Compliance Manager

4 days ago

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ABS Kids

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ABS Kids is a company dedicated to empowering children with autism spectrum disorders through tailored applied behavior analysis (ABA) therapy. By collaborating with local physicians, caregivers, and schools, ABS Kids provides both at-home and center-based services that focus on the individual needs and strengths of each child. Their approach fosters an understanding of neurodiversity, aiming to help children achieve their developmental milestones in a supportive environment.

Applied Behavioral Analysis for Autism Spectrum therapy • Speech Therapy • Diagnostic Evaluations • Psychotherapy • Occupational Therapy

1001 - 5000 employees

Founded 2011

📚 Education

⚕️ Healthcare Insurance

🌍 Social Impact

💰 Private Equity Round on 2019-08

📋 Description

• Provide direct oversight of the compliance plan and program, including but not limited to the following: billing and coding, privacy, conflicts of interest, anti-kickback and physician self-referral, HIPAA Privacy, Stark law, and fraud, waste, and abuse (FWA) • Maintain ABS Kids code of conduct, privacy policy, compliance plan and other compliance related policies and procedures • Handles highly sensitive and confidential information discreetly with interdepartmental personnel, clinical staff, patients and families, and insurance companies • Maintain current knowledge of applicable federal and state laws and regulations that impact ABS Kids and address new and emerging requirements • Review and analyze contracts for legal and compliance regulations, requirements, and statutes • Partner with outside legal counsel and vendors on compliance issues, as needed • Conduct timely investigations of identified compliance issues and consult with leadership • In conjunction with CCO, coordinate ABS Kids Compliance Committee and related activities • Manage ABS Kids Compliance Hotline • Other duties as assigned

🎯 Requirements

• Bachelor's degree in Business or Healthcare Administration or related field required • 5-6 years' experience in healthcare compliance roles required • Actively holds healthcare compliance certification (CHC, CHPC, or similar) or is willing to obtain certification within the first two years of employment. • Demonstrated understanding in; HIPAA, Privacy Act, FWA, Stark and Anti-kickback laws, and Medicare/Medicaid regulations • Able to read, analyze, and comprehend complicated contract requirements, regulations, and statutes • Excellent knowledge of legal, ethical, and compliance procedures, regulations, and requirements • Able to juggle competing demands and priorities while meeting strict deadlines and maintaining strong attention to detail • Strong analytical, project management, and problem-solving skills • Comfortable leading in an environment of constant change and ambiguity • Demonstrated working experience and expertise in negotiating privacy and data protection agreements, including business associate agreements and data use agreements

🏖️ Benefits

• Full benefits • Casual work environment • Opportunities for advancement