Sr. Compliance Counsel

Compensation

$170,000 - $175,000 per year. You are eligible for a Short-Term Incentive Plan with the target at 20% of your annual earnings; terms and conditions apply.

Sr. Compliance Counsel - Remote

Reporting directly to the Chief Compliance Officer, the Sr. Compliance Counsel is a seasoned compliance professional and key member of the legal/compliance team. The Sr. Compliance Counsel is responsible for advising on a wide variety of complex healthcare compliance matters, designing and conducting risk assessments and audits, developing compliance policies and training, and investigating and addressing potential compliance issues. This is a fully remote role that can be performed anywhere in the United States.

Essential Functions

As part of the compliance team, the role has the following responsibilities:

• Provide legal advice on (1) healthcare laws and regulations, including HIPAA, Stark Law, Anti-Kickback Statute, EKRA, False Claims Act, and state-specific regulations, and (2) all aspects of the healthcare revenue cycle, including compliance with payor agreements / medical policies and proper billing practices.
• Review and approve sales and marketing materials, especially those pertaining to interactions with healthcare providers and patient billing.
• Regularly review and update compliance policies to reflect changes in laws and/or the company’s operations.
• Design and lead compliance training initiatives for employees at all levels of the organization.
• Design and perform risk assessments and compliance audits to ensure the effective operation of the company’s compliance program.
• Conduct internal investigations related to potential compliance violations, and advise on how to address the findings thereof.
• In partnership with Patient Financial Services, manage payor audits and repayment requests.
• Closely collaborate with cross-departmental stakeholders (e.g., sales, marketing, managed care, quality, finance, patient financial services, and executive leadership) to promote the effective operation of the company’s compliance program.
• Special projects assigned by the Chief Compliance Officer.
• Other duties as assigned.

Qualifications

• 5+ years of experience providing legal advice regarding healthcare compliance, including the responsibilities described in the “Key Responsibilities” section above.
• Experience as an organization’s sole healthcare compliance attorney strongly preferred.
• Experience in the laboratory sector is strongly preferred.

Preferred

• Law degree from an ABA-accredited law school.
• Licensed to practice law in good standing in the State of California or any other jurisdiction (admission to State Bar of California or eligibility under the Registered In-House Counsel provisions of the State Bar of California strongly preferred).

Work Requirements

• Limited travel required as needed (<15%).

Must have the ability to effectively work with others remotely, manage a schedule across multiple time zones, and provide business-focused advice as a trusted partner.

• Ability to work remotely, be self-organized, and self-manage the workload and schedule.
• Strong decision-making, project management, and organizational skills.

Knowledge and Skill Requirements

• Proven ability to perform the responsibilities described in the “Essential Functions” section above.
• Strong verbal, written, and interpersonal skills with the ability to interface, and develop relationships, with all levels of management and staff, and work cross-culturally.
• Highly motivated and proactive, with the ability to articulate company vision and policy, and to seek out areas of risk and priority.
• Ability to consistently apply good judgment and prioritize.
• Adapts nimbly to changing needs within the business.

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About Us:  

Ambry Genetics Corporation is a CAP-accredited and CLIA-licensed molecular genetics laboratory based in Aliso Viejo, California. We are a genetics-based healthcare company that is dedicated to open scientific exchange so we can work together to understand and treat all human disease faster. 

At Ambry, everyone is welcome. A career at Ambry Genetics is a chance to be part of a dynamic company that aims to improve health by understand