Cardiovascular Service Line Compliance Manager

City/State

Virginia Beach, VA

Work Shift

First (Days)

Overview:

Sentara is hiring a Cardiovascular Service Line Compliance Manager!

This role is hybrid and requires 3 to 4 days a week onsite.

Overview

The Compliance Manager is responsible for supporting the Director and/or Vice President in compliance management throughout the division and/or a department. Job objective is to assist the organization/department to meet the regulatory requirements and support quality and integrity efforts. Responsibilities include assisting with interpretation of federal and state rules, laws and regulations; identifying and resolving compliance related issues; developing and implementing compliance work plans, policies and procedures, and activities; monitoring and auditing division and/or department functions against regulatory requirements; educating staff on compliance and regulations; and communicating to staff and key external stakeholders compliance issues or regulatory and/or legislative changes.

Key Responsibilities

• Serve as a system resource on national coverage determinations (NCDs), local coverage determinations (LCDs), and other regulatory requirements impacting cardiology and peri-op procedures.
• Consultant to service line and division leadership and key stakeholders on regulatory affairs, compliance, and reimbursement integrity.
• Collaborate on policies and procedures to ensure compliance with federal, state, and accrediting body standards.
• Research, interpret, and disseminate updates on targeted regulatory changes from compliance affecting perioperative and cardiology services.
• Support leadership in identifying compliance risks, developing corrective action plans, and building quality improvement initiatives related to procedural services.

Education

• Bachelor's degree in Business Administration, Healthcare Administration, or Risk Management (Preferred)

Certification/Licensure

• No specific certification or licensure requirements

Experience

• 3 years of risk management experience (Required)

• 3 years of health insurance industry experience (Required)

• 3 years of compliance experience (Required)

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Keywords: compliance, reimbursement, national coverage determinations, NCD, cardiology, peri-op, perioperative, cardio, service line, regulatory, compliance, manager, cardiac, cath lab, operating room, OR, risk management, cardiovascular

Benefits: Caring For Your Family and Your Career

• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to $10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - $10,000
• Reimbursement for certifications and free access to complete CEUs and professional development
• Pet Insurance
• Legal Resources Plan
• Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.

Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.

In support of our mission "to improve health every day," this is a tobacco-free environment.

For positions that are available as remote work, Sentara Health employs associates in the following states:

Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.