Compliance Manager - Healthcare jobs in Wyoming

Compliance Manager - Healthcare implements and administers programs, policies, and practices to ensure that organization complies with the Joint Commission, HIPAA, and accreditation standards. Monitors and administers compliance with federal, state, and local regulations. Being a Compliance Manager - Healthcare acts as a liaison to government agencies and coordinates site visits for regulators. Investigates potential compliance violations and takes corrective action as necessary. Additionally, Compliance Manager - Healthcare requires a bachelor's degree. Typically reports to a director. The Compliance Manager - Healthcare manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. To be a Compliance Manager - Healthcare typically requires 5 years experience in the related area as an individual contributor. 1-3 years supervisory experience may be required. Extensive knowledge of the function and department processes. (Copyright 2024 Salary.com)

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Healthcare Compliance Officer
  • Hydro Recruiting
  • Gillette, WY FULL_TIME
  • Job Summary

    The Healthcare Compliance Officer is responsible for ensuring that the medical clinic adheres to all relevant laws, regulations, and industry standards. This role involves creating, implementing, and monitoring compliance programs, policies, and procedures to mitigate the risks associated with non-compliance. The Compliance Officer works closely with clinic staff to promote a culture of compliance, conducts audits and investigations, provides training on compliance-related matters, and serves as a liaison with regulatory agencies. Staying updated on regulatory changes and best practices is crucial for maintaining the clinic’s ethical and efficient operations while safeguarding patient confidentiality and quality of care.

    Key Responsibilities

    • Policy Development and Implementation:
      • Develop and implement compliance policies, procedures, and protocols specific to the medical clinic's needs.
      • Review clinical and non-clinical policies and procedures across the organization.
    • HIPAA Privacy Oversight:
      • Act as the HIPAA Privacy Officer and oversee the medical record request process.
    • Audit and Monitoring:
      • Conduct internal audits to ensure compliance with Stark Law, Anti-Kickback Statute, Conflicts of Interest, Fraud, Waste, and Abuse regulations.
      • Oversee third-party billing audits to ensure adherence to relevant rules and regulations.
      • Perform regular audits and assessments to identify compliance risks and areas for improvement, including billing, coding, patient privacy, and quality of care.
    • Collaboration and Corrective Action:
      • Work with clinic management and staff to address compliance issues and implement necessary corrective actions.
      • Investigate allegations of non-compliance, including fraud, waste, or abuse, and take appropriate disciplinary or corrective measures.
    • Training and Education:
      • Provide training and education to clinic staff on compliance-related topics, such as HIPAA regulations, fraud prevention, and documentation requirements.
    • Documentation and Reporting:
      • Maintain detailed documentation of compliance activities, including audit findings, investigations, training sessions, and policy updates.
      • Prepare reports for clinic management and governing bodies on compliance activities, trends, and outcomes.
    • Regulatory Liaison:
      • Serve as the primary point of contact for regulatory agencies, responding to inquiries, information requests, and audits.
      • Develop and maintain relationships with external partners, such as legal counsel, professional organizations, and industry associations, to stay informed of best practices and emerging compliance issues.
    • Leadership and Participation:
      • Lead or participate in compliance committees and initiatives to promote a culture of compliance and ethical behavior within the clinic.
      • Stay current on industry trends and developments in healthcare compliance through ongoing professional development and networking.
    Qualifications

    • Education:
      • Law degree, Bachelor's degree, or Master’s in healthcare administration, business administration, or a related field is required.
    • Experience:
      • Minimum of 5 years of experience in healthcare compliance, preferably in a clinic or outpatient setting.
      • Certification in healthcare compliance (e.g., FACHE, HCCA, CHC, CHPC) is preferred.
      • Experience with Medicare/Medicaid billing and coding is preferred.
    • Skills and Knowledge:
      • Thorough understanding of healthcare laws and regulations, including HIPAA, Stark Law, Anti-Kickback Statute, and Medicare/Medicaid regulations.
      • Strong analytical and problem-solving skills, with attention to detail.
      • Excellent communication and interpersonal skills, with the ability to educate and influence staff at all levels.
      • Proficiency in using compliance software and tools for tracking, reporting, and documentation.
      • Leadership abilities, including the ability to collaborate effectively with diverse teams and drive change.
      • Commitment to ethical conduct and integrity in healthcare operations.
      • Ability to adapt to a dynamic healthcare environment and manage multiple priorities effectively.
    • Work Conditions:
      • This position is not hybrid or remote; it requires onsite presence.
  • 9 Days Ago

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Healthcare Compliance Officer
  • Hoskinson Health & Wellness Clinic
  • Gillette, WY FULL_TIME
  • Job Summary:The Medical Clinic Healthcare Compliance Officer oversees all compliance activities within the medical clinic, ensuring adherence to relevant laws, regulations, and industry standards. Thi...
  • 10 Days Ago

