HR Compliance Manager

2 days ago


Tempe, Arizona, United States Leading Health Managed Care Full time


The Company:

This role is with Leading MDs. Leading MDS is a new kind of healthcare company that serves health plans and provider organizations an integrated system-of-care comprised of clinical and social services backed by a robust technology platform. By engaging individuals with virtual, in-home, in-clinic and in-facility care options, Leading MDs delivers advanced community-based health services that allow our clients to live healthier, more independent lives.

Job Summary

The HR Compliance Manager is responsible for developing, implementing, and monitoring policies and procedures to ensure organizational compliance with federal, state, and local employment laws. This role ensures all HR practices align with regulatory requirements, supports leadership with risk mitigation, conducts internal audits, and maintains documentation standards to protect the organization.

  • In Office
  • Monday- Friday
  • Medical, Dental, Vision, 401(k), STD, LTD, Life AD&D
  • Major Holidays Paid
  • Paid Time Off
  • Sick Time

Requirements

Job Duties and Responsibilities

  • Ensure company HIPAA policies and procedures are  appropriate to meet HIPAA requirements and identifies operational      opportunities and obstacles for the Directors and their team to work with other departments to ensure the company and their employees and customers are in compliance with all relevant regulations. The Manager will seek out collaboration and communication with other departmental leaders and employees to solve any issues identified related to compliance with all      relevant laws and regulations. Viewed as a HIPAA Compliance subject matter expert.
  • Research applicable state and federal laws and agency regulations. Tracks applicable legislation/regulations, analyzes impact on      company and subsidiaries, and communicates relevant information to the organization, with minimal management supervision. Works with outside legal counsel and other 3rd party consultants as needed to ensure compliance and review of relevant policies, health plans, and insurance policies and procedures. Keeps apprised of new regulatory developments by reviewing regulatory publications and applicable industry trade publications. Monitors and keeps up to date on assigned state's changing      healthcare regulations, legal requirements, or pending legislation.
  • Obtains, maintains and reviews new licenses, licensing renewals, and reporting requirements for regulatory changes and updates. Participates in Leading MDs subsidiary licensing oversight efforts. The Manager will be considered the company expert on compliance matters.
  • Interfaces with regulatory authorities on matters  relating to compliance with applicable laws or regulations and prepares      proposed policy or practice corrections as needed in response to negative findings of regulatory agencies. The Manager  will prepare any supporting evidence or documentation related to both legal and regulatory requests for information or in response to due diligence performed for legal disputes or regulatory requests for information.
  • Responsible for writing applicable regulatory compliance policy and procedure documentation and for obtaining necessary      company approvals related to the new or revised policies. The Manager is also responsible for the dissemination of the policies and changes to the policies with the various operating units.
  • Directs the assigned corporate state filings for subsidiaries and affiliate entities to include, but not limited to, submission of required documents, ensuring invoices are paid, and submission of license applications and renewals. Actively maintains and      manages corporate records for corporations, subsidiaries, and, as required, affiliate entities, including tracking ownership information, qualified jurisdictions, board/manager information, etc. The Manager will collaborate and consult with various department management as needed to ensure the company and its subsidiaries are in compliance with all relevant laws and regulations.
  • Identifies needs and participates in internal workgroup compliance initiatives to Direct, advise and assist company      compliance implementation efforts. Facilitate inter-departmental meetings as needed.
  • Maintains expertise in assigned research topic(s) to support identified company compliance needs.
  • Monitors and advises on company practices and documentation related to regulatory compliance.
  • Acts as an internal liaison to support regulatory audits. Facilitates and handles regulatory audits on behalf of the department for external clients..
  • Directs assigned projects by planning, researching, and auditing deliverables. Assigns or delegates projects or tasks as      appropriate, directing the activities of the department.
  • Reads, analyzes, and interprets contracts and legal documents. Advises company on contractual issues and concerns.

Education

  • Bachelor's Degree – Required
  • Master's Degree or JD – Preferred

Experience

2 years working in a compliance support function. Experience in a revenue cycle, coding, healthcare operations, risk management or legal role beneficial - Required

  • 3 years working in a compliance support function. Experience in a revenue cycle, coding, healthcare operations, risk      management or legal role beneficial - Preferred

License and Certifications

  • Non Clinical\CHC - Certified Compliance Professional - Certified Healthcare Compliance (CHC). Certified in Healthcare Privacy      Compliance (CHPC) or Certified Internal Auditor (CIA) also beneficial -  Preferred

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