Compliance Program Manager – Government-Managed Healthcare Regulations

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

📋 Description

• Act as a subject matter expert regarding regulatory and contractual obligations impacting Liberty Dental Plan’s business operations.

• Track, monitor, and maintain a database of regulatory requirements, providing key updates for leadership.

• Collaborate with internal teams to execute new contract and regulatory mandates.

• Conduct research and offer guidance on ad hoc compliance-related questions.

• Address client and regulatory audits, including the management of corrective action plans.

• Examine agreements, policies, and materials aimed at members to ensure adherence to relevant requirements.

• Supervise Liberty Dental Plan’s yearly risk assessment, compliance workplan, and testing initiatives.

• Evaluate compliance findings, recognize trends, and suggest recommendations for performance enhancement.

• Create and sustain compliance reporting tools, such as dashboards and tracking summaries.

• Lead initiatives and special projects related to compliance, fostering process enhancements.

• Ensure compliance training materials are current and coordinate training across the organization.

• Support the HIPAA compliance program, including managing incidents.

• Organize Compliance Committee meetings and prepare reports for the Board of Directors.

• Identify opportunities to enhance Liberty Dental Plan’s compliance culture.

⛳️ Requirements

• Bachelor’s degree required (or equivalent experience with relevant certifications).

• A minimum of 7 years of progressive experience in roles focused on regulatory compliance.

• At least 5 years of practical experience in HIPAA privacy compliance, including the implementation and management of HIPAA privacy programs.

• Experience in government-managed or regulated healthcare is preferred.

• Strong capabilities in critical thinking and problem-solving.

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

• Advanced proficiency in Microsoft Office (Excel, Word, PowerPoint, SharePoint).

• Intermediate to advanced Excel skills (pivot tables, charts, macros, external data connections preferred).

• Strong communication skills across all levels of the organization.

🏝️ Benefits

• Comprehensive medical coverage through Anthem, featuring affordable premiums and multiple plan options - including an HDHP with HSA eligibility.

• 100% employer-paid dental insurance and low-cost vision coverage for employees and their dependents.

• 401(k) retirement plan with immediate vesting, employer match, Roth option, and access to professional financial guidance.

• Short-term disability and a variety of voluntary benefits, which include accident, critical illness, and hospital indemnity insurance.

• Generous paid time off, including vacation and sick leave with rollover options, along with 10 paid company holidays and a wellness day.

• Additional benefits such as company-paid life insurance, tuition reimbursement, an employee perks program, and flexible work options for eligible positions.