Manager, Regulatory Compliance

Remote, Nationwide – Seeking Manager, Regulatory Compliance

Everybody Has A Role To Play In Transforming Healthcare

At Vituity you are part of a larger team that is driven by our purpose to improve lives. We are dedicated to transforming healthcare through our culture by working together to tackle healthcare's most pressing challenges from the inside.

Join the Vituity Team. At Vituity we've cultivated an environment where passion thrives, and success comes through shared purpose. We were founded in a culture that values team accomplishments more than individual achievements, an approach we call "culture of brilliance." Together, we leverage our strengths and experiences to make a positive impact in our local communities. We foster this through shared goals and helping our colleagues succeed, and we also understand the importance of recognition, taking the time to show appreciation and gratitude for a job well done.

Vituity Locations: Vituity has opportunities at 475 sites across the country, serving 9 million patients a year. With Vituity, if you ever need to move, you can take your job with you.

The Opportunity

• Ensure that the organization takes necessary steps to comply with relevant laws, policies, and regulations in the process of achieving the goals of Vituity.
• Research and review laws, regulations, and industry guidance in order to prepare recommendations to guide Operations and Leadership in implementing new business processes, new regulatory requirements, and enhance compliance with healthcare regulatory environment.
• Draft analytical memos and provide recommendations on issues and matters related to health care regulatory compliance.
• Develop, launch, implement, and monitor state-specific compliance program initiatives across Vituity practice states.
• Train Vituity business partners on laws and regulations and regulatory compliance with new state/site set-up and implementation.
• Draft, update, and monitor compliance policies, ensuring compliance with relevant state, federal, and local laws and regulations.
• Advise enterprise-wide teams including telehealth initiatives and consumer-facing innovations initiatives by ensuring compliance with regulations.
• Draft and review patient authorization and informed consent forms, notice of privacy practices, non-discrimination notices, telehealth consents, and practice-line specific disclosures.
• Lead advanced provider scope of practice document review in all Vituity practice states including drafting of agreements, annual review, and monitoring.  
• Serve as regulatory compliance subject matter expert for Vituity-owned outpatient medicine facilities. Support/initiate workflow improvements and standardization for Vituity-owned outpatient medicine facilities.
• Provide regulatory updates to Vituity leadership and the Vituity Compliance & Ethics Committee meetings.
• Monitor Office of Inspector General (OIG) audit activity, workplan, and industry reports as well as Department of Justice investigations and communicate findings to business partners.
• Maintains open lines of communication with all relevant stakeholders in order to keep all parties informed of regulatory changes.
• Maintain thorough knowledge and understanding of the organization and be vigilant in order to stay aware of where possible regulatory breaches or issues may arise.
• Conduct annual and periodic reviews of Enterprise and Compliance policies and procedures.
• Conduct periodic review of regulatory compliance issue tracking grids and matrices regarding revenue cycle management billing, state abortion laws, medical chart release of information charged fees, state background check requirements, advanced provider scope of practice, and regulatory toolkits.
• Collaborate with SVP Compliance and other Compliance leaders, participate in the annual risk assessment and workplan development project to identify and manage risks enterprise wide.
  • Implement, where appropriate, internal controls or procedures to measure and manage compliance risk.
  • Identify compliance vulnerabilities and risks, and ensure timely, appropriate, and consistent responses to reported concerns, alleged violations of law or regulations, and/or conflicts of interest.
• Stay informed of and properly communicate any changes to or developments in health care related laws, regulations, standards, and guidance.
• Issue management and triage of compliance questions and hotline calls related to regulatory compliance.
• Participate in incident tracking process including documenting investigations, overseeing completion of corrective action plans, creating toolkits to use in analysis, and reporting on outcomes.
• Facilitate and operationalize Federal and State regulatory changes.
  • Draft educational materials to highlight changes and updates to regulations and/or policies.
• Collaborate with Compliance team to develop central repository for regulatory research in Box, SharePoint, or appropriate repositories.
• Assist the Compliance Team and SVP Compliance with regulatory research and special projects as assigned.
• Support post-investigation educational, awareness, or remediation efforts as assigned.
• Lead and manage special enterprise projects on behalf of the Compliance Team.
• Support Compliance department with monitoring and auditing initiatives, including conducting internal reviews and audits.
• Develop and maintain expertise to further Regulatory Compliance and Compliance knowledge and understanding.
• Act as a steward by exhibiting sound ethical standards and consistently promoting a compliant culture.
• Research and author educational materials, Inside Track publications, white papers, and memoranda on regulatory compliance issues.
• Consult for or collaborate with Information Security Team on joint initiatives as needed including annual review of data retention schedules, migration to enterprise data to data retention solution system.
• Serve as a liaison to the legal department to assess regulatory risks and develop solutions for business partner clients.
• Participate in and lead Compliance Team projects and initiatives when requested.
• Develop expertise and perform research in compliance subjects and issues when requested.

