Senior Manager, Compliance Program Administration

This is a fully remote position, open to applicants in Florida, +11 more locations.

📋 Description

• Oversee and execute strategies to uphold and implement compliance programs that align with regulatory standards for designated products throughout the organization.

• Keep track of compliance work plans, governance documentation, and compliance metrics.

• Create policies, procedures, and processes that support compliance operations, governance, and program management.

• Conduct risk assessments and report on emerging trends, deficiencies, variances, and findings.

• Provide training on Ethics, Compliance, Risk Management, FWA, privacy, and security.

• Enhance the knowledge of others regarding the fundamentals of the Compliance Program.

• Design and oversee a strategic professional development roadmap for the Compliance team.

• Coordinate with stakeholders, manage interdependencies, resolve obstacles, and track deliverables across Compliance initiatives.

• Generate program updates, dashboards, and reports for executive management.

• Analyze compliance data and perform industry horizon analysis.

• Assist in change management and communication efforts related to Compliance requirements, tools, and processes.

• Mentor and guide team members and act as the primary backup to the department leader.

• Monitor risks associated with Commercial products, benefit filings, and entity licenses.

• Collaborate with Marketing to oversee sales and marketing representatives as well as promotional materials.

• Supervise the FDR oversight program for Medicare and MMP plans.

• Report risks related to Medicare and Medicaid products.

• Partner with departments as the local executive accountable for business continuity and disaster recovery requirements.

• Perform additional duties as assigned and adhere to all policies and standards.

⛳️ Requirements

• Bachelor’s Degree in Healthcare Administration, Compliance, or a related field; or equivalent experience is necessary.

• At least 5 years of experience in Compliance is required.

• A minimum of 3 years of experience in Medicaid, Medicare, or commercial Managed Care is essential.

• Previous experience interacting with federal and state regulatory bodies in a managed care or insurance context is preferred.

• A Master’s Degree is preferred.

• A Juris Doctor (JD) is preferred.

🏝️ Benefits

• Competitive salary.

• Health insurance coverage.

• 401K retirement plan.

• Stock purchase opportunities.

• Tuition reimbursement assistance.

• Paid time off plus holidays.

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

• Additional incentive options may be included in the overall compensation package.