Compliance Program Manager

Summary

Join Octave, a modern behavioral health practice, as a Compliance Program Manager and play a key role in developing and evolving their compliance programs. Reporting to the General Counsel, you will lead the design, implementation, and management of comprehensive compliance programs, focusing on meeting regulatory and payor requirements, particularly Medicare compliance. You will collaborate with senior management and stakeholders to ensure the effectiveness of compliance efforts, conduct audits and risk assessments, and drive continuous improvement. This role requires strong cross-functional collaboration skills and a commitment to upholding the highest standards of compliance within the dynamic healthcare environment.

Responsibilities

• Developing a roadmap for implementation of compliance and regulatory initiatives, with an emphasis on a Medicare compliance program
• Coordinate compliance program effectiveness tasks to fulfill the goals and objectives of the compliance program, in collaboration with senior management and stakeholders
• Analyze internal business systems to ensure compliance with industry regulations and ethical standards
• Carrying out compliance audits and risk assessments while strategizing risk mitigation; identifying areas for compliance enhancement and driving improvements
• Partner with other departmental heads to ensure that all business operations are in line with business policies
• Crafting and implementing compliance programs and developing risk management strategies in line with regulations and best practices
• Report information to the Executive Team and assist in preparing formal reports for the Board of Directors
• Design control systems to address cases of violation of internal business policies
• Design ongoing training programs for employees of the business; guiding and training colleagues to create awareness and understanding of compliance
• Putting on your investigator's hat to address and resolve compliance concerns; keeping meticulous records of compliance activities and findings
• Being the primary liaison with regulatory agencies and external vendors for seamless communication
• Navigating multi-state payer rules as Octave expands its reach
• Scaling the compliance program as Ocateve’s national footprint grows
• Keeping your finger on the pulse of healthcare laws and sharing updates with the team

Preferred Qualifications

• 4+ years previous experience in compliance consultation, compliance/regulatory management, program management or similar role with direct knowledge of CMS Medicare regulations and compliance programs
• Familiarity with PCI DSS compliance requirements
• Familiarity with HIPAA compliance requirements
• Experience participating in SOC2 Type 2 compliance control enforcement and audit processes preferred
• Experience supporting company-wide security compliance programs designed to anticipate, assess, and minimize control gaps and audit findings
• Preferred certifications include PMP, CHC, and/or HCCA
• Ability to understand and interpret regulations and regulatory guidance, and incorporate them into a comprehensive and appropriate compliance program
• Working knowledge of regulatory compliance practices, and a good understanding of the types of compliance matters applicable to a company like Octave
• Adept in creating reporting and presentations which simplify complex themes into understandable communications
• Strong written and verbal communication skills—including the ability to communicate effectively with different stakeholders across the business
• Excellent cross-functional collaboration skills, including navigating vendors, leadership and interpersonal working relationships
• Ability to manage time and influence collaborators on a project and everyday basis; ability to self-start and work independently
• Exceptional organizational and time management skills and ability to work independently
• Ability to uphold complete confidentiality of information encountered
• Ability to handle multiple assignments and assess and analyze data in order to solve problems

Benefits

• Company sponsored life insurance
• Disability and AD&D plans
• 401k retirement
• Medical
• Dental
• Vision
• FSA
• HSA
• Dependent care
• Commuter/parking options
• Paid Time Off
• Paid parental leave benefits