Hybrid Position
A healthcare compliance manager is responsible for ensuring that organizations comply with Joint Commission on Accreditation of Healthcare Organizations (JCAHO), Health Insurance Portability and Accountability Act (HIPAA), and accreditation standards by implementing and administering practices, programs, and policies.
His/her job description entails monitoring and administering compliance with local, state, and federal regulators.
He/she is also responsible for coordinating visits by regulators to sites and acting as a liaison to government agencies.
The compliance manager role also involves investigating potential violations and taking appropriate actions to correct them.
He/she is expected to work and report to the unit head and to supervise the day-to-day functions of subordinate staff to ensure top performance.
This position is a first level manager job where he/she has complete authority over staff action and is expected to adhere to approved budgets, and ensure that departmental milestones/goals/projects are met.
He/she must follow all safety procedures and policies in carrying out his/her duties and responsibilities, and must also support a culture of great customer service and high quality in the organization.
Following directions, the compliance manager is responsible for carrying out complex healthcare audits, such as the establishment of objectives, goals, quality measures, and timelines for the team’s activities in a timely manner.
His/her work description also involves conducting reviews of compliance work following established compliance plan(s), appropriate standards, metrics, and prescribed program and departmental policies.
He/she is also responsible for administering and maintaining various compliance technology solutions, including monthly newsletter, Hotline, Risk Assessment software, Audit/Monitoring, Regional Compliance Committee documentation, exclusion/sanction screening, and learning management system.
He/she is also in charge of managing compliance team staff and organizing and maintaining compliance regulatory files and team notebooks.
As directed by Executive Compliance Committee, Regional Compliance Committee, and Compliance Officer/HIPAA Privacy Officer, the manager has the role to prepare compliance reports.
He/she may also be involved in documenting confidential investigations of alleged misconduct, breaches of policy, and other cases of non-compliance.
Healthcare compliance managers are also involved in developing and maintaining compliance-related training and educational materials.