighted by government agencies, identifying risk areas through data analytics and reviewing industry experts' trends.
• Investigates potential compliance incidents and ensure appropriate corrective action in accordance with applicable legal requirements and organizational policies and procedures.
• Serves as a subject matter expert in assigned functional areas by researching compliance issues and providing compliance guidance regarding application and implementation of legal requirements and organizational policies and procedures.
• Provides educational updates regarding changes in legislation, regulations and other requirements impacting assigned functional areas.
• Utilizes data analytics techniques, statistical analysis and modeling, and databases developed internally, or in conjunction with other third-party vendors to detect and trend potential compliance issues.
• Assists in the development of corrective action plans (CAP), oversight tools to support operational efforts.
• Assists in tracking all activities related to the CAP.
• Performs audits and monitoring within assigned functional areas; recommend, capture and monitor corrective action plans through implementation.
• Assists with periodic reviews and revisions of the Compliance policies, protocols and procedures.
• Develops educational content and trending of non-compliant activities to enhance proficiency and competency, understanding of standards and the consequences of non-compliance.
• Prepares multi-faceted oral, written and electronic communications and presentations to facilitate discussion, networking, decision-making and proactive responses to meet current and emerging challenges among affected parties and entities.

Requirements

• Certified in Healthcare Compliance – Health Care Compliance Association (preferred)
• Bachelors, Healthcare, Business administration or related field (required)
• Three to five years of in-depth experience within healthcare operations or compliance related activities.
• Demonstrate advanced knowledge of healthcare regulatory requirements (HIPAA, DPA, CMS, OIG, Stark, Anti-Kickback, etc.)
• Manage investigations, including oversight of fact-finding, interviews, and documentation.
• Draft, refine, and maintain compliance policies and procedures with minimal supervision.
• Design, coordinate, and deliver compliance education and training initiatives.
• Collaborate with SMEs to tract corrective actions and ensure remediation is effective.
• Analyze and synthesize compliance data, including AI-assisted analytics—to identify trends and risks.
• Ensure accurate and timely maintenance of compliance data and metrics.
• Conduct targeted regulatory research and communicate results in concise summaries.
• Demonstrate advanced proficient in Microsoft Office Suite and Copilot tools.
• Navigate EMR systems to access documentation supporting compliance reviews.
• Apply critical thinking and creative problem-solving in program management.
• Actively listen and communicate effectively across diverse audiences.
• Build trust and influence among leadership and staff.
• Collaborate cross-functionally to advance compliance initiatives.
• Adapt to shifting priorities and regulatory demands.
• Exercise sound judgment and always maintain confidentiality.
• Employ conflict resolution techniques to manage sensitive situations.
• Operate independently and demonstrate initiative in leading projects.
• Model and promote a culture of compliance and ethical integrity.
• Exhibit precision, attention to detail, and accountability in all outputs.

Benefits

• Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)
• Medical, dental, vision, prescription coverage, HSA/FSA options, life insurances, mental health resources and discounts
• Paid time off, parental and FMLA leave, shot
• and long-term disability, backup care for children and elders
• Tuition assistance, professional development and continuing education support