We are partnering with a Fortune 500 company in their search for a Healthcare Regulatory Compliance Senior Manager in Denver, Co.

Why Join Us:

Join a team that is part of one of the nation’s largest and most innovative healthcare communities
Growing healthcare provider with 12 years on Fortune’s World’s Most Admired Companies List and continuous expansion outside the United States
Be part of a team dedicated to improving its patients’ access to healthcare and quality of life while achieving superior clinical outcomes

Expectations first 12 months:

Provide compliance and risk-based guidance to business units pertaining to federal & state fraud and abuse laws and other healthcare regulatory laws relating to outpatient centers and related business
Liaise between business clients, legal and compliance to ensure fraud and abuse risk is kept to a minimum as it relates to agreements with referral sources
Assess Company’s Referral Source Arrangement payments and monitoring program

Interpret and apply aspects of Company’s Corporate Integrity Agreement (CIA) to referral source agreements, such as medical director agreements, personal services agreements, transactions, and
Holistically review all documentation and background information for potential agreements with referral sources for fraud and abuse
Understand Anti-Kickback Statute and other compliance risks and be able to apply the concepts
Prioritize reviews and initiatives based on business needs and changing
Regularly interact with business clients to apply compliance principles to business
Assist other Company compliance teammates, regulatory attorneys, and business clients in identifying and resolving compliance
Advise on compliance with federal healthcare industry laws and
Monitor changes in relevant regulatory areas and provide education to business clients and compliance/legal teammates on those

BS required; JD preferred
Substantial knowledge of health care fraud and abuse laws and regulations, including the Anti-Kickback Statute
One to three years of legal/compliance experience
Ability to distill and articulate complex concepts clearly so that clients can readily understand
Work with clients proactively to identify risks and ensure appropriate risk mitigation strategies are in place

Relocation Policy: Relocation assistance available.

Application Process- Qualified professionals are to submit a resume to Jessica Simpson at jessica@conselium.com

Published by Conselium Executive Search, the global leader in compliance search.