The Compliance Manager is responsible for developing, implementing, and maintaining strategies and initiatives that ensure the effectiveness of Alivia Health's Compliance Program. This position ensures the organization's adherence to local, state, and federal healthcare laws and regulations while fostering a culture of accountability, integrity, and high-quality care. Key responsibilities include conducting audits, performing risk assessments, and collaborating with operational departments to design and deliver compliance training programs that equip staff with the knowledge to uphold legal and ethical standards. This leadership role also involves supervising compliance staff, addressing compliance inquiries, and promoting ethical practices throughout the organization.
Key Responsibilities include, but are not limited to:
Key Responsibilities include, but are not limited to:
- Assist the Quality and Compliance Director in the development and the implementation of an effective Compliance and Quality Program.
- Design and collaborate in the development and implementation of the annual Compliance workplan.
- Develop and implement the Compliance Program standards of conduct and policies and procedures and oversee the review process of Alivia Health Network policies and procedures to ensure policies and procedures address new regulations, emerging risks, and organizational priorities.
- Ensure the Compliance Program effectively supports Alivia Health business units with the prevention, detection, and correction of violations of applicable federal and state law, regulations, organization standards of conduct and policies and procedures.
- Develop and execute internal auditing and monitoring activities to ensure compliance.
- Prepare reports summarizing findings and recommendations for improvement.
- Perform risk assessments to evaluate potential vulnerabilities and develop corrective action plans to mitigate risks.
- Ensure effective follow-up on audit findings and oversee the implementation of necessary improvements.
- Fully bilingual in English and Spanish (Written and Verbal)
- Bachelor's Degree required in law, business administration, health science, or related field.
- CHC Certification is required upon hire or be obtained within the first twelve (12) to eighteen (18) months of commencing.
- A minimum of five (5) years in compliance or regulatory roles, including at least three (3) years in leadership capacity or equivalent.
- A minimum of three (3) years conducting monitoring/audits and investigations and/or data analysis.
- Strong understanding of healthcare compliance regulations and quality improvement processes.
- Strong knowledge of pharmacy, managed care, or similar healthcare industry processes and regulations