Manager, Ethics & Compliance

Role Overview

• Manage and implement strategies to ensure successful maintenance and implementation of compliance programs that meet regulatory requirements for assigned products across the entire company
• Enhance the enterprise ‑ wide COI and Exclusions compliance program, including governance, controls, documentation, and reporting
• Provide strategic oversight of COI intake, review, adjudication, mitigation, and monitoring processes
• Oversee COI case management systems, workflows, and data integrity to support timely, consistent, and defensible decision ‑ making
• Identify, assess, and implement effective risk mitigation strategies for actual, potential, or perceived conflicts
• Lead the enterprise‑wide COI and Exclusions compliance programs, including governance, controls, documentation, and reporting
• Maintain awareness of applicable federal and state laws, regulations, guidance, and contractual requirements impacting COI and Exclusions compliance (including Medicare, Medicaid, and managed care regulations)
• Draft compliance policies, procedures, and standards consistent with regulatory expectations and industry best practices
• Ensure timely updates to policies and processes in response to regulatory or contractual changes
• Serve as a trusted compliance advisor to business partners
• Identify emerging COI and Exclusions risks, trends, and control gaps
• Promote a strong culture of ethics, transparency, and accountability through education and stakeholder engagement
• Prepare clear, concise compliance reports and metrics for leadership and governance committees
• Analyze data and trends to drive continuous improvement and program maturity

Requirements

• Bachelor’s degree in related field (e.g., Compliance, Healthcare Administration, Business, Law)
• Master's or Juris Doctorate degree strongly preferred
• Minimum of 3+ years of progressive compliance experience, preferably within healthcare, managed care, insurance, or regulated industries
• Hands on experience managing COI, Exclusions, or related ethics compliance programs strongly preferred
• Proven ability to lead complex, cross functional initiatives
• Excellent analytical, communication, and presentation skills
• High level of professional judgment, discretion, and integrity
• Experience with compliance case management systems

Benefits

• competitive pay
• health insurance
• 401K and stock purchase plans
• tuition reimbursement
• paid time off plus holidays
• flexible approach to work with remote, hybrid, field or office work schedules