Medical records and compliance manager (program manager ii, grade n25)

About the Position Please note: The salary range above represents this position’s earning potential. The anticipated hiring range for this position will be $85,937 to $131,368, based on the candidate’s qualifications and experience.

WHO WE ARE

Montgomery County is located adjacent to Washington, D.C., and with over one million residents, is the most populous County in the State of Maryland. The County is also the most diverse County in the State and ranks among the top ten most diverse Counties in the nation. Montgomery County contains many major U.S. government offices, scientific research and learning centers, and business campuses. The Department of Health and Human Services (HHS) is responsible for the delivery of the County’s public health and human services that meets the needs of our community’s most vulnerable children, adults, and seniors. The Department provides services through more than 120 programs at more than 20 locations. With over 2,000 employees, the Department of Health and Human Services is the largest County Department. As a department, we believe the health and wellness of the county can only be achieved by ensuring that every resident has fair opportunities to reach their fullest potential. This means access to quality housing, transportation, education, employment, health care, human services, safe neighborhoods, and healthy food. HHS provides critical services for residents who face a variety of obstacles in achieving their full potential. HHS plays an essential role in building a healthy and strong community.

WHO WE ARE LOOKING FOR

The Chief Operating Officer’s Office is seeking an enthusiastic, professional, and collaborative Program Manager to support Medical Records, medical credentialing, provider enrollment, and Compliance. The ideal candidate will have experience with medical records management, Provider enrollment, HIPAA/privacy, records release processes, regulatory compliance, and documentation standards. This role will help strengthen records management practices, support compliance monitoring, develop and conduct staff training, and promote consistent and effective processes across the department. We are looking for a proactive, organized, and approachable leader who can work collaboratively across programs, provide practical guidance, and support our continued commitment to privacy, compliance, accountability, and quality service.

What You'll Be Doing

The Program Manager for Medical Records and Compliance provides centralized oversight of medical records, privacy, and formal records request processes. This position is important to ensure sensitive and confidential information is appropriately managed, protected, and released in accordance with applicable federal, state, and County requirements. This position will supervise program staff.

Core Duties and Responsibilities

For Compliance:

• Recognize requests or records requiring Privacy Officer, legal counsel, or other specialized review and coordinate appropriate escalation.
• Provide guidance regarding HIPAA, privacy and confidentiality, minimum necessary standards, records retention, documentation, and records release requirements.
• Develop and conduct staff training on medical records, HIPAA/privacy, MPIA, and records request processes, documentation, and related compliance requirements.
• Develop and maintain policies, procedures, workflows, tracking systems, and internal controls for records management and compliance activities.
• Conduct compliance monitoring, audits, and quality reviews, and assist with corrective actions and process improvements.
• Collaborate with program leadership, Legal, Privacy, IT, and other stakeholders to address complex requests and compliance concerns.
• Maintain tracking, reporting, and performance measures to monitor deadlines, outstanding requests, compliance trends, and audit readiness.

For Medical Credentialing

• Administer and coordinate Department-wide provider credentialing, recredentialing, and enrollment activities for Montgomery County Department of Health and Human Services (DHHS), including verification and maintenance of provider qualifications and enrollment information; monitoring licenses, certifications, and required exclusion/sanction screenings; and supporting enrollment and revalidation with applicable Federal, State, and commercial healthcare programs and payers.

For Medical Records

• Oversee and coordinate medical records and other formal records requests, including Maryland Public Information Act (MPIA) requests, subpoenas, legal requests, licensing/regulatory requests, and other authorized requests for information.
• Review requests to determine the scope, appropriate authority for disclosure, required documentation, applicable deadlines, and information responsive to the request.
• Communicate with requesters and internal programs to obtain clarification, authorizations, or additional information necessary to appropriately process requests.
• Coordinate the collection, review, redaction, and release of responsive records, ensuring confidential or protected information is appropriately safeguarded.

Other Job-Related Responsibilities:

• Provide supervision and oversight of assigned staff, including work assignments, performance, training, and day-to-day operational support.
• Serve as a departmental subject-matter resource and point of contact for medical records and record-related compliance matters.
• Perform other job-related duties as assigned.

ADDITIONAL INFORMATION:

Working Offsite Locations:

This position requires the ability to attend meetings or perform work at offsite locations. Offsite work and travel between DHHS locations, clinics, meetings, and trainings.

Evening and Weekend Hours:

This position requires the ability to work some evenings and weekends.

Background Statement:

A background investigation will be conducted into the selected candidate prior to appointment, and it will be a significant factor in the hiring decision.

