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Stout Risius Ross logo

Manager, Healthcare Compliance - Disputes, Claims & Investigations

Stout Risius Ross
Chicago, Illinois

$87,000 - $195,000 / year

At Stout, we’re dedicated to exceeding expectations in all we do – we call it Relentless Excellence ® . Both our client service and culture are second to none, stemming from our fi...

Posted 4 days ago

H logo

Instructional Designer - Healthcare Consulting

Huron Consulting Services
Chicago, Illinois

$65,000 - $85,000 / year

Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accel...

Posted 3 days ago

Procon Consulting logo

Construction Administrator - Federal Healthcare

Procon Consulting
Perryville, MD
Procon is a top-ranked construction management and technology consulting firm with 25 years of experience delivering high‑impact projects across the U.S. and worldwide. An ENR Top...

Posted 4 days ago

H2 Performance Consulting logo

Healthcare Program Coordinator

H2 Performance Consulting
Washington, DC
H2 Performance Consulting is subject to the Vietnam Era Veteran's Readjustment Assistance Act as a Federal Contractor. As such we strive to reach out and provide employment opportu...

Posted 4 days ago

T logo

Healthcare Coordinator, RN or LPN

The Lakeside Village
Panora, Iowa
Healthcare Coordinator, RN The Healthcare Coordinator (RN) partners with the Community Director to ensure exceptional, people-centered care in a supportive senior living environmen...

Posted 2 days ago

Wohlsen Construction logo

Project Executive (Healthcare Experience Preferred)

Wohlsen Construction
Clark, New Jersey
Role: Project Executive (Healthcare Experience Preferred) About Your Opportunity Manage Wohlsen’s relationship with each assigned client, ensuring satisfaction and fostering long-t...

Posted 2 days ago

C logo

Calling All Healthcare Heroes

Comfort Keepers of North Georgia
Ellijay, Georgia

$20+ / hour

Calling All Healthcare Students – Start Gaining Experience NOW ! Looking for meaningful work that fits around your school schedule? Comfort Keepers of North GA is hiring CNAs & Car...

Posted 2 days ago

Wohlsen Construction logo

Project Executive (Healthcare Experience Preferred)

Wohlsen Construction
Berwyn, Pennsylvania
Role: Project Executive (Healthcare Experience Preferred) About Your Opportunity Manage Wohlsen’s relationship with each assigned client, ensuring satisfaction and fostering long-t...

Posted 2 days ago

C logo

Healthcare Server

Cypress Cove Career
Fort Myers, Florida
WE VALUE YOU! Flexible work schedules – no late nights! Access to wages before payday. Delicious FREE MEALS during your shift. Work with a team who appreciates your passion and ent...

Posted 2 days ago

A Place for Mom logo

Healthcare Account Executive - Salt Lake City

A Place for Mom
Salt Lake City, Utah

$80,000 - $115,000 / year

Exciting opportunity to join the A Place for Mom team as an outside sales Healthcare Account Executive . You will be the face of A Place for Mom with the hospitals and skilled nurs...

Posted 2 days ago

FTI Consulting logo

Senior Director, Healthcare Business Transformation Operations | Corporate Finance

FTI Consulting
New York, New York

$154,500 - $302,000 / year

Who We Are FTI Consulting is the leading global expert firm for organizations facing crisis and transformation. We work with many of the world’s top multinational corporations, law...

Posted 2 days ago

Danaher logo

Project Coordinator, Clinical Lab Equipment Implementation (Healthcare)

Danaher
Indianapolis, Indiana

$35 - $39 / hour

Bring more to life. Are you ready to accelerate your potential and make a real difference within life sciences, diagnostics and biotechnology? At Beckman Coulter Diagnostics, one o...

Posted 2 days ago

Forbright Bank logo

Associate / Senior Associate, Underwriting, Healthcare Finance

Forbright Bank
Chevy Chase, Maryland

$100,000 - $120,000 / year

COMPANY DESCRIPTION: Forbright is a nationwide full-service bank and commercial lender focused on helping to build a brighter future for our clients and the communities we serve. F...

Posted 2 days ago

Wells Fargo Bank logo

Managing Director, Healthcare Corporate Banking

Wells Fargo Bank
Charlotte, North Carolina
Corporate & Investment Bank (CIB) delivers a comprehensive suite of banking, capital markets and advisory solutions, including a full complement of sales, trading and research capa...