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Healthcare Compliance Officer
  • Hoskinson Biotechnology
  • Gillette, WY FULL_TIME
  • Job Summary: The Medical Clinic Healthcare Compliance Officer oversees all compliance activities within the medical clinic, ensuring adherence to relevant laws, regulations, and industry standards. Th...
  • 11 Days Ago

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Business Development Manager - Healthcare
  • Peaks Healthcare Consulting
  • Sheridan, WY FULL_TIME
  • Peaks Healthcare Consulting is now hiring a Business Development ManagerAbout PeaksPeaks Healthcare Consulting is a reputable senior healthcare consulting group dedicated to providing high-quality gui...
  • 10 Days Ago

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Safety and Compliance Manager
  • Prairie Field Services
  • Casper, WY FULL_TIME
  • Company OverviewPrairie Field Services is the leader in oil field hauling and logistics throughout Wyoming and Texas. A solutions provider with a proven track record, Prairie Field Services is dedicat...
  • 11 Days Ago

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Clinical Compliance Manager
  • Hoskinson Health & Wellness Clinic
  • Gillette, WY FULL_TIME
  • Job Summary:Hoskinson Health & Wellness Clinic is looking for a full-time Clinical Compliance Manager to join our team!The Clinical Compliance Manager oversees all compliance activities within the med...
  • 12 Days Ago

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Finance Manager | SOX Compliance Manager - Central
  • CBRE
  • Houston, TX
  • Finance Manager | SOX Compliance Manager - Central Job ID 165070 Posted 07-Jun-2024 Service line GWS Segment Role type F...
  • 6/9/2024 12:00:00 AM

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Sr. Finance Manager | SOX Compliance Manager - East
  • CBRE
  • Charlotte, NC
  • Sr. Finance Manager | SOX Compliance Manager - East Job ID 165480 Posted 07-Jun-2024 Service line GWS Segment Role type ...
  • 6/9/2024 12:00:00 AM

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Sr. Finance Manager | SOX Compliance Manager - East
  • CBRE
  • Washington, DC
  • Sr. Finance Manager | SOX Compliance Manager - East Job ID 165480 Posted 07-Jun-2024 Service line GWS Segment Role type ...
  • 6/9/2024 12:00:00 AM

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Premium Finance Risk Management and Compliance Manager - (Remote Opportunity)
  • Truist Financial Corporation
  • Atlanta, GA
  • The position is described below. If you want to apply, click the Apply Now button at the top or bottom of this page. Aft...
  • 6/8/2024 12:00:00 AM

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Premium Finance Risk Management and Compliance Manager - (Remote Opportunity)
  • Truist Financial Corporation
  • Leawood, KS
  • The position is described below. If you want to apply, click the Apply Now button at the top or bottom of this page. Aft...
  • 6/8/2024 12:00:00 AM

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Premium Finance Risk Management and Compliance Manager - (Remote Opportunity)
  • Truist Financial Corporation
  • Jacksonville, FL
  • The position is described below. If you want to apply, click the Apply Now button at the top or bottom of this page. Aft...
  • 6/8/2024 12:00:00 AM

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Premium Finance Risk Management and Compliance Manager - (Remote Opportunity)
  • Truist Financial Corporation
  • Richmond, VA
  • The position is described below. If you want to apply, click the Apply Now button at the top or bottom of this page. Aft...
  • 6/8/2024 12:00:00 AM

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Premium Finance Risk Management and Compliance Manager - (Remote Opportunity)
  • Truist Financial Corporation
  • Santa Fe, NM
  • The position is described below. If you want to apply, click the Apply Now button at the top or bottom of this page. Aft...
  • 6/8/2024 12:00:00 AM

Wyoming (/waɪˈoʊmɪŋ/ (listen)) is a state in the mountain region of the western United States. The state is the 10th largest by area, the least populous, and the second most sparsely populated state in the country. Wyoming is bordered on the north by Montana, on the east by South Dakota and Nebraska, on the south by Colorado, on the southwest by Utah, and on the west by Idaho and Montana. The state population was estimated at 577,737 in 2018, which is less than 31 of the most populous U.S. cities including Denver in neighboring Colorado. Cheyenne is the state capital and the most populous city...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Compliance Manager - Healthcare jobs
$109,104 to $140,267

Compliance Manager - Healthcare in Waco, TX
Healthcare compliance should be found anywhere and professionals should always show their highest interest for their patients.
January 16, 2020
Compliance Manager - Healthcare in Flagstaff, AZ
To ensure you’ve addressed the above concerns, hospital compliance officers should keep in mind the seven basic elements of an effective compliance program.
February 10, 2020
Compliance Manager - Healthcare in Phoenix, AZ
Healthcare compliance managers ensures organizations comply with regulations in the industry.
December 03, 2019