Senior Manager, Enterprise Compliance Corrections

Role Overview

• Lead a team within Compliance Corrections responsible for the remediation and reporting activities to ensure successful resolution of identified non-compliance with Medicaid, Medicare, Marketplace, and Commercial regulatory requirements, contractual obligations and Company policies and procedures.
• Supports the internal and external corrective action plan lifecycle and related reporting.
• Partners with Product Compliance teams, Shared Services leadership, and market leaders to ensure successful and timely remediation of identified compliance issues.
• Lead and manage the assessment, and prioritization of non-compliance issues referred to the Corrections team.
• Oversee the execution and continuous improvement of the Corrections Compliance program, ensuring alignment with organizational standards.
• Provide regular updates on program performance to senior management and key stakeholders.
• Recruit, supervise, and develop team members in support of the organization’s mission and culture.
• Identify and recommend strategic improvements that significantly impact organizational goals and performance.
• Respond to inquiries from internal stakeholders and leadership regarding compliance matters.
• Offer expert guidance to departments on non-compliance issues and the progress of remediation efforts.
• Influence management to enhance performance and support leadership in achieving organizational objectives.
• Foster trusted, collaborative relationships with leadership to ensure active engagement in the Corrections process.
• Serve as the designated point of contact in the absence of the Senior Director of Compliance Corrections.
• Performs other duties as assigned. Complies with all policies and standards.

Requirements

• Bachelor's Degree in Business Administration, Public Policy, Public Health, or Health Administration or related field; or equivalent experience required
• Master's Degree in Business Administration, Public Policy, Public Health, or Health Administration preferred
• Juris Doctor (JD) preferred
• 5+ years Compliance experience, preferably in a healthcare environment required
• 3+ years Medicaid, Medicare or Commercial Managed Care experience preferred
• 2+ years Supervisory or management experience required
• Previous experience demonstrating effective interaction with federal and state regulatory agencies in a managed care or insurance environment preferred

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