Compliance Program Manager

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

📋 Description

• Act as a compliance resource and subject matter expert for commercial, Exchange, Medicaid, and Medicare business lines.

• Observe, research, interpret, and uphold regulatory and contractual obligations.

• Facilitate the implementation of new regulatory and contractual requirements across various business functions.

• Address compliance-related inquiries and offer regulatory guidance.

• Assist with client, regulatory, and internal audits, including initiatives for corrective actions.

• Review agreements, policies, member-facing materials, business associate agreements, and other documents for compliance implications.

• Coordinate enterprise compliance activities, encompassing risk assessments, work plans, compliance testing, and program reporting.

• Analyze findings, identify trends and root causes, develop recommendations, and relay risk insights to stakeholders.

• Create and sustain compliance dashboards, reporting tools, and status updates.

• Support the administration and ongoing enhancement of the Compliance and Privacy Program.

• Organize compliance training and annual compliance education sessions.

• Assist with quarterly Compliance Committee activities and Board-level reporting.

• Foster a robust culture of compliance.

• Manage and oversee the HIPAA Privacy Program.

• Investigate and handle privacy incidents involving Protected Health Information.

• Conduct privacy impact assessments and assess vendors, systems, technologies, and business processes for privacy risks.

• Identify privacy and compliance risks, recommending safeguards and mitigation strategies.

• Review vendor agreements, business associate agreements, and contractual language.

• Collaborate with business leaders to implement privacy controls and ensure regulatory compliance.

• Assist with member rights processes and initiatives for privacy-related process improvements.

• Aid in incident response, risk mitigation, and enhancements to the privacy program.

• Undertake additional projects and responsibilities as assigned.

⛳️ Requirements

• A Bachelor's degree and relevant industry certifications are required, or equivalent experience.

• At least 7 years of progressive experience in regulatory compliance and oversight.

• Direct experience in government-managed or regulated healthcare environments.

• Strong understanding of regulatory requirements with the ability to analyze, interpret, and apply regulations in a business context.

• Proficient in compiling, coordinating, analyzing, and organizing regulatory requirement data.

• Excellent critical thinking, analytical, and problem-solving capabilities.

• Strong proficiency in Microsoft Office applications, including Excel, Word, PowerPoint, and SharePoint.

• Ability to manage multiple projects and priorities in a dynamic environment.

• Exceptional written and verbal communication skills.

• Strong attention to detail and a commitment to delivering high-quality work.

• Preferred expertise in the HIPAA Privacy Rule and hands-on experience with privacy programs.

• Preferred experience in managing privacy incidents, breach investigations, and mitigation activities.

• Preferred experience in conducting privacy impact assessments and evaluating vendor-related risks.

• Preferred experience in reviewing Business Associate Agreements, vendor contracts, and healthcare-related agreements.

• Preferred experience working with Protected Health Information and healthcare privacy regulations.

• Preferred intermediate to advanced Microsoft Excel skills, including pivot tables, charts, conditional formatting, macros, and external data connections.

• Preferred experience in developing executive summaries, compliance reports, dashboards, and Board-level presentations.

• Preferred strong sense of ownership and ability to work independently.

• Preferred experience collaborating across Security, Claims, Customer Service, Client Services, Procurement, Vendor Oversight, and Operations.

• Must reside in the United States; Liberty Dental Plan is unable to hire or permit employees to work outside the United States.

• No sponsorship is available at this time.

🏝️ Benefits

• Competitive pay structure and savings options.

• 401(k) retirement benefits, including employer match, Roth IRA options, immediate vesting during the Safe Harbor period, and access to professional financial advice through Financial Engines.

• Affordable medical insurance with low-cost premiums for employee-only coverage.

• Employer-subsidized medical coverage for eligible dependents.

• 100% employer-paid dental coverage for employees and eligible dependents.

• Vision insurance.

• Company-paid basic life and AD&D insurance equal to one times base salary, with options available for supplemental coverage.

• Flexible Spending Accounts for healthcare and dependent care expenses.

• Voluntary accident, critical illness, and hospital indemnity insurance.

• Long-term disability coverage.

• Expansive wellness programs, including company-wide wellness challenges, BurnAlong memberships, and gym discounts.

• Employee Assistance Program supporting mental health and well-being.

• Generous vacation and sick leave policies, with unused time rollover.

• 10 paid company holidays.

• Tuition reimbursement for eligible educational expenses.

• Remote or hybrid work options available for various positions.