Careers

As a Compliance Executive at Ronan Healthcare Compliance, you will provide strategic leadership and oversight for our clients' compliance programs. This role is responsible for developing, implementing, and managing comprehensive compliance frameworks that ensure adherence to federal and state healthcare regulations while promoting a culture of ethical conduct and risk mitigation. You will serve as a trusted advisor to our clients' executive leadership and Boards of Directors, guiding them through complex regulatory landscapes.

The ideal candidate brings extensive healthcare compliance expertise, strong leadership skills, and the ability to quickly assess and address compliance needs in diverse healthcare organizations. If you thrive in dynamic environments, enjoy building relationships with executive stakeholders, and are passionate about driving compliance excellence, we encourage you to apply.

Key Responsibilities:

• Develop, implement and monitor the comprehensive compliance program.

• Build a culture of compliance and emphasize the employee's responsibility to be knowledgeable of and comply with applicable federal and state healthcare laws.

• Partner with operational leaders to identify compliance solutions that support business objectives.

• Serve as trusted advisor to CEOs and board members across multiple client organizations.

• Work across diverse healthcare specialties including physician practices, home health, hospice, and behavioral health.

• Review and revise compliance policies and procedures as necessary, communicate these changes to leadership and staff.

• Provide training and education and/or develop regular communication on a variety of compliance-related topics, including but not limited to, Fraud, Waste and Abuse Laws, Anti-Kickback Statute, False Claims Act, HIPAA, and ensure organizational leadership is informed of updates.

• Maintain a current knowledge of federal and state regulations and policies as they affect the company through routine review of various CMS manuals, Federal Register notices, applicable government and/or industry-related internet information sites, and state Medicaid manuals.

• Establish and maintain a system for reporting potential compliance concerns, including the creation of a compliance helpline for anonymous reports or inquiries from employees.

• Protect the confidentiality of employees who make inquiries or report violations.

• Develop and implement annual compliance risk assessment and work plan.

• Attend leadership meetings to establish awareness of the compliance program.

• Conduct periodic reviews of the compliance program and make revisions in consideration of changes in the organization's needs and/or the statutes, rules, regulations, and requirements of federal and state health care programs.

• Oversee investigations of reported or identified compliance matters received, monitor identified risks, and advise on appropriate corrective actions.

• Oversee monitoring and auditing processes to evaluate ongoing compliance of key compliance risks as identified through the risk assessment process, government enforcement efforts, and/or reported compliance concerns.

• Oversee corrective action plans developed as a result of a reported or identified compliance matter to ensure appropriate follow-through.

• Communicate detected regulatory risks to organizational leadership and pertinent operational employees and provide additional training and education as needed.

• Lead strategic conversations with payors in dispute situations.

• Develop and maintain a positive rapport with payors, CMS, and other applicable federal/state government agencies.

• Act as Chair of the company Compliance Committee which provides an opportunity to report to the Chief Executive Officer and other Executive Leadership regularly on compliance-related matters.

• Report to the Board of Directors on compliance-related matters, as needed.

• Oversee the hiring, development, and performance management of the compliance team, including compliance regulatory specialists.

• Drive performance management through mentoring, evaluation, and coaching.

Minimum Qualifications:

Education / Licensing / Certification

• Bachelor's degree in healthcare, business, or organizational-related field or comparable corporate experience.

• Master's Degree in hospital or business administration (MBA or MPH), Juris Doctorate (JD) or related field, preferred.

• Certification in Healthcare Compliance and Privacy is preferred.

Experience

• Minimum of five years of experience specific to healthcare compliance and leadership positions.

• Five or more years' experience specific to healthcare specialties, including or a combination of: Physician Practice Management, Home Health, Hospice, or Behavioral Health.

Knowledge and Skills:

• Strong verbal and written communication skills.

• Excellent interviewing, negotiating, and interpersonal skills.

• Ability to communicate complex regulatory concepts in clear, actionable terms.

• Experience working as a partner to operations, not just an auditor.

• Comfort working across multiple organizations simultaneously.

• Experience with or interest in leveraging AI and technology tools to enhance compliance processes and efficiency.
  

• Ability to adapt to innovative approaches and integrate technology solutions into compliance work.

• Experience in establishing relationships with organizational leaders, board members, staff, and other healthcare industry leaders.

• Ability to deal effectively at all levels of the organization in ways that enhance understanding, respect, cooperation, and problem-solving.

• Thorough familiarity with relevant laws and regulations, including but not limited to the Anti-Kickback Statute, the False Claims Act, Stark Law, EMTALA, Civil Monetary Penalties Law, and Health Insurance Portability and Accountability Act (HIPAA).

• Thorough understanding of the regulatory environment of healthcare, ethics, pertinent legislation, OIG, OCR, and other regulatory agency processes.

• Ability to manage responses to government inquiries, including external Medicare Administrative Contractor audits, federal investigations, and direct outside counsel with respect to criminal and civil litigation.

What We Offer:

• Competitive compensation, commensurate with experience.

• Opportunity to work with a diverse portfolio of healthcare organizations.

• Professional development and growth within a dynamic, mission-driven company.

• Collaborative, supportive team environment.