Compliance Manager

Company Overview : Dozee Health AI is the pioneer in Contactless Remote Patient Monitoring (RPM), proven to drive transformation at scale. Headquartered in Bengaluru, India, Dozee has emerged as India’s no. 1 RPM Company. We are seeking visionary individuals to help us in this very exciting  journey. As a part of our dynamic team, you’ll have the opportunity to collaborate with top healthcare providers in the country, applying AI-powered RPM solutions to tackle some of the most pressing challenges in healthcare - enhancing staff efficiency, improving patient outcomes, and pioneering the next generation of care models Position Summary: The Compliance Manager is responsible for building, executing, and continuously improving Dozee's healthcare compliance program across all regulatory domains — Medicare RPM billing, HIPAA privacy and security, FDA device compliance, and Anti-Kickback Statute adherence. The role reports to the VP Administration and is the organization's primary day-to-day compliance operator, translating policy into procedure and ensuring every business function performs within established legal and regulatory boundaries. About Dozee (www.dozeehealth.ai) Vision & Mission Save Million lives with Health AI Dozee is India’s leading AI-Powered contactless Remote Patient Monitoring (RPM) and Early Warning System (EWS). A solution that continuously monitors patients and provides early warnings of clinical deterioration, enabling timely interventions and enhancing patient safety in hospitals, nursing facilities and patient homes. A "Made in India for the World" solution, Dozee has pioneered the world’s first non-contact blood pressure monitoring system. Trusted by leading healthcare providers in India, the USA, and Africa, Dozee is transforming patient safety and care by enhancing outcomes and reducing costs. Dozee is adopted by 300+ hospitals and monitors 16000+ beds across 4 countries. Dozee has monitored over 1 Mn Patients, Delivered 35000+ Life Saving Alerts and Saved 10 Mn+ Nursing Hours. Videos Science Behind Dozee : Ballistocardiography & Artificial Intelligence 100 Dozee deliver 144 life saving alerts and INR 2.7 Cr of saving - Sattva Study Dozee saves life of a mother at home Leading Healthcare Game changers work with Dozee Introducing Dozee VS Dozee Shravan - A clinical grade RPM service Dozee in News: Bloomberg - Oct 21, 2024 From AI Beds to Remote ICUs, Startups are plugging India's health Gaps News18 - Oct 26, 2024 Now, You Can Remotely Monitor Your Loved Ones in Hospital With Bengaluru Start-Up's 'Shravan' Analytics India Magazine - Oct 29, 2024 Dozee Harness AI for Personalised Patient Care ET HealthWorld - Sep 16, 2024 We trust AI everyday - From Google Maps to Smartphones, So why not use it to enhance patient safety in healthcare? BW healthcareworld - Oct 29, 2024 Dozee's AI-Powered System Predicts Patient Deterioration 16 Hours in Advance - A tertiary care hospital study published in JMIR, validated Dozee’s Early Warning System (EWS), showing it identified 97% of deteriorating patients, provided alerts ~19 hours in advance, and generated 5x fewer alerts, reducing alarm fatigue and improving patient outcomes. - A study at King George Medical University, Lucknow, and published in Frontiers in Medical Technology demonstrated that Dozee’s automation can potentially save 2.5 hours of nursing time per shift, improving workflow efficiency and allowing more focus on patient care. - A study on remote patient monitoring in general wards published in Cureus found that 90%+ of healthcare providers reported improved care and patient safety, 74% of patients felt safer, and there was a 43% increase in time for direct patient care. - Research by Sattva, an independent consulting firm, demonstrates Dozee's substantial impact: for every 100 Dozee-connected beds, it can save approximately 144 lives, reduce nurses’ time for vital checks by 80%, and decrease ICU average length of stay by 1.3 days. Key Highlights Founded : October, 2015 Founders :  Mudit Dandwate, Gaurav Parchani Headquarters : Bangalore, India | Houston, USA | Dubai, UAE Key Investors & Backers : Prime Ventures, 3one4 Capital, YourNest Capital, Gokul Rajaram, BIRAC (Department of Biotechnology, State Bank of India, and Dinesh Mody Ventures, Temasek Foundation, Horizons Ventures Stage : Series A+ Team Strength : 280+ Business : Providing Continuum of care with AI-powered contactless Remote Patient Monitoring (RPM) and Early Warning System (EWS) for Hospitals and Home