RCM Compliance Program Director

Program ManagerProgram ManagerFull TimeRemoteTeam 1,001-5,000Company SiteLinkedIn

Location

Florida

Posted

16 days ago

Salary

Not specified

Bachelor Degree10 yrs expEnglish

Job Description

• Own and operate the BOOST RCM Compliance Program, ensuring it is fully documented, auditable, and scalable. • Establish and maintain compliance controls, monitoring activities, and escalation protocols across RCM workflows. • Ensure audit readiness by partnering closely with internal audit to support reviews, testing, and remediation activities. • Continuously assess the RCM regulatory landscape (e.g., coding, billing, reimbursement, payer requirements, federal and state regulations) to identify compliance risks. • Define the organization’s risk tolerance in partnership with executive leadership across RCM, Compliance and Legal. • Translate regulatory requirements into a clear compliance framework, including: What the organization will monitor and scan for; How violations or risks are identified; Defined “then what” response guidelines, remediation steps, and corrective action plans. • Partner closely with Legal, Compliance, RCM Operations, Product, and Customer Success to ensure alignment on compliance expectations and execution. • Provide subject-matter expertise to support legal interpretation, policy development, and customer-facing compliance discussions. • Act as a trusted advisor to senior leadership on compliance risks, tradeoffs, and mitigation strategies. • Execute the compliance program end-to-end, including monitoring, reporting, issue resolution, and documentation. • Enhance and evolve the program as the business, regulatory environment, and customer needs change. • Develop metrics and reporting to track compliance trends, risk areas, and program effectiveness. • Serve as a compliance subject-matter expert in customer conversations, audits, or regulatory inquiries as needed.

Job Requirements

  • Bachelor’s degree; Masters degree strongly preferred
  • 10+ years of experience in Revenue Cycle Management, healthcare compliance, coding, billing, or reimbursement-related roles.
  • Deep understanding of the RCM regulatory environment, including coding, billing, payer rules, and compliance risk management.
  • Proven experience designing, implementing, and executing compliance programs in a healthcare or healthcare technology environment.
  • Strong ability to translate complex regulatory requirements into practical, executable business guidelines.
  • Executive-level communication skills with the ability to engage confidently with senior leaders, Legal partners, auditors, and customers.
  • Experience supporting or partnering with audit functions.
  • Background in healthcare SaaS, RCM services, or scaled healthcare operations.
  • Prior experience in a director-level individual contributor or enterprise compliance leadership role.

Benefits

  • Comprehensive medical, dental, and vision benefits, including a company Health Savings Account contribution
  • 401(k): ModMed provides a matching contribution each payday of 50% of your contribution deferred on up to 6% of your compensation. After one year of employment with ModMed, 100% of any matching contribution you receive is yours to keep.
  • Generous Paid Time Off and Paid Parental Leave programs
  • Company paid Life and Disability benefits
  • Flexible Spending Account, and Employee Assistance Programs
  • Company-sponsored Business Resource & Special Interest Groups that provide engaged and supportive communities within ModMed
  • Professional development opportunities, including tuition reimbursement programs and unlimited access to LinkedIn Learning
  • Global presence and in-person collaboration opportunities; dog-friendly HQ (US)
  • Hybrid office-based roles and remote availability for some roles
  • Weekly catered breakfast and lunch
  • Treadmill workstations, Zen, and wellness rooms within our BRIC headquarters

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