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Role Description

The Manager, Compliance will be responsible for enhancing Ventra Health, Inc.’s (“Ventra”) compliance program and providing oversight and support of Ventra’s enterprise compliance policies, procedures, training programs, program initiatives, and controls to help ensure compliance with applicable laws, regulations, and Ventra’s internal policies and processes.

• Draft, update, implement, manage, maintain, and enforce Ventra’s compliance plan and all relevant compliance policies and procedures.
• Prepare compliance training materials, coordinate rollout of compliance training to new and existing employees and applicable contractors, and ensure completion of trainings by all applicable parties.
• Assist with the development, implementation, and maintenance of Ventra’s auditing and monitoring program.
• Coordinate rollout and training on new or updated policies and directives when required.
• Help drive culture of compliance throughout the company, including implementation of compliance communication strategy.
• Oversee the day-to-day management of Ventra’s compliance hotline and incident tracking system ensure proper documentation, investigation, and timely resolution of compliance matters.
• Lead, manage, and/or participate in investigations for compliance incidents and issues.
• Ensure accurate and timely reporting of compliance incidents to regulatory agencies and clients.
• Conduct research on laws and regulations affecting the company.
• Provide timely advice and assistance to colleagues and leadership in relation to compliance issues and inquiries.
• Prepare materials for and participate in Compliance Committee meetings.
• Report on compliance issues and incidents to Compliance Committee.
• Collaborate with cross-functional teams, including People Team, Legal, and IT, to ensure alignment on compliance initiatives.
• Support the enterprise-wide compliance program by assisting in global and local compliance-related projects and initiatives.
• Ensure comprehensive documentation of compliance activities, including investigations, risk assessments, audits, and training records.

Qualifications

• Minimum of Bachelor’s Degree or equivalent.
• At least 3 years’ management experience in healthcare compliance.
• At least 5 years’ experience working in revenue cycle management, coding, or other healthcare operations. Experience in Radiology, Anesthesia, Emergency Medicine and/or Hospital Medicine is strongly preferred.
• Working knowledge and experience with HIPAA, OIG compliance, U.S. healthcare fraud and abuse laws, and other country/local-specific compliance laws, regulations and requirements.

Requirements

• Understanding of compliance frameworks, risk management, and regulatory requirements.
• Exceptional analytical and problem-solving abilities, including strong judgment skills.
• Well-organized with excellent attention to details.
• Strong ethical standards, with a commitment to fostering a culture of integrity and compliance.
• Ability to read, understand, and apply state/federal laws, regulations, and policies.
• Strong leadership/management skills to manage, motivate, and set expectations with team members.
• Strong oral, written, and interpersonal communication skills.
• Strong time management, organizational, and decision-making skills with the ability to prioritize tasks.
• Proactive, responsive, and detail-oriented.
• Ability to communicate with diverse personalities in a tactful, mature, and professional manner.
• Ability to remain flexible and work within a collaborative and fast-paced environment.
• Ability to collaborate effectively across departments and work with diverse stakeholders.
• Basic use of computer, telephone, internet, copier, fax, and scanner.
• Basic touch 10 key skills.
• Basic Math skills.
• Understand and comply with company policies and procedures.
• Strong knowledge of Outlook, Word, Excel (pivot tables), and database software skills.

Compensation

• Base Compensation will be based on various factors unique to each candidate including geographic location, skill set, experience, qualifications, and other job-related reasons.
• This position is also eligible for a discretionary incentive bonus in accordance with company policies.