Compliance Manager, SW Region (Hybrid - Irving, TX)

About the position At the direction of the Regional Compliance Director, responsible for communicating, training, driving and proactively monitoring compliance with all applicable federal and state laws, regulations, policy directives and ethical requirements at the laboratories within the region.

Responsibilities

• Actively support the Regional Compliance Director, including the ability to function as a substitute at business partner meetings and to provide guidance on complex issues
• Management of compliance related areas including implementation of procedures and processes
• Respond directly to internal/external customers regarding policies and assist them in finding solutions to business problems
• Provide day-to-day Compliance support to Director-level colleagues
• Assist in addressing Legal and Compliance issues in conjunction with Corporate departments and Senior Leadership / Executives within the Region
• Assist in the investigation of any reports (IRs) or evidence of misconduct or non-compliance, and implementation of corrective action including training and retraining
• Live training and communication to Quest employees on relevant policies, procedures and regulations
• Manage all Audit requests, activities and requirements for the Region under supervision of the Regional Director
• Manage the Compliance Monitoring Program and conduct site visits, as needed
• Coordinate activities of Compliance staff at the direction of the Regional Compliance Director
• Manage document assembly for third-party reimbursement audits; depositions and lawsuits; subpoena document production

Requirements

• B.S. in Medical Technology, Business Administration or experience
• 7+ years in the healthcare industry with a background in compliance, billing, operations and/or medical technology
• Experience conducting audits and communicating findings
• Understanding of all federal and state fraud and abuse laws and regulations
• Training, facilitation and presentation skills, including the ability to draft training materials
• Detailed knowledge of Compliance Policies and ability to explain and apply the policies to diverse fact patterns
• Knowledge of sales and billing policies and processes
• Demonstrated leadership, multi-tasking, communication and project management skills
• Understanding of all aspects of lab operations
• Combination of strong analytical skills and the demonstrated ability to translate analytical insights into proposed operational or strategic changes
• Excellent interpersonal, presentation, and facilitation skills
• Proven ability to be able to communicate and collaborate cross functionally multiple cross-functional groups and diverse personalities

Nice-to-haves

• CHC or CHPC certification desirable
• Experience supervising or providing technical leadership to others highly preferred
• Experience with Quest Lab Information System and related business systems highly desirable
• Demonstrated program management experience

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