Cardiovascular Service Line Compliance Manager

This role is hybrid and requires 3 to 4 days a week onsite.

The Compliance Manager is responsible for supporting the Director and/or Vice President in compliance management throughout the division and/or a department. Job objective is to assist the organization/department to meet the regulatory requirements and support quality and integrity efforts. Responsibilities include assisting with interpretation of federal and state rules, laws and regulations; identifying and resolving compliance related issues; developing and implementing compliance work plans, policies and procedures, and activities; monitoring and auditing division and/or department functions against regulatory requirements; educating staff on compliance and regulations; and communicating to staff and key external stakeholders compliance issues or regulatory and/or legislative changes.

Key Responsibilities
• Serve as a system resource on national coverage determinations (NCDs), local coverage determinations (LCDs), and other regulatory requirements impacting cardiology and peri-op procedures.
• Consultant to service line and division leadership and key stakeholders on regulatory affairs, compliance, and reimbursement integrity.
• Collaborate on policies and procedures to ensure compliance with federal, state, and accrediting body standards.
• Research, interpret, and disseminate updates on targeted regulatory changes from compliance affecting perioperative and cardiology services.
• Support leadership in identifying compliance risks, developing corrective action plans, and building quality improvement initiatives related to procedural services.

Education

• Bachelor’s degree in Business Administration, Healthcare Administration, or Risk Management (Preferred)

Certification/Licensure

• No specific certification or licensure requirements

Experience

• 3 years of risk management experience (Required)

• 3 years of health insurance industry experience (Required)

• 3 years of compliance experience (Required)

Talroo, #LI-DS1, Indeed

Keywords: compliance, reimbursement, national coverage determinations, NCD, cardiology, peri-op, perioperative, cardio, service line, regulatory, compliance, manager, cardiac, cath lab, operating room, OR, risk management, cardiovascular