3434-Healthcare Compliance Lead
Innovaccer
About the Role
Leads the development, implementation, and oversight of the organization's healthcare compliance program to ensure adherence to federal and state regulations, accreditation standards (if applicable), and internal policies. Provides strategic direction for compliance initiatives to mitigate risk and maintain regulatory compliance across the organization.
A Day in the Life
- Continuously improve Innovaccer’s comprehensive compliance programs, policies, and procedures to ensure adherence to healthcare regulations including HIPAA, Medicare/Medicaid requirements, and fraud and abuse laws
- Conduct regular risk assessments to identify potential compliance vulnerabilities and develop corrective action plans to address identified issues
- Oversee and perform internal monitoring and auditing processes to evaluate compliance with federal and state regulations and organizational policies
- Investigate potential compliance violations, recommend corrective actions, and implement preventive measures to mitigate future risks
- Serve as a liaison during audits or investigations
- Develop and deliver compliance training programs for staff at all levels of the organization
- Prepare comprehensive compliance reports to various stakeholders including department leads and executive leadership
- Leverage technology and analytics to enable actionable, effortless, and shared reports
- Collaborate with legal counsel and information security teams to address complex compliance matters
- Stay current on healthcare regulatory changes and emerging compliance trends to ensure organizational policies remain up-to-date
- Perform other compliance-related tasks as requested
What You Need
- Minimum 5-7 years of progressive experience in healthcare compliance
- At least 3 years of oversight of a compliance program within a company
- Bachelor's degree in Healthcare Administration, Business, Law, or related field
- Master's degree in Healthcare Administration, Business Administration, Law, or related field preferred.
- Demonstrated experience developing and implementing compliance programs in healthcare settings
- Comprehensive knowledge of healthcare regulatory frameworks including HIPAA, HITECH, Medicare/Medicaid regulations
- Strong understanding of healthcare fraud and abuse laws (Anti-Kickback Statute, Stark Law, False Claims Act)
- Proficiency in compliance risk assessment methodologies and audit techniques
- Experience with compliance management software and data analysis tools
- Knowledge of healthcare accreditation standards (Joint Commission, NCQA, etc.)
- Exceptional leadership abilities
- Strong analytical and problem-solving skills
- Excellent written and verbal communication skills
- Ability to influence and collaborate with stakeholders at all levels
- High level of integrity and ethical decision-making
Preferred Skills
- Master's degree in Healthcare Law
- Certified in Healthcare Compliance (CHC) certification
- Additional certifications preferred: Certified in Healthcare Privacy Compliance (CHPC) or Certified Compliance and Ethics Professional (CCEP)
- Experience in multiple healthcare settings (hospital, physician practice, health plan)
- Background in healthcare privacy, information security, or legal compliance
- Experience managing compliance through organizational change or mergers/acquisitions
- Knowledge of emerging healthcare compliance issues related to telehealth, digital health, or value-based care models.
We offer competitive benefits to set you up for success in and outside of work.
Here’s What We Offer
- Generous Paid Time Off: Recharge and relax with 22 days of fixed time off per year, in addition to company holidays—because we believe work-life balance fuels performance.
- Best-in-Class Parental Leave: Spend quality time with your growing family. We offer one of the industry’s most generous parental leave policies to support you during life’s most important moments.
- Recognition & Rewards: We celebrate wins—big and small. Get rewarded with monetary incentives and company-wide recognition for your impact and dedication. Your hard work won’t go unnoticed.
- Comprehensive Insurance Coverage: Stay covered with medical, dental, and vision insurance, plus 100% company-paid short- and long-term disability and basic life insurance. Optional perks include discounted legal aid and pet insurance.
Innovaccer Inc. is an equal opportunity employer. We celebrate diversity and are committed to fostering an inclusive workplace where all employees feel valued and empowered regardless of any characteristic protected by federal, state or local law including, without limitation, race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, medical condition, disability, age, marital status, or veteran status. Innovaccer Inc. participates in the E-Verify program to confirm employment eligibility of all newly hired employees based out of the U.S. and employed by Innovaccer Inc.
For any additional information, please visit the below websites:
Disclaimer:
Innovaccer does not charge fees or require payment from individuals or agencies for securing employment with us. We do not guarantee job spots or engage in any financial transactions related to employment. If you encounter any posts or requests asking for payment or personal information, we strongly advise you to report them immediately to our HR department at px@innovaccer.com. Additionally, please exercise caution and verify the authenticity of any requests before disclosing personal and confidential information, including bank account details.