Senior Consultant – Healthcare Compliance

Role Overview

• Lead and support compliance program development, including policies, procedures, risk assessments, and workplans
• Conduct compliance risk assessments and gap analyses across clinical, operational, and revenue cycle functions
• Serve as a subject matter resource for regulatory guidance, including federal and state healthcare laws and payer requirements
• Support clients with audit defense activities
• Develop and deliver compliance training
• Analyze data to identify trends, outliers, and potential compliance risks; present findings to stakeholders
• Advise clients on best practices for HIPAA privacy and breach response. Assist in implementation and monitoring of corrective action plans and compliance initiatives
• Collaborate with cross-functional teams to improve workflows, internal controls, and documentation practices
• Maintain current knowledge of regulatory changes (e.g., CMS, OIG Work Plan, payer updates) and assess impact to clients
• Serve as an outsourced/fractional compliance resource, supporting day-to-day compliance needs and strategic initiatives
• Contribute to client deliverables, reports, and presentations with clear, actionable recommendations
• Participate in business development support activities, including proposal development

Requirements

• 3-5+ years of experience in healthcare compliance, consulting, practice administration or related field
• Experience interpreting and applying healthcare regulations (e.g. CMS, OIG, HIPAA, state-specific requirements)
• Exposure to multiple care settings (e.g., physician practices, hospitals, outpatient services) preferred
• Experience supporting or participating in external audits or regulatory inquiries strongly preferred
• Bachelor's degree required
• One or more relevant certifications required: Certified in Healthcare Compliance (CHC), Certified in Healthcare Privacy Compliance (CHPC), CPC or other AAPC or AHIMA coding/auditing credential is a plus but not required
• Strong understanding of healthcare compliance program elements and regulatory frameworks
• Ability to conduct independent regulatory research and translate findings into practice guidance
• Proficiency in Microsoft Office Suite (Excel, Word, PowerPoint, Outlook)
• Experience with Electronic Health Records.

Benefits

• Access to benefits that go beyond what’s expected to support physical, mental, career, social, and financial well-being.