Compliance and Integrity Manager - Integrity & Compliance - FT - Day
Core
Lead the daily direction, development, and operational leadership of the Integrity and Compliance program across the enterprise, ensuring regulatory compliance, operational efficiency, and risk reduction.
Role type
Senior IC compliance and integrity manager
Builds
Corporate compliance policies, training programs, audit processes, and risk mitigation strategies
Domain
Healthcare + Regulatory Compliance
Required skills
Regulatory knowledge (state/federal, OIG-DHHS), incident investigation, policy development, budget management, risk assessment, audit execution, coding/billing compliance oversight
Preferred skills
Audits/quality control in compliance/coding/billing, management of compliance programs, HIPAA, False Claims Act, Stark laws
Technologies
CMS, DOJ, OIG, Joint Commission, DMV systems
Responsibilities
Develop and implement compliance policies and educational programs; supervise compliance training on laws like CMS, Stark, Anti-kickback, and HIPAA; review and investigate non-compliance allegations; conduct risk assessments and develop mitigation recommendations; manage program budget and performance indicators; ensure compliance audits meet federal, state, and accreditation requirements; oversee internal auditing of coding and billing submissions; monitor legislative/regulatory changes and implement program adaptations.
Seniority
Manager, hands-on IC
