Senior Consultant – Healthcare Compliance

Job Description:

• 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 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 HIPAA privacy and breach response best practices
• Assist with 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 and assess their impact on clients
• Serve as an outsourced/fractional compliance resource for 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, including CMS, OIG, HIPAA, and state-specific requirements
• Bachelor’s degree required
• One or more relevant certifications required: Certified in Healthcare Compliance (CHC) or 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
• Strong analytical and critical thinking skills
• Excellent written and verbal communication, including client-facing presentation skills
• High attention to detail and ability to manage multiple priorities and deadlines
• Ability to work independently and collaboratively
• Professional judgment, integrity, and ability to handle sensitive information
• Adaptability and flexibility in a fast-paced, evolving regulatory landscape

Benefits:

• Eligible employees have access to benefits supporting physical, mental, career, social, and financial well-being
• Discretionary annual bonus based on company and personal performance
• Reasonable accommodation for the job application, interview process, or essential job functions
• Learning, development, and well-being focus
• Equal employment opportunity workplace