Required Experience and Competencies 

• Master's degree in Business Administration, Public Health, Law, Healthcare, English, or related field required.
• Minimum of five (5) years of experience in healthcare risk management, healthcare compliance, legal department, administrative agency, or equivalent field required.
• Experience managing audits or investigations by an outside auditor, external agency, or regulatory body preferred.
• Juris Doctor, Paralegal certificate, or legal training preferred.
• Certification in or coursework towards Healthcare Compliance (CHC) or privacy preferred.
• Proficiency in Microsoft O365 (Word, Excel, Outlook, SharePoint and PowerPoint) required; incident tracking warehouse proficiency strongly preferred.
• Expertise in compliance principles, including Office of Inspector General Seven Elements of an Effective Compliance Program.
• Strong working knowledge of laws and regulations governing healthcare, specifically Health Insurance Portability & Accountability Act (HIPAA), Fraud, Waste and Abuse, Stark Law and the federal Anti-Kickback statute, Emergency Medical Treatment and Active Labor Act (EMTALA), domestic consumer privacy regulations including CPRA, consumer health data regulations, state-level telehealth legislation and regulations, Medicare and Medicaid guidelines, regulations, and other guidance and standards.
• Client service.
• Knowledge of Healthcare systems, health plans, and/or physician groups.
• Knowledge of incident management and tracking.
• Ability to manage multiple tasks in a fast-paced, collaborative, cross-functional environment.
• Ability to remain organized and effectively manage competing priorities while meeting deadlines.
• Strong project management skills.
• Work alongside team members to monitor and evolve practices for continuous process involvement.
• Ability to effectively provide leadership and mentorship to team members.
• Demonstrate high attention to detail.
• Ability to author senior-level reports and articles for presentation to management and executives.
• Ability to exercise a high level of independence.
• Ability to effectively communicate orally and written.
• Ability to use multiple Vituity systems and understand their connections and impact.

The Community

Even when you are working remotely, you are an important part of the Vituity Community. We offer plenty of opportunities to engage with other Vitans through a variety of virtual meet-and-greets, events and seminars.

• Monthly wellness events and programs such as yoga, HIIT classes, and more
• Trainings to help support and advance your professional growth
• Team building activities such as virtual scavenger hunts and holiday celebrations
• Flexible work hours
• Opportunities to attend Vituity community events including LGBTQ+ History, Día de los Muertos Celebration, Money Management/Money Relationship, and more

Benefits & Beyond*

Vituity cares about the whole you. With our comprehensive compensation and benefits package, we are mindful of what matters most, and support your needs of today and your plans for the future.

• Superior health plan options
• Dental, Vision, HSA/FSA, Life and AD&D coverage, and more
• Top Tier 401(k) retirement savings plans that offers a $1.20 match for every dollar up to 6%
• Outstanding Paid Time Off: 3-4 weeks' vacation, Paid holidays, Sabbatical
• Student Loan Refinancing Discounts
• Professional and Career Development Program
• EAP, travel assistance, and identify theft included
• Wellness program
• Vituity community initiatives including LGBTQ+ History, Día de los Muertos Celebration, Money Management/Money Relationship, and more
• Purpose-driven culture focused on improving the lives of our patients, communities, and employees

We are excited to share the base salary range for this position is $117,110 - $149,315, exclusive of fringe benefits or potential bonuses. This position is also eligible to participate in our annual corporate Success Sharing bonus program, which is based on the company's annual performance. If you are hired at Vituity, your final base salary compensation will be determined based on factors such as skills, education, and/or experience. We believe in the importance of pay equity and consider internal equity of our current team members as a part of any final offer. Please speak with a recruiter for more details.

We are unified around the common purpose of transforming healthcare to improve lives and we believe everyone has a role to play in that. When we work together across sites and specialties as an integrated healthcare team, we exceed the expectations of our patients and the hospitals and clinics we work in. If you are looking to make a difference, from clinical to corporate, Vituity is the place to do it. Come grow with us.

Vituity appreciates differences; our dedication to diversity, equity and inclusion is at the heart of our organization. Vituity does not discriminate against any person on the basis of race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information (including family medical history), veteran status, marital status, pregnancy or related condition, or any other basis protected by law. Vituity is committed to complying with all applicable national, state and local laws pertaining to nondiscrimination and equal opportunity.

*Benefits for part-time and per diem vary. Please speak to a recruiter for more information.

Applicants only. No agencies please.