At evolvedMD, we are leading the integration of behavioral health services in modern primary care. How? We use a uniquely upfront, innovative, and ongoing approach that places our clinicians on site and in person at each of the practices we serve. As one of America’s largest and most seasoned companies dedicated to integration, we fully embed behavioral health managers into a collaborative team. evolvedMD is committed to meeting patients where they are most comfortable: whether that is in person and on site at your practice location or virtual. We offer early, comprehensive, and dedicated care to help patients achieve the best possible behavioral health outcomes.
Compliance Manager
Location
United States
Posted
2 days ago
Salary
$85K - $115K / year
Seniority
Lead
No structured requirement data.
Job Description
Compliance Manager
evolvedMD
Role Description The Compliance Manager is responsible for supporting and maintaining the company's compliance program across three service lines: integrated behavioral health / Collaborative Care Model (CoCM), outpatient therapy, and outpatient psychiatric services. This role oversees day-to-day compliance activities, including: - Auditing - Monitoring - Investigations - Policy management - Regulatory research - Corrective action planning - Staff education The Compliance Manager works collaboratively with clinical, operational, quality, credentialing, revenue cycle, and leadership teams to promote a culture of compliance, ethical conduct, patient safety, and regulatory adherence. Location: This position can be remote in AZ, UT, CO, or NM Compensation: - First-year compensation: $85,000 - $115,000 annually (DOE) - $1,200 annual technology allowance - 401(k) company match up to 3% Qualifications - Bachelor's degree in healthcare administration, public health, business administration, compliance, or related field. - Minimum of 3 years of healthcare compliance, audit, quality, risk management, behavioral health, or related experience. - Experience interpreting healthcare regulations and conducting compliance investigations. - Experience developing corrective action plans and monitoring remediation activities. Requirements - Experience in outpatient behavioral health, psychiatry, or Collaborative Care Model (CoCM) programs. - Experience with Medicare and Medicaid billing compliance. - Experience supporting accreditation readiness (CARF, Joint Commission, etc.) - Experience with electronic health record systems and healthcare analytics. Knowledge, Skills, and Abilities - Strong understanding of healthcare compliance program requirements and regulatory frameworks. - Knowledge of HIPAA, fraud, waste and abuse prevention, Medicare regulations, and behavioral health compliance requirements. - Strong auditing, investigative, analytical, and problem-solving skills. - Excellent written and verbal communication skills. - Ability to manage multiple priorities and deadlines independently. - Proficiency with Microsoft Office applications and data analysis tools. - Ability to maintain confidentiality and exercise sound professional judgment.
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