Senior Compliance Manager

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Requirements:

• 5+ years of direct experience in regulatory affairs or compliance within Medicare or Medicaid.
• 3+ years of managerial experience within the healthcare industry, particularly in Medicare Advantage and Medicaid programs.
• Deep knowledge of CMS regulations, Medicare/Medicaid compliance requirements, and general corporate compliance operations.
• Experience with CMS or First-Tier Entity audits, FDR compliance requirements, and overseeing downstream entity compliance.
• Strong project management skills, with the ability to lead cross-functional teams and manage multiple priorities.
• Experience with developing compliance processes.
• Bachelor’s degree or similar experience strongly preferred. Degree in Healthcare Administration, Business Administration, or a related field (master’s degree, LLM, Juris Doctorate, or Healthcare Compliance certification is a plus).

Responsibilities:

• Managing the Vendor Oversight and Management process with respect to downstream entities.
• Supporting the company’s overall corporate compliance regime.
• Ensuring adherence to Medicare and Medicaid regulations and guidelines.
• Developing new policies and procedures and improving upon existing policies and procedures.
• Responding to RFPs, audits, and assessments for compliance operations.
• Working cross-functionally with various departments to support compliance needs.
• Fostering a culture of compliance throughout the organization.