4460 Manager Compliance & Regulatory

Ovii's Interpretation of the Role

The Manager, Compliance & Regulatory leads Innovaccer’s healthcare compliance program, ensuring adherence to federal, state and accreditation requirements. The role drives risk assessments, audits, training and reporting while partnering with legal and security teams.

Role Snapshot

• Lead organization‑wide healthcare compliance program
• Oversee risk assessments and internal audits
• Develop training and reporting for all staff levels
• Collaborate with legal counsel and information security
• Leverage analytics and technology for compliance insights
• Manage regulatory change and stakeholder communication

Must-Have Requirements

• HIPAA knowledge
• HITECH knowledge
• Medicare/Medicaid regulatory knowledge
• Anti‑Kickback, Stark, False Claims Act knowledge
• Compliance risk assessment methodology
• Audit techniques
• Compliance management software proficiency
• Data analysis tools proficiency
• Joint Commission accreditation knowledge
• NCQA accreditation knowledge
• Leadership and stakeholder influence
• Written and verbal communication
• healthcare compliance
• program oversight
• Bachelor's degree in Healthcare Administration, Business, Law, or related field

Nice-to-Have Signals

• Revenue cycle management (RCM) or medical coding background
• Certified in Healthcare Compliance (CHC)
• Certified in Healthcare Privacy Compliance (CHPC)
• Certified Compliance and Ethics Professional (CCEP)
• Experience in multiple healthcare settings
• Knowledge of telehealth, digital health, value‑based care compliance
• revenue cycle management or medical coding
• multiple healthcare settings
• telehealth compliance
• Master's degree in Healthcare Administration, Business Administration, Law, or related field

Work Setup

• Location: United States
• Work mode: REMOTE
• Remote scope: COUNTRY_RESTRICTED
• Remote countries: United States
• Employment type: Full-Time

Eligibility Gates

• Visa sponsorship: no

What You'll Likely Work On

• Continuously improve compliance policies, procedures and programs to meet HIPAA, Medicare/Medicaid and fraud‑and‑abuse regulations
• Conduct regular risk assessments, create corrective action plans and monitor remediation
• Design and execute internal monitoring, audit and verification activities
• Investigate potential violations, recommend corrective actions and implement preventive measures
• Act as primary liaison during external audits or investigations
• Create and deliver compliance training for staff at all levels
• Prepare detailed compliance reports for department heads and executive leadership
• Utilize technology and analytics to produce actionable compliance dashboards
• Partner with legal and information‑security teams on complex compliance issues
• Stay current on regulatory updates and emerging healthcare compliance trends

Good Fit If You Have

• Background in revenue cycle management (RCM) or medical coding
• Certified in Healthcare Compliance (CHC) or related certifications (CHPC, CCEP)
• Experience across multiple healthcare settings (physician practice, health plan)
• Familiarity with telehealth, digital health and value‑based care compliance