Manager Compliance and Continuous Improvement

This is a hybrid position that requires regular travel to programs located across the country. Valid driver's license required. The position is open to residents in the following locations: 

Arlington, VA

Boston, MA

Chicago, IL

Columbus, OH

Detroit, MI

 

The Manager Compliance and continuous improvement provides independent oversight, governance, and strategic direction to ensure organizational adherence to regulatory, contractual, accreditation, and internal standards across all service lines.

This role does not own operations, but partners with operations leadership to monitor, assess, and strengthen compliance performance, ensuring accountability at the program level.

This role is accountable for providing organization-wide compliance oversight through independent monitoring and risk identification, while enabling and reinforcing program accountability for compliant operations.

Key Responsibilities

·       Develop, implement, and maintain healthcare compliance policies, procedures, standards, and program materials.

·       Monitor regulatory developments and help translate requirements into operational guidance for clinical, administrative, revenue cycle, and support teams.

·       Conduct compliance risk assessments, internal audits, and monitoring activities to identify potential gaps, trends, and areas of vulnerability.

·       Investigate compliance concerns, billing and privacy incidents, audit findings, and potential policy violations.

·       Recommend and track corrective action plans to address identified compliance risks or deficiencies.

·       Escalate significant risks and trends to Compliance leadership,

·       Participate in program development, regulatory readiness, and enterprise-wide compliance and privacy objectives.

·       Coordinate compliance education and training, including topics such as HIPAA, client privacy, fraud, waste and abuse, billing compliance, conflicts of interest, and code of conduct expectations.

·       Maintain accurate and centralized documentation of compliance activities, risk assessments, audits, training completion, investigations, and corrective actions; to support transparency and decision making.

·       Partner with counsel, Information Security, Human Resources, Clinical Operations, Revenue Cycle, and other stakeholders to embed compliance controls into daily workflows.

·       Prepare compliance reports, dashboards, and updates for senior leadership

·       Serve as a point of contact for compliance-related questions and support responses to external audits, surveys, inspections, or regulatory inquiries.

·       Analyze compliance and performance data to identify trends and risks

·       Maintain organization-wide reporting systems to support transparency and decision-making

Success Measures

·       Compliance risks are identified, documented, prioritized, and addressed in a timely manner.

·       Audits, monitoring activities, training, and corrective action plans are completed according to established timelines.

·       Policies and procedures remain current, accessible, and aligned with applicable requirements.

·       Leadership receives clear, actionable reporting on compliance trends, risks, and remediation progress.

·       Employees understand compliance expectations and know how to raise concerns appropriately.

This job description is not intended to be all-inclusive. Duties and responsibilities may evolve based on organizational needs.

Required Qualifications and competencies

·       Bachelor’s degree in healthcare administration, public health, nursing, law or a related field.

·       3 or more years of progressively responsible experience in healthcare or regulatory compliance, audit, risk management, revenue cycle, or a related function. Supervisory or leadership experience preferred.

·       Familiarity with accreditation standards, exclusion screening, vendor oversight, third-party risk management, or enterprise compliance systems.

·       Strong analytical, problem-solving, and risk-assessment skills

·       Excellent written, verbal, and presentation communication

·       Ability to manage multiple priorities in a fast-paced, regulated environment

·       High ethical standards, sound judgment, and attention to detail

·       Proficiency with Microsoft Office and compliance/document management systems

Certifications (preferred)

·       Healthcare compliance certification, such as CHC, CHPC, CCEP, or equivalent credential preferred.

Reporting Relationship

• This position reports to the Chief Compliance Officer. The role will assist outsourced Internal Audit in the performance of internal audits, as needed.