Posted 2 days ago

Wohlsen Construction logo

Project Executive (Healthcare Experience Preferred)

Wohlsen Construction
Wilmington, Delaware
Role: Project Executive (Healthcare Experience Preferred) About Your Opportunity Manage Wohlsen’s relationship with each assigned client, ensuring satisfaction and fostering long-t...

Posted 2 days ago

C logo

Optometrist (OD) - State Operated Healthcare Facilities, Butner NC

CLFC Healthcare and Communications
Butner, NC

$128 - $155 / hour

Location: Butner, North Carolina (Murdoch Developmental Center and Central Regional Hospital), with additional clinic days at Cherry Hospital (Goldsboro) and Broughton Hospital (Mo...

Posted 6 days ago

Y logo

Healthcare Business Development Associate (Remote)

YFB Strategies
St. Louis, MO

$45,000 - $55,000 / year

First Source Medical Staffing Healthcare Recruiting Business Development $45,000 - $55,000 /yr + Commissions (uncapped) Hybrid / Remote First Source Medical Staffing is a dynamic,...

Posted 30+ days ago

C logo

Physician Assistant / Nurse Practitioner - Correctional Healthcare, U.S. Virgin Islands

CLFC Healthcare and Communications
Kingshill, VI

$65 - $78 / hour

Location: St. Croix (Kingshill) and St. Thomas, U.S. Virgin Islands; on-site (assignment to one or both facilities based on need) Employment Type: Independent Contractor (1099) Sch...

Posted 6 days ago

Knutson Construction logo

Senior Project Manager – Healthcare

Knutson Construction
Minneapolis, MN

$133,000 - $207,000 / year

Celebrated as one of Minnesota's Top Workplaces! Knutson Construction is accepting applications for a Senior Project Manager to join our team in Minneapolis, MN. “Together We Make...

Posted 30+ days ago

T logo

General Engineer (Healthcare Engineer)

Terrestris Global Solutions
Long Beach, CA
Are you looking for a Challenge? Looking for an innovative organization and the opportunity to learn and grow professionally? We can help! We are seeking a General Engineer under t...

Posted 30+ days ago

Stout Risius Ross logo

Manager, Healthcare Compliance - Disputes, Claims & Investigations

Stout Risius RossChicago, Illinois

$87,000 - $195,000 / year

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Overview

Schedule
Flexible-schedule
Full-time
Education
Medical Coding (CCA, CCS, CCS-P, CPC)
Career level
Director
Remote
On-site
Compensation
$87,000-$195,000/year
Benefits
Health Insurance
Flexible/Unlimited PTO
Career Development

Job Description

At Stout, we’re dedicated to exceeding expectations in all we do – we call it Relentless Excellence ®. Both our client service and culture are second to none, stemming from our firmwide embrace of our core values: Positive and Team-Oriented, Accountable, Committed, Relationship-Focused, Super-Responsive, and being Great communicators. Sound like a place you can grow and succeed? Read on to learn more about an exciting opportunity to join our team.

Impact You’ll Make

As a Healthcare Compliance Manager, you will help healthcare organizations design, implement, and maintain effective compliance programs across physician practice groups, clinical laboratories, and pharmacy operations.

  • Lead compliance program rollout across multi-site healthcare operations.

  • Develop risk-based audit plans, monitoring activities, and gap analyses.

  • Translate regulatory and payer requirements into practical controls, training, and corrective action plans.

  • Partner with operational, clinical, revenue cycle, quality, HR, IT/security, legal, and finance teams.

  • Strengthen compliance culture through clear reporting, education, and remediation support.

What You’ll Do

  • Lead the rollout and refresh of compliance plans, policies, SOPs, controls, training, monitoring cadence, and escalation processes.

  • Build standardized compliance tools, including gap assessment templates, control matrices, readiness checklists, training plans, and CAP trackers.

  • Conduct periodic compliance risk assessments and develop annual audit and monitoring workplans.

  • Monitor enforcement trends, payer focus areas, and regulatory updates to adjust compliance priorities.

  • Design and execute audits, monitoring activities, and gap analyses across physician practice, laboratory, and pharmacy operations.

  • Prepare audit reports with risk ratings, root-cause analysis, financial or operational impact, and recommendations.