Certifications & Accreditations : ISO13485:2016 Certified, ISO27001:2022 Certified, CDSCO Registered, FDA510K Cleared for the flagship product Dozee Vitals Signs (VS) measurement system and SOC2 Type II Certified Achievements - Forbes India 30 under 30 - Forbes Asia 100 to Watch - Times Network - India Health Awards 2024 for AI innovation in Bharat Healthcare tech - BML Munjal Award for Business Excellence using Learning and Development - FICCI Digital Innovation in Healthcare Award - Anjani Mashelkar Inclusive Innovation Award Marico Innovation For India Award To know more about life@dozee, click here. Disclaimer: Dozee is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.” Dozee does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided on the basis of qualifications, merit, and business need. Dozee will not tolerate discrimination or harassment based on any of these characteristics Responsibilities 1. CMS / Medicare RPM Billing Compliance • Own the monthly billing compliance review cycle — validate CPT code selection (99453–99470), data-day thresholds, and mutual exclusivity rules before claims are released. • Monitor CMS Final Rules, MAC Local Coverage Determinations (LCDs), and OIG Work Plan items affecting RPM billing; brief leadership on material changes within 30 days. • Maintain the pre-bill dual-attestation workflow and enforce the 99458 MUE cap and time-counting rules. 2. HIPAA Privacy & Security Program • Serve as Dozee's designated HIPAA Compliance Officer — conduct annual Security Risk Assessments, manage the Notice of Privacy Practices, and oversee BAA lifecycle for all vendors and SNF partners. • Lead breach investigation and notification workflows; coordinate with Melvin Law Group on any reportable incident. 3. SOP Development & Version Control • Own and maintain the full CAIT/Dozee SOP library (currently seven SOPs, v2.1) — initiate updates within 30 days of any material regulatory change. • Manage the annual SOP review cycle; obtain CEO and VP sign-off; track version history and change logs. 4 .Internal Audit — Monthly Claims Sampling • Conduct monthly random-sample claims audits (minimum 10% of submitted claims) — verify documentation completeness, code accuracy, and consent/care-plan compliance. • Track audit findings in the Compliance Tracking Log; escalate repeat findings to VP Administration; implement and verify corrective actions within agreed timelines. 5. Staff Training & Annual Attestation • Design, deliver, and track annual compliance training for all clinical, billing, and administrative staff — covering CMS billing rules, HIPAA, AKS, and the OIG RPM Compliance Framework. • Maintain training attestation records in Circle Health Domain 0.2; generate compliance attestation reports for VP and CEO annually. 6. Overpayment Management — 60-Day Rule Enforcement • Maintain the Overpayment Tracking Log; ensure all identified overpayments are investigated, classified (isolated vs. systemic), and refunded within the 60-day statutory deadline. • Coordinate with the Billing Manager on MAC refund submissions; consult Melvin Law Group on any systemic overpayment before refund. 7. Regulatory Intelligence & State Monitoring • Monitor applicable state NP practice act changes across CAIT's six operating states (TX, OH, PA, FL, NY, MO) and Dozee's expansion targets. • Track RHTP, THRIVE, and NIH grant compliance obligations as Dozee enters new government programs. 8. Contract & AKS Compliance Support • Review all SNF partner and vendor agreements against the Anti-Kickback Statute checklist before execution; escalate any FMV or referral-contingency concerns to VP Administration and Melvin Law Group. • Maintain executed contract files and the annual contract review schedule. Requirements Experience : Minimum 5 years in healthcare compliance — Medicare billing, HIPAA, or post-acute / RPM environment strongly preferred. Certifications: Certified in Healthcare Compliance (CHC) required or obtainable within 12 months of hire. CHPC (privacy) a plus. Technical : Working knowledge of CPT coding (99453–99470), CMS PFS Final Rules, OIG Work Plan, MAC audit processes, and AKS/Stark safe harbors. Skills : Strong SOP writing, audit documentation, and cross-functional communication skills. Ability to deliver training to clinical and non-clinical staff. Systems : Familiarity with healthcare compliance platforms (preferred); proficiency in Microsoft 365 required. Education : Bachelor's degree required; healthcare administration, law, or clinical field preferred.

