Compliance Manager

The Compliance Manager supports the organization’s compliance program by executing, tracking, and coordinating day‑to‑day compliance and performance improvement activities under the direction of the Senior Director of Compliance. This role is responsible for implementation, monitoring, documentation, and reporting, while strategic oversight, regulatory interpretation, and final decision‑making remain with the Senior Director of Compliance.

The Compliance Manager serves as an operational partner to ensure compliance processes are followed consistently and issues are escalated appropriately, but does not independently establish compliance strategy or make final determinations on regulatory risk.

Scope & Authority

• Executes compliance activities as directed
• Tracks, prepares, and summarizes compliance data and findings
• Escalates all identified risks, concerns, trends, and recommendations to the Senior Director
• Does not independently:
  • Establish compliance strategy
  • Interpret regulatory ambiguity
  • Communicate definitive compliance positions to regulators
  • Approve corrective action plans, investigations, or disclosures

Essential Functions

Auditing & Monitoring (Execution Focus)

• Conduct routine compliance audits (clinical documentation, program/residential compliance, basic billing reviews) using audit plans developed by the Senior Director
• Track audit findings, trends, and corrective actions
• Prepare draft summaries and reports for review by the Senior Director
• Monitor follow‑up activity to ensure completion of assigned corrective actions

Investigation Coordination (Administrative & Tracking Role)

• Coordinate investigation workflows by:
  • Tracking cases and timelines
  • Maintaining documentation
  • Ensuring required forms and records are completed
• Review completed investigations for completeness and documentation accuracy
• Route investigations, findings, and documentation to the Senior Director and leadership for final review, conclusions, and approval
• Maintain investigation logs and reporting tools

Regulatory & Compliance Support (Non‑Interpretive)

• Monitor applicable regulations (Medicaid, HIPAA, ADMH, CARF) for operational impact
• Flag potential compliance concerns and promptly escalate to the Senior Director
• Support preparation for external audits and reviews assigned
• Maintain regulatory tracking tools and documentation

Privacy Administration (Support Role)

• Support designated Privacy Officer activities, including:
  • Processing release of information requests
  • Maintaining accounting of disclosures
  • Tracking rights‑of‑access requests
• Maintain privacy compliance documentation
• Immediately escalate suspected or potential privacy incidents to the Senior Director

Training & Policy Support

• Assist with development and delivery of compliance training materials
• Track training completion and compliance requirements
• Support updates to policies and procedures as directed
• Does not independently issue or revise policy without approval

Performance Improvement & Accreditation Support

• Support data collection and documentation for performance improvement initiatives
• Assist with CARF and accreditation preparation activities
• Track action items and follow‑up under the direction of the Senior Director

Reporting & Communication

• Prepare routine compliance reports and dashboards for leadership review
• Provide regular status updates to the Senior Director
• Communicate compliance information internally in alignment with approved messaging

Knowledge & Skills

• Working knowledge of healthcare and behavioral health regulatory environments
• Knowledge and experience with electronic health records
• Strong organizational, documentation, and tracking skills
• Attention to detail and ability to follow established processes
• Understanding of billing and coding and reimbursement systems
• Ability to escalate issues appropriately and work within defined authority
• Strong written and verbal communication skills

Education & Experience

• Bachelor’s degree required
• 3–5 years of experience in healthcare or behavioral health compliance, QA, auditing, or related field
• 3 years of direct experience supporting compliance programs

Certifications (Preferred, Not Required)

• CHC or CHPC preferred

Glenwood is committed to a diverse and inclusive workplace. We provide equal employment opportunities to all applicants, without regard to consideration of or discrimination against race, religion, creed, color, national origin, gender, sexual orientation, gender identity, age, ancestry, physical or mental disability, medical condition or characteristics, genetic information, marital status, citizenship, veteran status or any other classification prohibited by applicable local, State, or Federal laws.