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Health Care Compliance Manager

National Vision

Health Care Compliance Manager

Duluth, GA
Full Time
Paid
  • Responsibilities

    Job Description

    WHAT WOULD YOU DO? THE SPECIFICS.

    • Tracks and monitors regulations as it relates to Optometrists in all states (ex: remote care).
    • Acts as a gatekeeper and knowledge holder of all compliance related clinical admin projects (ex: monitoring OD/MD licensing regulations, electronic prescribing, after-hours messaging, national credentialing standards, quality assurance standards, and remote care rules).
    • Monthly credentialing compliance metrics for our internal audit division
    • Works hand and hand with the legal department on processes for compliance of state and federal requirements as it relates to OD's and clinical care.
    • Works with legal to ensure leaseholding OD contracts are on par w/state regulation
    • Oversees the development and rollout of systems and processes for field use for Optometrists and associates.
    • Manages internal audit of clinical administration's credentialing and contracting PIP’s.
    • Manages compliance of communications with various independent and direct employed OD's.
    • Quarterly OD compliance metrics for legal department
    • Manages clinical admin compliance with the company (interdepartmental systems ex: Serve Responses).
    • Develops and implements OD malpractice claim reporting/tracking. (create & maintain compliance dashboard)
  • Qualifications

    Qualifications

    WORK EXPERIENCE

    • 7+ years Experience working in a healthcare compliance position. (Required)
    • Four year college degree or equivalent experience. Required
    • 2-4 years Experience with spreadsheets, word-processing, outlook, and software helpful. (Preferred)
    • 2-4 years Experience with spreadsheets, word-processing, outlook, and so
    • 20% Some travel required.

     

    #LI-SH1

    Additional Information

    TAKING CARE OF OUR PEOPLE

    We understand the importance of financial health and security, and because of that, we provide competitive compensation to all Associates – including an annual bonus plan! We also offer a comprehensive benefits package including health and dental insurance, 401k retirement savings with company match, flex spending account, paid personal time off, paid company holidays, parental leave, employee eyewear discount and much, much more. At National Vision, we strive to deliver opportunities for professional growth and long-term career fulfillment. We provide training programs, access to educational courses and pride ourselves on the ever-increasing amount of promotions from within.

    Please see our website www.nationalvision.com to learn more.

    National Vision is an Affirmative Action / Equal Opportunity Employer.