Manager, Compliance & Clinical Training

Status: Exempt (37.5 hours/week)

Pay Range: $71,000 - $97,500 (commensurate with experience

)
Work Location: Blue Ash, OH - Hybrid/Remo

te
Job Summa

ry:We are seeking a leader to align operations with COA strategy, mission, and values. This position is responsible for overseeing the implementation and continuous improvement of the organization’s compliance program through effective performance management, internal auditing, risk mitigation, training, and quality monitori

ng.
The Manager also leads and supports clinical compliance training initiatives across COA’s Medicaid programs, including the Ohio NextGen MyCare Program and the PASSPORT Medicaid Waiver Program. This includes coordination with the Organizational Training and Development team to ensure effective onboarding, new hire training, and ongoing training support for relevant st

aff.This position plays a critical role in ensuring that the organization adheres to the complex web of federal, state, and local healthcare laws, regulations, and ethical standards concerning older and disabled adu

lts.
Essential Funct

ions:
Program Development & Ove

rsight• Design, implement, and maintain the organization's comprehensive compliance pr

ogram.• Develop, review and update the organization's policies, procedures, and standards of conduct to ensure ongoing alignment with regulatory and organizational require

ments.• Oversee day-to-day compliance operations, ensuring consistent adherence to the program across depart

ments.
Auditing and Mon

itoring• Conduct internal audits and monitoring activities to assess compliance with regulations and identify potential vulnerabi

lities.• Oversee external audits and regulatory inspections, ensuring timely responses and corrective a

ctions.• Analyze audit outcomes and other compliance data across departments to identify recurring issues, emerging risks, and opportunities for systemic impro

vement.
Clinical Training and E

ducation• Develop and deliver training programs on compliance topics, such as HIPAA, Anti-Kickback Statute, and False Claims Act, to all levels o

f staff.• Cultivate a culture of compliance throughout the organization by promoting awareness and account

ability.• Provide guidance and support to departments on compliance-related issues, including during audits, investigations, and program p

lanning.
Incident Management and Re

mediation• Lead and oversee investigations into reported compliance incidents, potential violations, and audit findings, ensuring timely and thorough re

solution.• Facilitate Root Cause Analyses (RCAs) to identify underlying causes of systemic compliance issues and support sustainable remediation st

rategies.• Oversee the development, implementation, and monitoring of Corrective Action Plans (CAPs) to address identified compliance gaps, risks, and regulatory

concerns.
Risk

Management• Identify potential areas of compliance vulnerability and risk, including those related to patient safety, privacy, security, fraud,

and abuse.• Develop and implement strategies to mitigate identified risks, such as enhancing security measures or updating

policies.• Collaborate with legal counsel, IT, and other departments to ensure a coordinated approach to risk m

anagement.
Qual

ifications:• Bachelor's degree in healthcare administration, business administration, social work or a rel

ated field.• A Master's degree in healthcare administration, social work (administration track), public administration, business or a similar area is

preferred.• Certified in Healthcare Compliance (CHC) or other relevant compliance certifications

preferred.• Five years in healthcare compliance, administration, or a rel

ated field.• Three years of leadership experience, including managing teams an

d projects.• Experience leading audits, facilitating Root Cause Analyses, and overseeing the development and resolution of Corrective Action Plans (CAPs). Proven ability to manage compliance tracking systems and escalate unresolved or syste