City/State
Virginia Beach VAWork Shift
First (Days)Overview:
This role is hybrid and requires 3 to 4 days a week onsite.
The Compliance Manager is responsible for supporting the Director and/or Vice President in compliance management throughout the division and/or a department. Job objective is to assist the organization/department to meet the regulatory requirements and support quality and integrity efforts. Responsibilities include assisting with interpretation of federal and state rules laws and regulations; identifying and resolving compliance related issues; developing and implementing compliance work plans policies and procedures and activities; monitoring and auditing division and/or department functions against regulatory requirements; educating staff on compliance and regulations; and communicating to staff and key external stakeholders compliance issues or regulatory and/or legislative changes.
Key Responsibilities
Serve as a system resource on national coverage determinations (NCDs) local coverage determinations (LCDs) and other regulatory requirements impacting cardiology and peri-op procedures.
Consultant to service line and division leadership and key stakeholders on regulatory affairs compliance and reimbursement integrity.
Collaborate on policies and procedures to ensure compliance with federal state and accrediting body standards.
Research interpret and disseminate updates on targeted regulatory changes from compliance affecting perioperative and cardiology services.
Support leadership in identifying compliance risks developing corrective action plans and building quality improvement initiatives related to procedural services.
Education
Bachelors degree in Business Administration Healthcare Administration or Risk Management (Preferred)
Certification/Licensure
No specific certification or licensure requirements
Experience
3 years of risk management experience (Required)
3 years of health insurance industry experience (Required)
3 years of compliance experience (Required)
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Keywords: compliance reimbursement national coverage determinations NCD cardiology peri-op perioperativecardio service line regulatory compliance manager cardiac cath lab operating room OR risk management cardiovascular
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30000-member workforce. Diversity inclusion and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission to improve health every day this is a tobacco-free environment.
For positions that are available as remote work Sentara Health employs associates in the following states:
Alabama Delaware Florida Georgia Idaho Indiana Kansas Louisiana Maine Maryland Minnesota Nebraska Nevada New Hampshire North Carolina North Dakota Ohio Oklahoma Pennsylvania South Carolina South Dakota Tennessee Texas Utah Virginia Washington West Virginia Wisconsin and Wyoming.
Required Experience:
Manager
Sentara Health, is an integrated, not-for-profit health care delivery system in Virginia and North Carolina. Sentara improves health everyday.