Compliance Manager

Full-time

Description

Job Title: Compliance Manager

Organizational Profile

Founded in 1991 IBJI is the largest orthopedic group practice in Illinois. With more than 150 physicians in every orthopedic specialty IBJI offers care for adults and children from some of the most accomplished and respected orthopedists in the country. Serving northern Illinois and northwest Indiana with over 100 locations IBJI makes it easy to access care. Our headquarters is in Park Ridge Illinois a northwest suburb of Chicago.

Our clinical services include advanced MRI imaging pain management non-surgical and surgical treatment plans rheumatology physical therapy occupational therapy wellness and sports and sports training. Ortho Access walk-in clinics provide same day care for orthopedic injuries. Comprehensive care offered all in one place enables physicians therapists and staff to work closely together so that patients and families achieve better outcomes. Collaborative care is also more many cases IBJI services are substantially less expensive than those provided by large healthcare systems and emergency rooms.

Background

Illinois Bone & Joint Institute is seeking a Compliance Manager to join its Legal and Compliance Department. This person will help develop implement and maintain an effective healthcare compliance program across a large physician-owned orthopedic practice. The role includes compliance monitoring investigations policies training and corrective action working closely with physicians clinical and administrative leaders and the General Counsel. We welcome candidates with substantial healthcare compliance experience including licensed attorneys. For an attorney hired into the role approximately 2025% of the workload is expected to involve substantive legal research drafting contract review and advice on matters assigned and supervised by the General Counsel. Work allocation will vary with departmental needs and the individuals experience.

• Hybrid: Monday - Thursday office. Friday remote

Summary

Our Legal Department is small and high-trust and were looking for someone to run our Compliance Department day to day. Illinois Bone & Joint Institutes Compliance Manager supports its healthcare compliance program. This role will oversee compliance monitoring investigations policies training and corrective actions while partnering closely with physicians clinical and administrative leaders and the General Counsel.

Responsibilities

Compliance Monitoring and Program Development

• Develop implement and maintain a risk-based compliance monitoring plan in coordination with Legal and Compliance leadership and relevant operational teams
• Identify and assess compliance risks involving billing and coding documentation privacy physician relationships and other practice operations
• Plan and coordinate targeted reviews periodic monitoring and audits with the subject matter experts and departments responsible for performing the substantive work
• Track findings corrective actions and follow-up reviews to assess whether identified issues have been resolved and improvements sustained.
• Recommend practical improvements to compliance processes controls and reporting

Investigations and Issue Management

• Manage assigned compliance reviews and investigations from initial fact gathering through findings follow-up and resolution
• Work with physicians clinical and administrative leaders and subject matter experts to assess concerns and develop appropriate responses
• Prepare clear written assessments and promptly escalate matters requiring legal judgment or leadership attention
• Maintain organized records of concerns reviews findings and remediation

Policies Training and Operational Guidance

• Develop review and maintain compliance policies procedures guidelines and
• operational guidance
• Develop assign coordinate and track compliance training across departments; identify training gaps and prepare targeted content
• Maintain current training materials policy records and completion documentation
• Provide practical compliance guidance to physicians managers and staff and support a culture that encourages questions and reporting of concerns
• Monitor relevant legal and regulatory developments and coordinate updates to policies training and operational practices

Reporting and Department Support

• Prepare summaries of compliance activities monitoring results risk assessments corrective actions and training outcomes for leadership review
• Maintain compliance calendars documentation and tracking tools to support timely completion of program activities
• Review contracts and other documents for compliance issues and support assigned department projects

Legal Responsibilities for an Attorney Hired into the Role

• Devote approximately 2025% of the workload to substantive legal assignments under the General Counsels direction
• Research healthcare employment corporate and regulatory questions and prepare practical analyses and recommendations
• Prepare initial drafts reviews and proposed revisions to contracts policies correspondence and other legal documents
• Provide legal advice on assigned matters subject to the General Counsels oversight and final legal approval
• Perform other duties as assigned
• Maintain a clean and safe work environment
• Other duties as assigned

Why Youll Want to Stay

• Room to grow this role is built to expand in scope and impact as you take on more of the departments operations with a clear path to grow into a more comprehensive title as you do
• Direct access to leadership youll work directly with the General Counsel and IBJIs physicians with real visibility into how the Compliance Department operates
• A hybrid schedule four days in-office one day remote based out of IBJIs beautiful new headquarters in the heart of downtown Park Ridge
• A headquarters built for the job easy on-site parking a complimentary on-site gym and a walkable location minutes from downtown Park Ridge restaurants and the Metra train
• A team that invests in its people regular team activities and a strong department culture plus an annual continuing education stipend to support your professional growth
• Comprehensive benefits from day one (30 hrs/week): medical dental vision life & AD&D short- and long-term disability 401(k) with company match and profit sharing wellness program HSA/FSA ID protection and paid holidays and PTO

Requirements

Requirements

Education

• Bachelors degree required; J.D. or relevant advanced degree welcome.

Certifications/Licensure

• A J.D. and active Illinois law license are welcome but not required
• Healthcare compliance certification preferred

Experience

• Experience in healthcare compliance healthcare law or a related role involving substantive compliance responsibilities
• Experience developing or administering compliance monitoring investigations policies training or corrective action processes
• Experience in a physician practice or other healthcare provider organization preferred

Technical Skills

• Working knowledge of healthcare compliance requirements affecting physician practices including Medicare billing and documentation HIPAA and physician financial relationships
• Ability to assess compliance risks analyze findings and translate requirements into practical operational guidance
• Strong drafting reporting and organizational skills including the ability to maintain accurate records and track multiple matters through completion

Soft Skills

• Ability to manage assigned work independently meet deadlines and recognize when escalation is necessary
• Sound judgment discretion and the ability to handle sensitive information
• Strong communication skills and the ability to work effectively with physicians operational leaders and subject matter experts
• Ability to maintain constructive working relationships while addressing compliance concerns and following through on corrective actions

Physical Requirements

• Stand or sit for extended periods of time

This description is intended to provide only basic guidelines for meeting job requirements. Duties and responsibilities experience qualifications skills supervisory relationship physical/mental demands and environmental/ working conditions may change as needs evolve.

Base salary offers for this position may vary based on factors such as location skills and relevant experience. We offer the following benefits to those who are benefit eligible (30 hours a week): medical dental vision life and AD&D insurance long and short term disability 401k program with company match and profit sharing wellness program health savings accounts flexible savings accounts ID protection plan and accident critical illness and hospital addition we offer paid holidays and paid time off.

Illinois Bone and Joint Institute LLC is an equal opportunity employer. All employment decisions are based on qualifications merit and business need without regard to race color religion age sex national origin disability status military or veteran status sexual orientation gender identity and expression or any other characteristic protected by federal state or local laws. This policy applies to recruitment and placement promotion training transfer retention rate of pay and all other terms and conditions of employment.

Salary Description

$125K-$165K/year based on experience/skills

Required Experience:

Manager