Compliance Manager

Why join us? This is an exciting time to join OneOncology. Our values-driven culture reflects our startup enthusiasm supported by industry leaders in oncology, technology, and finance. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of community oncologists and the patients they serve.

Job Description:

The Compliance Manager will report to the Director of Compliance. This role will be a vital part of the organization’s commitment to assisting OneOncology’s owned and affiliated physician practices with the development, implementation, and management of their compliance programs. The Compliance Manager will have primary responsibility for and will require involvement with all compliance operational functions, risk assessments, and will properly and adequately escalate activities that require involvement by OneOncology management or leadership teams. The Compliance Manager will be expected to use critical thinking, sound judgment and clear communication when directing the development of a practice compliance program. The Compliance Manager will be involved in planning and implementing assigned tasks for owned and affiliated physician practices, as well as for OneOncology’s corporate compliance program.

Responsibilities

• Conduct onsite practice visits, which require travel, to conduct compliance assessments routinely.

• Assist with the development of compliance programs at assigned practices from the due diligence stage to operational standardization of a practice, including addressing practice growth and the integration of add on physician acquisitions.

• Provide subject matter expertise in healthcare compliance and privacy to owned and affiliated physician practices, including privacy, healthcare coding, billing and reimbursement, fraud waste and abuse compliance, and conflicts of interest.

• Prepare regulatory risk assessments and develop corrective actions with the compliance leader(s).

• Provide support and guidance to the designated compliance leader(s) at each OneOncology owned and affiliated practice, including administrators and physician leaders serving in such roles.

• Generate reports on compliance activity at owned and assigned practices to OneOncology, Practice leadership, and respective governing boards, as requested.

• Implement compliance systems and processes at owned and assigned practices and support the sustainability of those systems.

• Develop, implement and update compliance policies with consideration of applicable federal and state laws and regulations.

• Develop and maintain productive working relationships between compliance, legal, and operations at the corporate and practice level to ensure that processes are consistently applied, and compliance related efforts are coordinated.

• Review all information security and privacy plans at assigned practices to make sure that there are proper liaisons between Compliance and OneOncology IT and Security Departments.

• Maintain up to date regulatory knowledge of applicable federal and state healthcare compliance and privacy laws and accreditation standards (e.g., ACHC) and develop initiatives to implement at owned and/or assigned practices.

• Other duties as assigned to help drive our mission of improving the lives of everyone living with cancer.

Key Competencies

• Established Compliance professional in the physician practice or healthcare provider industries.

• Ability to manage, prioritize and multi-task various responsibilities.

• Strong communication skills (verbal/written/listening)

• Strong technical skills in Microsoft Office Suite, compliance/legal tracking and research systems (e.g., Ethico, HealthStream, PolicyStat, etc.)

• Detail-oriented, ability to oversee complex problems, maintain a high level of confidentiality, requires minimal direction and ability to work within a team environment.

• Proactively prioritize needs and effectively manage resources.

• Communicate clearly and concisely, verbally and in writing. This includes utilizing proper punctuation, correct spelling and the ability to transcribe accurately.

Qualifications

• BA/BS or an equivalent combination of education and professional experience..

• Certifications in general healthcare compliance and privacy are strongly preferred.

• 5+ years of experience in Compliance or Privacy in healthcare required.

• Up to 50% travel, at a minimum required.

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