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:

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

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

• Collaborative, supportive team environment.

• Competitive compensation and benefits.

As the Compliance and Regulatory Specialist, you will support our Compliance Executive in managing the day-to-day compliance operations. This role is responsible for implementing compliance initiatives, conducting investigations, audits, and regulatory research, and ensuring corrective actions are followed through. The ideal candidate will have a strong understanding of healthcare regulations and a keen ability to analyze compliance risks, maintain adherence to policies, and support strategic compliance program execution. This is an excellent opportunity for individuals looking to develop their compliance expertise in a growing and dynamic organization. If you are a detail-oriented professional with a passion for healthcare compliance, we encourage you to apply! 

Key Responsibilities:

• Assist the Compliance Executive in the creation, review, revision and implementation of compliance policies and procedures.

• Conduct regulatory research and provide written opinions and recommendations.

• Assist in the development and provision of compliance training to employees and other relevant individuals (e.g., independent contractors).

• Conduct 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.

• Maintain logs of inquiries, track research, and document compliance issue resolutions.

• Conduct investigations of compliance matters as needed and assist with implementing corrective action plans, under the guidance of the Compliance Executive.

• Act as a liaison and expert for regulatory inquiries, coordinating responses across departments and following up as necessary.

• Develop reports on the status of compliance activities and report these to the Compliance Executive.

• Maintain databases, shared drives, and other tracking mechanisms for the compliance department.

• Conduct research on regulatory updates and informs the compliance team of necessary adjustments to policies.

• Ensure proper adherence to company policies and procedures and assist with government reporting as needed.

• Travel as required (approximately 5-10%).

Minimum Qualifications:

• Bachelor’s degree required.

• Juris Doctorate preferred, especially for recent graduates.

• Certification as CHC, CPC, RHIT, RHIA, or CCS-P is preferred but not required (willingness to obtain certification is a plus).

• Minimum 1-2 years of healthcare experience, preferably with demonstrated skill in compliance auditing, processes, developing policies and procedures and overseeing training initiatives.

• Basic healthcare compliance department experience required.

Knowledge and Skills:

• Ability to perform detailed work accurately and within agreed upon deadlines.

• Strong knowledge of Medicaid /Medicare regulations and CMS guidelines combined with an ability to analyze how those impact an organization’s operations.

• Ability to work collaboratively within a diverse, geographically dispersed team.

• Ability to maintain confidentiality.

• Ability to earn respect and build rapport as a knowledgeable and helpful resource within and outside the Compliance Department.

• Strong research skills.

• Ability to communicate effectively through oral and written communication such as written reports, business correspondence and policies and procedure manuals, as applicable. Communication should convey proficiency, professionalism, and respect.

• Demonstrates professionalism, integrity, maturity, intellectual curiosity, initiative and good judgment; and takes pride of ownership in work product.

• Knowledge of Microsoft Office (Word, Excel, PowerPoint, Outlook) required.

What We Offer:

• Base salary: $70,000

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

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

• Collaborative, supportive team environment.

• Competitive compensation and benefits.