  • Develop, track, and validate corrective action plans through follow-up testing and closure.

  • Lead or oversee audits of professional services documentation, coding, billing, modifiers, and medical necessity.

  • Partner with revenue cycle and coding teams to identify trends, reduce repeat findings, and support payer audits.

  • Support lab compliance activities related to CLIA, CAP, Joint Commission readiness, document control, SOP governance, quality audits, and CAPA processes.

  • Develop and maintain pharmacy compliance program components related to policy governance, regulatory change monitoring, controlled substances, audits, and inspection readiness.

  • Support investigations into compliance concerns and coordinate with HR and legal as needed.

  • Build and deliver role-based compliance training for providers, billing and coding teams, lab personnel, pharmacy staff, and managers.

  • Maintain compliance dashboards covering audit activity, findings, CAP aging, training completion, and trends.

  • Prepare recurring updates for leadership and compliance committees.

What You Bring

  • Bachelor’s degree in healthcare administration, nursing, business, public health, health information management, or a related field, or equivalent experience.

  • CHC certification required; equivalent healthcare compliance certification may be considered.

  • 7+ years of progressive healthcare compliance experience.

  • Demonstrated experience owning compliance program rollout, risk-based audit planning, auditing and monitoring, gap analysis, corrective action development, and validation.

  • Experience supporting compliance across large physician practice groups, clinical laboratory operations, and pharmacy operations.

  • Strong understanding of documentation, coding, billing, medical necessity, CLIA/CAP readiness, pharmacy regulatory requirements, DEA requirements, and state board requirements.

  • Strong report writing, presentation, and stakeholder management skills.

  • Ability to communicate sensitive findings professionally and influence remediation owners.

  • Additional credentials such as CPC, CCS, CPMA, CHPC, CTP, or other relevant certifications preferred.

  • Experience managing payer or vendor audits and reporting status to senior leadership preferred.

  • Experience with analytics, dashboards, audit management tools, or data warehouse reporting preferred.

  • Prior leadership or supervisory experience preferred.

How You’ll Thrive

  • Apply strong audit fundamentals, including scoping, sampling, evidence standards, workpapers, issue classification, CAP design, and re-testing.

  • Translate regulatory and payer requirements into practical workflows and controls.

  • Build trust with clinical, operational, legal, revenue cycle, quality, HR, IT/security, and finance stakeholders.

  • Manage sensitive issues with discretion, professionalism, and sound judgment.

  • Communicate findings clearly to leadership and compliance committees.

  • Balance multiple priorities while maintaining accuracy and follow-through.

  • Support a speak-up culture, consistent non-retaliation practices, and sustained compliance improvement.

  • Deliver Relentless Excellence® through practical guidance, responsive service, and strong execution.

Why Stout?At Stout, we offer a comprehensive Total Rewards program with competitive compensation, benefits, and wellness options tailored to support employees at every stage of life.We foster a culture of inclusion and respect, embracing diverse perspectives and experiences to drive innovation and success. Our leadership is committed to inclusion and belonging across the organization and in the communities we serve.We invest in professional growth through ongoing training, mentorship, employee resource groups, and clear performance feedback, ensuring our employees are supported in achieving their career goals.Stout provides flexible work schedules and a discretionary time off policy to promote work-life balance and help employees lead fulfilling lives.Learn more about our benefits and commitment to your success.

https://www.stout.com/en/careers/benefits

The specific statements shown in each section of this description are not intended to be all-inclusive. They represent typical elements and criteria necessary to successfully perform the job.

Stout is an Equal Employment Opportunity.All qualified applicants will receive consideration for employment on the basis of valid job requirements, qualifications and merit without regard to race, color, religion, sex, national origin, disability, age, protected veteran status or any other characteristic protected by applicable local, state or federal law. 

Stout is required by applicable state and local laws to include a reasonable estimate of the compensation range for this role. The range for this role considers several factors including but not limited to prior work and industry experience, education level, and unique skills. The disclosed range estimate has not been adjusted for any applicable geographic differential associated with the location at which the position may be filled. It is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case.

A reasonable estimate of the current range is $87,000.00 - $195,000.00 Annual. This role is also anticipated to be eligible to participate in an annual bonus plan. Information about benefits can be found here - https://www.stout.com/en/careers/benefits.

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Submit 10x as many applications with less effort than one manual application.

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