Senior Compliance Specialist
About Us:
Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. Focused on Revenue Cycle Management, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities.
Job Summary:
- The Senior Compliance Specialist is a key figure in upholding Ventra Health’s commitment to compliance and works closely with the Manager, Compliance. This role involves researching, developing, implementing, and enforcing standards for compliance; reviewing, revising, and drafting enterprise policies and procedures; leading investigations; educating staff; and offering guidance on compliance-related matters. The specialist works collaboratively across various departments to ensure the organization’s compliance framework is robust and effective.
Essential Functions and Tasks:
- Assist with day-to-day management of Ventra’s compliance hotline and incident tracking system.
- Identify, investigate, resolve, and report on compliance issues, irregularities, and violations.
- Draft policies, procedures, work instructions, training, and other documents related to the Compliance Program.
- Assist and collaborate with other departments to ensure that compliance related processes are identified, created, implemented, maintained, and improved.
- Provide guidance to employees on the organization’s compliance policies and programs, and educate staff on applicable compliance rules, regulations, and best practices.
- Prepare newsletters, articles, and communications in support of the compliance communication plan.
- Assist with coordinating and facilitating quarterly compliance committee meetings to ensure ongoing awareness and adherence to regulations.
- Develop specific expertise in one or more operational areas/processes and be the day-to-day lead for that function, including answering questions, solving problems, completing routine work, etc.
- Assist with all other compliance related tasks and initiatives as needed.
Education and Experience Requirements:
- Minimum of 5 years’ experience in healthcare compliance or closely related field, or similar regulatory/investigational roles in healthcare.
- In-depth knowledge and understanding of healthcare compliance laws and regulatory elements involving federal (OIG, CMS, FCPA, FDA, etc.) and state requirements.
- Revenue cycle management, coding, or other healthcare operations experience in Radiology, Anesthesia, Emergency Medicine and/or Hospital Medicine is strongly preferred.
Knowledge, Skills, and Abilities:
- Proactive, responsive, and detail-oriented.
- Ability to work independently, change priorities, learn new topics and processes, take on varied assignments, and meet deadlines.
- Excellent attention to detail, follow through, and written and verbal communication skills.
- Well-organized with excellent attention to details.
- Strong ethical standards.
- Ability to read, understand, and apply state/federal laws, regulations, and policies.
- Ability to communicate with diverse personalities in a tactful, mature, and professional manner.
- Ability to remain flexible and work within a collaborative and fast paced environment.
- Basic use of computer, telephone, internet, copier, fax, and scanner.
- Basic touch 10 key skills.
- Basic Math skills.
- Understand and comply with company policies and procedures.
- Strong oral, written, and interpersonal communication skills.
- Strong time management and organizational skills.
- Strong knowledge of Outlook, Word, Excel (pivot tables), and database software skills.
Ventra Health:
Equal Employment Opportunity (Applicable only in the US)
Ventra Health is an equal opportunity employer committed to fostering a culturally diverse organization. We strive for inclusiveness and a workplace where mutual respect is paramount. We encourage applications from a diverse pool of candidates, and all qualified applicants will receive consideration for employment without regard to race, color, ethnicity, religion, sex, age, national origin, disability, sexual orientation, gender identity and expression, or veteran status.We will provide reasonable accommodations to qualified individuals with disabilities, as needed, to assist them in performing essential job functions.
Recruitment Agencies
Ventra Health does not accept unsolicited agency resumes. Ventra Health is not responsible for any fees related to unsolicited resumes.
Solicitation of PaymentVentra Health does not solicit payment from our applicants and candidates for consideration or placement.
Attention Candidates
Please be aware that there have been reports of individuals falsely claiming to represent Ventra Health or one of our affiliated entities Ventra Health Private Limited and Ventra Health Global Services. These scammers may attempt to conduct fake interviews, solicit personal information, and, in some cases, have sent fraudulent offer letters.
To protect yourself, verify any communication you receive by contacting us directly through our official channels. If you have any doubts, please contact us at Careers@VentraHealth.com to confirm the legitimacy of the offer and the person who contacted you.All legitimate roles are posted on https://ventrahealth.com/careers/.