Senior Compliance Specialist

• Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, and now radiology, through the recent combining of forces with Advocate RCM. Focused on Revenue Cycle Management and Advisory services, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities.
  
  
  

Job Summary

• Requires :3 days onsite at our Clark, Philippines Service Delivery Center.
• The Manager, Compliance will enhance Ventra’s compliance program and will be responsible for providing oversight and support of Ventra’s compliance policies, procedures, training programs and controls to help ensure the company’s compliance with applicable laws and regulations.
  
  
  

Essential Functions And Tasks

• Drafting, updating, implementing, managing, and enforcing the company’s compliance plan and all relevant compliance policies and procedures.
• Preparing compliance training materials, coordinating rollout of compliance training to new and existing employees and applicable contractors, and ensuring completion of trainings by Ventra team members.
• Coordinating rollout and training on new or updated policies and directives when required.
• Helping drive culture of compliance throughout the company, including development of compliance communication strategy.
• Day-to-day management of Ventra’s compliance hotline and incident tracking system.
• Managing investigations on all compliance incidents and issues.
• Conducting research on laws and regulations affecting the company.
• Providing timely advice and leadership to stakeholders in relation to compliance issues and inquiries.
• Preparing materials for Compliance Committee meetings.
• Reporting on compliance issues and incidents to Compliance Committee.
  
  
  

Education And Experience Requirements

• Bachelor’s degree.
• At least 3-5 years’ experience in healthcare compliance.
• Compliance certification (or will become certified within 1 year).
• Working knowledge and experience with HIPAA, OIG compliance and U.S. healthcare fraud and abuse laws.
• Revenue cycle management, coding, or other healthcare operations experience in Radiology, Anesthesia, Emergency Medicine and/or Hospital Medicine is strongly preferred.
  
  
  

Knowledge, Skills, And Abilities

• Strong oral, written and interpersonal communication skills.
• Proactive, responsive and detail-oriented.
• Strong time management, organizational, and decision-making skills with the ability to prioritize tasks.
• Ability to read, understand, and apply state/federal laws, regulations, and policies.
• Ability to communicate with diverse personalities in a tactful, mature, and professional manner.
• Ability to remain flexible and work within a collaborative and fast paced environment.
• Basic use of computer, telephone, internet, copier, fax, and scanner.
• Basic touch 10 key skills.
• Basic Math skills.
• Understand and comply with company policies and procedures.
• Strong oral, written, and interpersonal communication skills.
• Strong time management and organizational skills.
• Strong knowledge of Outlook, Word, Excel (pivot tables), and database software skills.
  
  
  

Ventra Health

Equal Employment Opportunity (Applicable only in the US)

Ventra Health is an equal opportunity employer committed to fostering a culturally diverse organization. We strive for inclusiveness and a workplace where mutual respect is paramount. We encourage applications from a diverse pool of candidates, and all qualified applicants will receive consideration for employment without regard to race, color, ethnicity, religion, sex, age, national origin, disability, sexual orientation, gender identity and expression, or veteran status. We will provide reasonable accommodations to qualified individuals with disabilities, as needed, to assist them in performing essential job functions.

Recruitment Agencies

Ventra Health does not accept unsolicited agency resumes. Ventra Health is not responsible for any fees related to unsolicited resumes.

Solicitation of Payment

Ventra Health does not solicit payment from our applicants and candidates for consideration or placement.

Attention Candidates

Please be aware that there have been reports of individuals falsely claiming to represent Ventra Health or one of our affiliated entities Ventra Health Private Limited and Ventra Health Global Services. These scammers may attempt to conduct fake interviews, solicit personal information, and, in some cases, have sent fraudulent offer letters.

To protect yourself, verify any communication you receive by contacting us directly through our official channels. If you have any doubts, please contact us at [email protected] to confirm the legitimacy of the offer and the person who contacted you. All legitimate roles are posted on https://ventrahealth.com/careers/ .

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