Compliance Partner-Clinical & Medical Services

Job Description:

Job Title: Compliance Partner - Clinical & Medical Services

Location: Springfield, Missouri 

Department: Compliance and Integrity 

Employment Type: Full-time 

Job Summary: 
Join our dedicated team as a Compliance Partner, where you will play a crucial role in ensuring adherence to compliance policies across our regions and service lines.   This role supports day-to-day compliance functions, including the development and delivery of compliance training, conducting investigations, analyzing compliance data, ensuring regulatory conformance, and monitoring corrective action plans. This role places a strong emphasis on medical billing accuracy, healthcare claims auditing, and regulatory documentation compliance. 

The Compliance Partner is responsible for the effective implementation and coordination of compliance policies within assigned regions or service lines, serving as the primary resource for corporate compliance matters. This position promotes a culture of integrity, regulatory accountability, and continuous improvement in healthcare compliance. 

This position offers… 
• Employee Assistance Program – 24/7 counseling services, legal assistance, & financial consultation for you and your household at no cost  
• Mileage Reimbursement – Company paid for work functions requiring travel 
• Employee Discounts – Hotels, Theme Parks & Attractions, College Tuition 
• Workplace Culture - An environment cultivating employee wellbeing, valuing each individual's humanity, and actively promoting a healthy, joyful workforce 
• Additional Perks & Benefits - Scroll down to bottom of this post to learn more 

Essential Job Functions:  

Compliance Program Management 

• Implement and monitor regional compliance activities in alignment with federal, state, and accreditation standards (e.g., CMS, OIG, CARF, HIPAA, 42 CFR Part 2). 

• Identify risk trends, monitor for policy non-conformance, and develop mitigation strategies in collaboration with leadership. 

• Participate in development and review of policies, procedures, and compliance initiatives across service lines. 

Compliance Training & Education 

• Develop and coordinate corporate compliance training tailored to high-risk roles, including billing, coding, and clinical documentation. 

• Track training metrics, ensure annual attestations, and assist team members in understanding the Code of Conduct and non-retaliation policies. 

• Educate team members on compliance with hotline use and mandatory reporting obligations. 

Investigations & Auditing 

• Conduct investigations of compliance concerns, including billing errors, coding discrepancies, and potential fraud, waste, or abuse. 

• Prepare detailed, objective investigative reports citing applicable regulatory guidance. 

• Lead and/or support focused internal audits o