About this role

Manage/oversee projects, initiatives, regulatory audits or exams, internal audits, accreditations, on-site reviews, risk assessments
Audit planning, conducting mock audits, conducting audit training, managing audit evidence preparation, assessing audit preparedness
Establish project plans, gap analysis, milestone dates, and other significant aspects, and leadership updates
Maintain knowledge of laws, regulations, company strategies to assess impact, and consult with clients as a subject matter expert
Conduct complex investigations, document findings, and ensure corrective actions are made
Interface with external clients, regulators, vendors, suppliers, internal stakeholders and high level of management

Requires a BA/BS
Minimum of 6 years healthcare, regulatory, ethics, compliance or privacy experience
MS/MBA/JD or professional designation preferred
Regulatory compliance experience strongly preferred
Medicare, Medicaid, and/or Commercial experience strongly preferred
Regulatory analysis experience preferred
Health insurance industry experience preferred
Risk assessment and audit experience preferred
Client engagement experience preferred
Experience presenting to senior leaders up through C-Suite preferred.

Compliance Manager

Key skills