Lumata Health is hiring a
Clinical Compliance Officer

Summary

The Clinical Compliance Officer is responsible for ensuring Lumata Health adheres to healthcare regulations in a remote care management environment. This role involves the development, implementation, and oversight of a comprehensive compliance program designed to prevent, detect, and address any violations of regulatory requirements or internal standards.

Requirements

• Bachelor’s degree in Healthcare Administration, Nursing, Public Health, or a related field preferred
• Minimum of 2-5 years of experience in a healthcare compliance role, preferably in a remote care management or telehealth setting
• Certification in Healthcare Compliance (CHC) or equivalent preferred; willingness to obtain Certified Professional in Healthcare Compliance (CPHC) certification within the first 8 months

Responsibilities

• Regularly review and interpret new and existing healthcare regulations (e.g., HIPAA, HITECH, CMS)
• Ensure all clinical practices comply with federal, state, and local regulations
• Develop and maintain policies and procedures to mitigate compliance risks
• Design and implement a comprehensive compliance program, including policies, procedures, training, and audits
• Conduct periodic risk assessments to identify compliance vulnerabilities and recommend corrective actions
• Monitor and update compliance protocols to reflect changes in regulations
• Develop and deliver compliance training for all staff, including onboarding and ongoing education
• Ensure training materials are up-to-date with current regulatory requirements, and that policies, procedures, and workflows in Trainual are accurate
• Evaluate the effectiveness of training programs and identify areas for improvement
• Conduct regular internal audits to assess compliance with laws, regulations, and internal policies
• Collaborate with internal and external auditors to address and resolve compliance findings
• Track audit outcomes and implement corrective actions as necessary
• Investigate compliance complaints, breaches, and incidents promptly
• Report compliance issues to regulatory bodies as required by law
• Maintain accurate documentation of all incidents and corrective actions
• Maintain clear communication with leadership, management, and team members regarding compliance updates and initiatives
• Collaborate with clinical, legal, IT, and operational teams to address compliance challenges
• Provide guidance and advice on regulatory matters to all departments

Benefits

• Medical insurance for full-time employees
• 8 paid holidays
• Discretionary time off (DTO)