Compliance – FDR Manager

Role Overview

• Monitoring of FDRs on a regular basis as part of our Compliance Effectiveness Program
• Conducting desktop audits of FDRs
• Conducting onsite audits of FDRs
• Creating audit reports
• Creating scorecards and tools to evaluate the FDRs
• Issuing Corrective Action Plans as needed and ensuring that deficiencies have been addressed and corrected

Requirements

• 2–5 years of healthcare auditing or insurance operations experience, with a deep understanding of Medicare Part C & D standards.
• Proven experience managing First Tier, Downstream, and Related Entities (FDRs), including the ability to identify non-compliance and drive meaningful resolution.
• Demonstrated ability to execute the full audit process—from conducting desktop/onsite audits to creating reports and scorecards—with meticulous attention to detail.
• Skilled in issuing and managing Corrective Action Plans (CAPs), ensuring that deficiencies are not just identified but fully remediated.
• Ability to translate complex audit findings into clear presentations and written reports for both internal leadership and external FDR partners.
• Strong project management skills with a track record of meeting strict CMS deadlines while collaborating effectively in a remote-first, fast-paced environment.
• Proficiency in Google Workspace (Docs, Sheets, Slides) and Slack.
• Active interest or experience in applying Generative AI or LLMs to automate routine audit tasks, such as summarizing compliance reports or identifying patterns in vendor data.

Benefits

• Employer sponsored health, dental and vision plan with low or no premium
• Generous paid time off
• $100 monthly mobile or internet stipend
• Stock options for all employees
• Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles
• Parental leave program
• 401K program
• And more....