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Be responsible for managing and continually improving Natera’s healthcare compliance program and strategy, covering healthcare fraud, waste and abuse, Stark Law adherence, monitoring compliance activity and investigating allegations of compliance and/or policy infraction; managing reimbursement and HIPAA privacy compliance, training on, monitoring and enforcing Natera’s compliance policies and Code of Conduct. This position reports to Natera’s General Counsel and works closely with Sales and Marketing, Finance and Reimbursement, R&D and QA.
Monitor compliance with federal and state fraud and abuse and anti-corruption laws including federal and state anti-kickback and physician self-referral laws and the FCPA
Monitor compliance with HIPAA, HITECH and other privacy and data security laws and serve as the company’s Privacy Officer. Monitor compliance with federal and state laws regulating medical billing and reimbursement, including false claims laws and Medicare and Medicaid program compliance.
Conduct internal investigations, communicate with regulatory agencies and handle any other compliance issues related to the sale and promotion of clinical laboratory tests to ensure compliance with applicable federal, state and international laws
Monitor and enforce Natera’s compliance policies and Code of Conduct
Implement the compliance training program
Interact with and report to senior management on the status of the company’s compliance activities
This role works with PHI on a regular basis both in paper and electronic form and has access to various technologies to access PHI (paper and electronic) in order to perform the job
Employee must complete training relating to HIPAA/PHI privacy, General Policies and Procedure Compliance training and security training as soon as possible but not later than the first 30 days of hire.
Must maintain a current status on Natera training requirements.
Must pass a post offer criminal background check.
Minimum 8 years’ experience in healthcare compliance at a law firm, company, or both combined.
Familiarity with clinical laboratory business operations
Working knowledge of medical billing and reimbursement, including applicable federal and state laws
Experience conducting internal investigations, communicating with regulatory agencies
Strong written and verbal communication, analytical and interpersonal skills.
Successful track record of working collaboratively in multidisciplinary teams.
Highly adaptable to functioning in a fast-paced environment.
Natera is a genetic testing company that develops and commercializes non-invasive methods for analyzing DNA. The mission of the company is to help families diagnose and manage genetic disease. In pursuit of that mission, Natera operates a CAP-accredited laboratory certified under the Clinical Laboratory Improvement Amendments (CLIA) in San Carlos, Calif., currently offering a host of preconception... and prenatal genetic testing services primarily to OBGYN physicians and in-vitro fertilization centers. In 2013, the company launched Panorama™, a safe, simple test for pregnant women that screens for the most common chromosomal anomalies in a fetus as early as nine weeks of gestation. Tests developed by Natera have not been cleared or approved by the U.S. Food and Drug Administration (FDA). For more information, visit www.natera.com.