Compliance Analyst

Who we are: 

Spire Orthopedic Partners is a growing national partnership of orthopedic practices that provides the support, capital and operational resources physicians need to grow thriving practices for the future. As a Management Services Organization (MSO), Spire provides the infrastructure for administrative operations that allows practices to operate at their highest level, so doctors can focus their efforts on what matters most – patient care. Headquartered in Stamford, Connecticut, the Spire network spans the Northeast with more than 165 physicians, 1,800 employees, 285 other clinical providers and 40 locations in New York, Connecticut, Rhode Island and Massachusetts. 

What you’ll do: 

The Healthcare Compliance Analyst supports the compliance program for a Management Services Organization (MSO) serving orthopedic physician practices. This role focuses on regulatory compliance related to surgical and procedural services, physician arrangements, revenue cycle operations, and ancillary services such as imaging, physical therapy, and durable medical equipment (DME). The analyst partners with physicians, practice leadership, and MSO departments to identify compliance risks, conduct audits, and ensure adherence to federal and state regulations across multiple orthopedic practice sites.

Responsibilities/Duties:

• Assist in the implementation and maintenance of the organization’s compliance program.
• Monitor and evaluate compliance with federal, state, and local healthcare regulations and organizational policies.
• Conduct routine compliance audits, reviews, and monitoring activities related to billing, coding, documentation, privacy, and operational practices.
• Analyze audit findings, identify trends or potential risks, and prepare reports with recommendations for corrective action.
• Support investigations of compliance concerns, complaints, or potential violations.
• Maintain accurate documentation related to audits, investigations, corrective action plans, and compliance activities.
• Assist with the development and delivery of compliance education and training materials for employees and providers.
• Monitor regulatory updates and assist in assessing organizational impact and implementation needs.
• Collaborate with operational leaders and departments to support compliance initiatives and risk mitigation efforts.
• Participate in policy and procedure review and development to ensure regulatory alignment.
• Support preparation for external audits, accreditation reviews, and regulatory inquiries.
• Maintain confidentiality and handle sensitive information in accordance with organizational standards and privacy regulations.

Who you are:

Qualifications:

• Bachelor’s degree (required) with a focus in Healthcare Administration, Business, Public Health, or related field (preferred).
• 5-7 years of experience in healthcare compliance with specific experience in provider, hospital, payer, or healthcare services environment preferred.
• Knowledge of Stark Law, Anti-Kickback Statute, and physician practice compliance requirements

Skills and Competencies:

• Knowledge of healthcare regulatory requirements, including HIPAA, Medicare/Medicaid regulations, fraud and abuse laws, and compliance program fundamentals.
• Strong analytical, organizational, and problem-solving skills.
• Ability to interpret regulations and apply them to operational processes.
• Excellent written and verbal communication skills.
• Proficiency with Microsoft Office applications and compliance-related reporting tools.
• Ability to work independently and collaboratively in a fast-paced environment.
• Strong attention to detail and ability to manage multiple priorities.

What we offer: 

• Excellent growth and advancement opportunities 
• Dynamic environment 
• Access to a diverse network of practitioners 
• Broad infrastructure of tools and programs to enhance the employee experience    
• Competitive Compensation 
• Generous PTO  
• Benefits package: health, dental, vision, 401(k), etc. 

We are an equal-opportunity employer. Qualified Applicants are considered for positions and are evaluated without regard to actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex, or gender (including pregnancy, childbirth, and related medical conditions), gender identity or gender expression (including transgender status), sexual orientation, marital status, military service and veteran status, physical or mental disability, protected medical condition as defined by applicable state or local law, genetic information, or any other characteristic protected by applicable federal, state, or local laws and ordinances (referred to as “protected characteristics”).