Compliance Manager

This is a fully remote position, open to applicants in United States.

📋 Description

• Oversee the operations of the compliance department, including regular monitoring and auditing activities.

• Ensure the timely and accurate approval and submission of contract and regulatory reports.

• Supervise updates to contracts with Health Plans, States, and consultants/vendors.

• Conduct regular assessments to ensure adherence to contract requirements.

• Manage corrective action plans aimed at mitigating compliance risks and addressing performance deficiencies.

• Partner with Health Plans and States to enhance customer satisfaction and maintain contract compliance.

• Oversee the review and submission of communication materials for consumers and providers.

• Handle responses to inquiries and complaints from state regulatory agencies.

• Identify licensure requirements and oversee ongoing licensure maintenance.

• Assist in RFP responses and new business implementations through designated compliance responsibilities.

• Engage in new business implementations and monitor required contract report deliverables and materials.

• Design, implement, and refine processes that address federal, state, and contractual compliance matters.

• Develop and deliver annual compliance training sessions as well as on-demand training for employees.

⛳️ Requirements

• Bachelor’s degree in healthcare administration, compliance, or a related field, or equivalent experience.

• 4–6 years of experience in compliance.

• Familiarity with risk assessments related to contract and regulatory obligations.

• Proven experience in creating and executing auditing, monitoring, and reporting procedures.

• Experience in managing corrective action plans.

• Background in implementing written policies and procedures.

• Experience in developing and delivering compliance training and education.

• Preferred experience in managed health and/or behavioral health.

• Candidates must reside in Indiana due to contract stipulations.

🏝️ Benefits

• Competitive salary.

• Comprehensive health insurance.

• 401K retirement plan.

• Stock purchase plan.

• Tuition reimbursement program.

• Paid time off in addition to holidays.

• Flexible work arrangements, including remote, hybrid, field, or office schedules.

• Additional incentives may be included in the total compensation package.

• Commitment to diversity as an equal opportunity employer.