Manager, Clinical Compliance

This role is pivotal in the development and implementation of compliance programs, policies, and procedures to ensure compliance with all applicable federal and state laws, regulations, and delegation requirements in a legal and ethical manner. This role will work collaboratively across the organization to create a culture of compliance awareness by identifying risks and gaps, building policies, and training around best practices.

KEY RESPONSIBILITIES

• Develop, implement and enforce compliance policies  to support a national obesity treatment telehealth practice
• Assist with planning and support long-term compliance efforts, including conducting regular audits and analyzing results.
• Collaborate with clinical operations, key stakeholders, and cross-functional teams on compliance initiatives, including HIPAA, privacy, and security compliance.
• Ensure staff competency through training, coaching, and maintaining up-to-date policies and procedures.
• Develop and maintain relationships across the Calibrate organization, ensuring compliance with evolving regulations.
• Continuously evaluate and improve control systems to prevent violations and ensure compliance with laws, regulations, and internal policies.
• Maintain corporate compliance policies and procedures through continuous monitoring of operational effectiveness, assessment and redesign or enhancement as needed.
• Manage data collection and reporting for state regulatory and insurance agencies, ensuring timely and accurate reporting.
• Perform internal compliance audits to identify key areas of risk and non-compliance.
• Collaborate with the Head of Clinical Operations, legal counsel, Compliance Nurse, and cross-functional teams to stay updated on relevant laws and regulations, and develop processes for medical record releases for members, insurance, or legal requests.

BACKGROUND AND EXPERIENCE

• Minimum 4 years experience in related roles
• Bachelor’s degree in healthcare administration, law, business administration, or a related field required with a Masters preferred
• Strong knowledge of healthcare laws and regulations related to HIPAA compliance, privacy rules, and fraud and abuse
• Knowledge of the joint commission requirements and standards
• CHC or CHCP preferred
• Experience working in Telehealth, Obesity Medicine, and/or Hospital or Medical Practice preferred

The salary range for this role is $100,000 – $120,000.