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      "text": "Responsibilities",
      "content": "<div>\n<p><strong>1. CMS / Medicare RPM Billing Compliance</strong><br>• Own the monthly billing compliance review cycle — validate CPT code selection (99453–99470), data-day<br>thresholds, and mutual exclusivity rules before claims are released.<br>• Monitor CMS Final Rules, MAC Local Coverage Determinations (LCDs), and OIG Work Plan items<br>affecting RPM billing; brief leadership on material changes within 30 days.<br>• Maintain the pre-bill dual-attestation workflow and enforce the 99458 MUE cap and time-counting rules.</p>\n<p><strong>2. HIPAA Privacy &amp; Security Program</strong><br>• Serve as Dozee&amp;#39;s designated HIPAA Compliance Officer — conduct annual Security Risk Assessments,<br>manage the Notice of Privacy Practices, and oversee BAA lifecycle for all vendors and SNF partners.<br>• Lead breach investigation and notification workflows; coordinate with Melvin Law Group on any reportable<br>incident.</p>\n<p><strong>3. SOP Development &amp; Version Control</strong><br>• Own and maintain the full CAIT/Dozee SOP library (currently seven SOPs, v2.1) — initiate updates within<br>30 days of any material regulatory change.<br>• Manage the annual SOP review cycle; obtain CEO and VP sign-off; track version history and change logs.</p>\n<p><strong>4 .Internal Audit — Monthly Claims Sampling</strong><br>• Conduct monthly random-sample claims audits (minimum 10% of submitted claims) — verify<br>documentation completeness, code accuracy, and consent/care-plan compliance.<br>• Track audit findings in the Compliance Tracking Log; escalate repeat findings to VP Administration;<br>implement and verify corrective actions within agreed timelines.</p>\n<p><strong>5. Staff Training &amp; Annual Attestation</strong><br>• Design, deliver, and track annual compliance training for all clinical, billing, and administrative staff —<br>covering CMS billing rules, HIPAA, AKS, and the OIG RPM Compliance Framework.<br>• Maintain training attestation records in Circle Health Domain 0.2; generate compliance attestation reports<br>for VP and CEO annually.</p>\n<p><strong>6.&nbsp;Overpayment Management — 60-Day Rule Enforcement</strong><br>• Maintain the Overpayment Tracking Log; ensure all identified overpayments are investigated, classified<br>(isolated vs. systemic), and refunded within the 60-day statutory deadline.<br>• Coordinate with the Billing Manager on MAC refund submissions; consult Melvin Law Group on any<br>systemic overpayment before refund.</p>\n<p><strong>7. Regulatory Intelligence &amp; State Monitoring</strong><br>• Monitor applicable state NP practice act changes across CAIT&amp;#39;s six operating states (TX, OH, PA, FL, NY,<br>MO) and Dozee&amp;#39;s expansion targets.<br>• Track RHTP, THRIVE, and NIH grant compliance obligations as Dozee enters new government programs.</p>\n<p><strong>8. Contract &amp; AKS Compliance Support</strong><br>• Review all SNF partner and vendor agreements against the Anti-Kickback Statute checklist before<br>execution; escalate any FMV or referral-contingency concerns to VP Administration and Melvin Law<br>Group.<br>• Maintain executed contract files and the annual contract review schedule.</p>\n</div>"
    },
    {
      "text": "Requirements",
      "content": "<div>\n<p><strong>Experience : </strong>Minimum 5 years in healthcare compliance — Medicare billing, HIPAA, or post-acute / RPM&nbsp;environment strongly preferred.</p>\n<p><strong>Certifications:</strong> Certified in Healthcare Compliance (CHC) required or obtainable within 12 months of hire.&nbsp;CHPC (privacy) a plus.&nbsp;</p>\n<p><strong>Technical :</strong> Working knowledge of CPT coding (99453–99470), CMS PFS Final Rules, OIG Work Plan,&nbsp;MAC audit processes, and AKS/Stark safe harbors.</p>\n<p><strong>Skills : </strong>Strong SOP writing, audit documentation, and cross-functional communication skills. Ability&nbsp;to deliver training to clinical and non-clinical staff.</p>\n<p><strong>Systems :</strong> Familiarity with healthcare compliance platforms (preferred); proficiency in Microsoft 365&nbsp;required.</p>\n<p><strong>Education :</strong> Bachelor's degree required; healthcare administration, law, or clinical field preferred.</p>\n</div>"
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