Compliance Officer

Job Title: Compliance Officer

Job Summary

The Compliance, Privacy & Security Officer is responsible for developing, implementing, monitoring, and continuously improving the company's compliance and information security programs. This role ensures that New Name Born, LLC operates in accordance with all applicable laws, regulations, and ethical standards. The Compliance Officer supports lawful, ethical, and secure operations across various functions including behavioral health services, Medicaid and managed-care activities, billing, authorizations, credentialing, clinical documentation, workforce practices, and the protection of confidential information.

Responsibilities

• Develop and maintain comprehensive compliance policies and procedures aligned with industry standards and regulatory requirements.
• Monitor ongoing compliance activities to identify potential risks or violations and implement corrective actions promptly.
• Oversee the organization's privacy and security programs to safeguard sensitive information in accordance with applicable laws such as HIPAA.
• Support lawful operations across behavioral health services, Medicaid and managed-care activities, ensuring adherence to relevant regulations.
• Assist in managing billing processes, authorizations, credentialing procedures, and clinical documentation to ensure accuracy and compliance.
• Promote a culture of ethical conduct by providing training and guidance to staff on compliance-related matters.
• Conduct internal audits and assessments to evaluate compliance effectiveness and identify areas for improvement.
• Stay informed about changes in laws and regulations affecting healthcare compliance and security practices.
• Collaborate with leadership to develop strategies that enhance organizational integrity while maintaining operational efficiency.

Requirements

• Bachelor’s degree in healthcare administration, law, or a related field; advanced certifications such as Certified Compliance & Ethics Professional (CCEP) are preferred.
• Proven experience in healthcare compliance, privacy/security programs, or related roles within behavioral health or managed-care environments.
• Strong knowledge of healthcare regulations including HIPAA, Medicaid requirements, and other relevant legal standards.
• Excellent analytical skills with the ability to assess complex compliance issues and implement effective solutions.
• Effective communication skills for training staff and collaborating with various departments.
• Detail-oriented with strong organizational skills to manage multiple compliance initiatives simultaneously.
• Ability to stay current on evolving regulatory requirements impacting healthcare operations.

This position offers an opportunity to play a vital role in ensuring the organization’s commitment to lawful and ethical practices while supporting secure handling of sensitive information across all operational areas.

Pay: $52,905.93 - $63,714.67 per year

Work Location: In person