Job Title: Compliance Manager, FDR Oversight Program (IC)
Job Description:
We are seeking a Compliance Manager to join our team and oversee the FDR (First Tier, Downstream, and Related Entities) Oversight Program. In this role, you will be responsible for ensuring that our organization and its affiliates comply with all applicable regulations, policies, and standards related to FDRs. The Compliance Manager will work closely with internal and external stakeholders to mitigate risks, improve processes, and maintain a high standard of compliance. This position offers an opportunity to play a critical role in safeguarding the organization’s integrity while ensuring adherence to federal and state guidelines.
Key Responsibilities:
- Lead and manage the FDR Oversight Program to ensure compliance with applicable regulatory requirements, including CMS (Centers for Medicare and Medicaid Services) guidelines.
- Develop, implement, and monitor policies, procedures, and practices for FDR oversight and compliance.
- Oversee risk assessments for first-tier, downstream, and related entities, ensuring that their activities align with company standards and regulatory requirements.
- Conduct regular audits, reviews, and investigations to identify non-compliance issues and take corrective action.
- Collaborate with other compliance, legal, and operational teams to drive continuous improvement in FDR oversight processes.
- Provide training and education to internal staff and FDRs on compliance requirements, regulations, and company policies.
- Monitor regulatory changes and ensure that the program stays up-to-date with any changes in laws, regulations, or industry best practices.
- Prepare and submit reports on compliance status, audit findings, and corrective actions to senior management and regulatory agencies as needed.
- Respond to compliance inquiries and manage escalations regarding FDR oversight and compliance concerns.
Requirements:
- Bachelor’s degree in Business Administration, Healthcare Administration, or a related field (Master’s degree preferred).
- Minimum of 5 years of experience in healthcare compliance, regulatory affairs, or auditing, with at least 2 years in FDR oversight or a similar role.
- In-depth knowledge of CMS regulations, healthcare laws, and compliance requirements related to FDRs.
- Strong understanding of healthcare operations, risk management, and regulatory frameworks.
- Experience conducting audits and investigations, as well as providing compliance training and guidance.
- Excellent communication skills, with the ability to work effectively with cross-functional teams, external partners, and regulatory agencies.
- Strong analytical, problem-solving, and decision-making abilities.
- Certified in Healthcare Compliance (CHC) or similar compliance certification is preferred.
Benefits:
- Competitive salary and performance-based bonuses.
- Comprehensive health benefits, including dental and vision coverage.
- Generous paid time off (PTO) and holidays.
- Retirement savings plan (401k) with company match.
- Employee wellness programs and mental health support.
- Opportunities for career advancement and professional development.
- Collaborative work culture with a focus on compliance, integrity, and ethical practices.
About the Company:
We are a leading healthcare provider dedicated to delivering high-quality services while maintaining the highest standards of compliance and patient care. Our company values diversity, integrity, and teamwork and strives to foster an inclusive environment where employees can thrive. We provide a range of healthcare solutions and work diligently to ensure that our operations are compliant with federal and state regulations.
Equal Opportunity Employer:
We are an equal-opportunity employer and welcome candidates from all backgrounds. We are committed to creating a diverse and inclusive work environment where all employees are treated with respect and provided with equal opportunities for growth and success.
How to Apply:
If you are a detail-oriented compliance professional with experience in FDR oversight and a passion for maintaining high standards of regulatory compliance, we encourage you to apply for the Compliance Manager, FDR Oversight Program (IC) role today!