Financial Disclosure Requirement:

The selected candidate will be required to complete and submit a Financial Disclosure Statement.

Minimum Qualifications

Experience:

Thorough five (5) years of professional experience in Medical Records, medical credentialing, provider enrollment, and compliance. Supervisory experience is required for the position.

Education:

Graduation from an accredited college or university with a Bachelor's Degree. Equivalency: An equivalent combination of education and experience may be substituted.

License:

If required by the position of assignment, possession and maintenance at all times of a valid Class “C” (or equivalent) driver’s license from the applicant's state of residence.

Preferred Criteria, Interview Preferences

Preferred Criteria:

The applications of those individuals meeting the minimum qualifications will be reviewed to determine the extent, relevance of training, and experience in the following areas:

• Experience managing medical records or confidential information, including your knowledge and application of HIPAA, privacy, confidentiality, provider enrollment /medical credentialing, and records release requirements.
• Experience reviewing and responding to Public Information requests, subpoenas, legal requests, regulatory requests, or other formal requests for records, including determining appropriate disclosure, redaction, and escalation for the federal, state, or local government.
• Experience conducting compliance monitoring, audits, quality reviews, or investigations, including how you identified risks and implemented corrective actions or process improvements.
• Experience developing and delivering training on medical records, privacy, HIPAA, compliance, documentation, or other regulatory requirements. Include the types of audience you have trained.
• Experience managing or improving records management or compliance programs, including developing policies, procedures, workflows, tracking mechanisms, or performance measures, and collaborating with leadership, legal, Information Technology (IT), clinical programs, or other stakeholders.
• Possession of a current, recognized HIPAA, healthcare privacy, healthcare compliance certification, such as HPOC (HIPAA Privacy Officer certification), or another relevant professional certification.

Interview selection will be based on the following interview preference criteria:

• Possession of a current, recognized HIPAA, healthcare privacy, healthcare compliance certification, such as HPOC (HIPAA Privacy Officer certification), or another relevant professional certification.
• 10 years of Medical Records, Provider Enrollment / medical credentialing & privacy expertise.
• Knowledge and experience handling Maryland Public Information Act (MPIA) requests, subpoenas, regulatory/legal requests, records review, redaction, and applicable deadlines.
• Experience conducting compliance monitoring, audits, or reviews, developing corrective actions, and developing and delivering HIPAA, privacy, records management, or compliance training.
• Demonstrated ability to manage complex workflows and competing deadlines, develop policies and procedures, track performance, and collaborate effectively with legal, privacy, IT, clinical programs, leadership, and other stakeholders.

IMPORTANT INFORMATION

The Office of Human Resources (OHR) reviews the minimum qualifications of all applicants, irrespective of whether the candidate has previously been found to have met the minimum requirements for the job or been temporarily promoted to the same position. This evaluation is based solely on the information contained in the application/resume submitted for this specific position. Montgomery County Government (MCG) is an equal opportunity employer, committed to workforce diversity. Accordingly, as it relates to employment opportunities, the County will provide reasonable accommodations to applicants with disabilities, in accordance with the law. Applicants requiring reasonable accommodation for any part of the application and hiring process should email OHR at Hiring@montgomerycountymd.gov. Individual determinations on requests for reasonable accommodation will be made in accordance with all applicable laws. MCG also provides hiring preference to certain categories of veterans and veterans/persons with a disability. For more information and to claim employment preference, refer to the Careers webpage on Hiring Preference. All applicants will respond to a series of questions related to their education, relevant experience, knowledge, skills, and abilities required to minimally perform the job. The applicant's responses in conjunction with their resume and all other information provided in the employment application process will be evaluated to determine the minimum qualifications and preferred criteria or interview preference status. Based on the results, the highest qualified applicants will be placed on an Eligible List and may be considered for an interview. Employees meeting minimum qualifications who are the same grade will be placed on the Eligible List as a "Lateral Transfer" candidate and may be considered for an interview. This will establish an Eligible List that may be used to fill both current and future vacancies. If selected for consideration for this position, you may be required to provide evidence that you possess the knowledge, skills, and abilities indicated on your resume. Montgomery County Ethics Law: Except as provided by law or regulation, the County's "Public Employees" (which does not include employees of the Sheriff's office) are subject to the County's ethics law including the requirements to obtain advanced approval of any outside employment and the prohibitions on certain outside employment. The outside employment requirements of the ethics law can be found at 19A-12 of the County Code. Additional information about outside employment can be obtained from the Ethics Commission website.