Compliance Program Manager

<h3>Accountabilities:</h3><li>
<strong>Regulatory Monitoring and Analysis:</strong>Monitor, research, and interpret evolving federal and state healthcare laws, regulations, CMS guidance, and contractual obligations to identify new compliance requirements and emerging risks.</li><li>
<strong>Business Impact Assessments:</strong>Evaluate the operational and organizational implications of regulatory changes, identify affected departments, and determine the actions necessary to achieve compliance.</li><li>
<strong>Regulatory Change Management:</strong>Lead regulatory implementation initiatives from initial assessment through planning, execution, monitoring, and completion, ensuring requirements are addressed accurately and within established timelines.</li><li>
<strong>Translation of Regulatory Requirements:</strong>Convert complex legal and regulatory language into clear, practical guidance, recommendations, and action plans that operational teams can implement effectively.</li><li>
<strong>Cross-Functional Coordination:</strong>Partner with business leaders, operational teams, and other stakeholders to establish implementation plans, clarify responsibilities, resolve challenges, and maintain accountability.</li><li>
<strong>Governance and Implementation Tracking:</strong>Facilitate meetings, committees, and governance discussions to monitor regulatory initiatives, evaluate organizational readiness, identify outstanding actions, and track progress against implementation milestones.</li><li>
<strong>Reporting and Executive Communication:</strong>Prepare regulatory impact assessments, executive summaries, presentations, dashboards, and reports that communicate key findings, risks, recommendations, and implementation status to leadership.</li><li>
<strong>Stakeholder Advisory Support:</strong>Serve as a trusted compliance resource for internal teams, answering questions about regulatory requirements and explaining their practical implications for business operations.</li><li>
<strong>Risk Identification and Mitigation:</strong>Collect and synthesize information from business partners to identify implementation gaps, assess potential compliance risks, and recommend appropriate corrective or preventive actions.</li><li>
<strong>Regulatory Inquiries and Special Projects:</strong>Support responses to regulatory inquiries and contribute to compliance-related projects, strategic initiatives, and operational improvement efforts.</li><li>
<strong>Process Improvement:</strong>Identify opportunities to strengthen regulatory readiness, improve accountability, streamline implementation processes, and enhance the organization's overall compliance framework.</li><li>
<strong>Compliance Culture:</strong>Promote proactive compliance practices through effective communication, collaborative problem-solving, stakeholder engagement, and continuous improvement.</li><h2>Requirements:</h2><li>
<strong>Education:</strong>Bachelor's degree and relevant industry certifications, or an equivalent combination of education and professional experience.</li><li>
<strong>Professional Experience:</strong>At least seven years of progressive experience in healthcare regulatory compliance, regulatory affairs, or regulatory change management.</li><li>
<strong>Healthcare Industry Expertise:</strong>Direct experience in managed care, health plans, government-sponsored healthcare programs, or another highly regulated healthcare environment.</li><li>
<strong>Regulatory Interpretation:</strong>Demonstrated experience interpreting and implementing new laws, regulations, CMS guidance, and contractual requirements, including the ability to assess their impact on business operations.</li><li>
<strong>Healthcare Regulatory Knowledge:</strong>Strong understanding of Medicare, Medicaid, health insurance exchange markets, and/or commercial healthcare regulations.</li><li>
<strong>Strategic and Analytical Thinking:</strong>Excellent analytical, critical-thinking, and problem-solving skills, with the ability to evaluate complex requirements, identify operational implications, and develop practical solutions.</li><li>
<strong>Implementation Leadership:</strong>Proven ability to coordinate regulatory initiatives across multiple business functions, establish implementation plans, monitor progress, and drive projects through completion.</li><li>
<strong>Communication Skills:</strong>Exceptional written and verbal communication skills, including the ability to explain complex regulatory concepts to diverse audiences and prepare clear, executive-level presentations.</li><li>
<strong>Stakeholder Management:</strong>Strong interpersonal skills and the ability to build relationships, facilitate discussions, influence stakeholders without direct authority, and encourage accountability across teams.</li><li>
<strong>Project and Priority Management:</strong>Ability to manage multiple initiatives simultaneously, prioritize competing deadlines, navigate ambiguity, and maintain attention to detail in a fast-paced environment.</li><li>
<strong>Technical Proficiency:</strong>Advanced proficiency in Microsoft Office applications, particularly Excel, Word, PowerPoint, and SharePoint.</li><li>
<strong>Preferred Regulatory Change Experience:</strong>Previous experience leading regulatory change management programs or coordinating enterprise-wide regulatory implementation initiatives.</li><li>
<strong>Preferred Operational Knowledge:</strong>Familiarity with healthcare operations, including utilization management, provider operations, claims administration, or related health plan functions.</li><li>
<strong>Advanced Analytical Tools:</strong>Experience using advanced Excel capabilities, including pivot tables, charts, conditional formatting, and data analysis tools.</li><li>
<strong>Governance and Facilitation:</strong>Experience facilitating committees, governance groups, or cross-functional implementation teams is an advantage.</li><li>
<strong>Professional Attributes:</strong>A proactive, curious, and adaptable mindset, sound judgment, strong attention to detail, and a commitment to translating regulatory complexity into effective business outcomes.</li><li>
<strong>Work Authorization:</strong>Candidates must be based in the United States. Employment sponsorship and relocation assistance are not available.</li><h2>Benefits:</h2><li>
<strong>Competitive Salary:</strong>Annual base salary range of<strong>$105,000–$115,000</strong>, depending on geographic location, skills, education, experience, and internal pay equity considerations.</li><li>
<strong>Retirement Benefits:</strong>A 401(k) retirement plan with employer matching, Roth IRA options, immediate vesting during the Safe Harbor period, and access to professional financial advice.</li><li>
<strong>Comprehensive Healthcare:</strong>Medical insurance with low-cost employee-only premiums and employer subsidies for eligible dependents.</li><li>
<strong>Dental Coverage:</strong>100% employer-paid dental insurance for employees and eligible dependents.</li><li>
<strong>Vision Insurance:</strong>Vision coverage with low-cost premiums for employees and eligible dependents.</li><li>
<strong>Life and Disability Insurance:</strong>Employer-paid basic life and accidental death and dismemberment (AD&amp;D) coverage equal to one times base salary, optional supplemental coverage, and long-term disability insurance.</li><li>
<strong>Flexible Spending Accounts:</strong>Options for healthcare and dependent care expenses.</li><li>
<strong>Additional Insurance Options:</strong>Voluntary accident, critical illness, and hospital indemnity insurance programs.</li><li>
<strong>Paid Time Off:</strong>Generous vacation and sick leave policies, including the ability to roll over unused time.</li><li>
<strong>Paid Holidays:</strong>Ten company-paid holidays annually.</li><li>
<strong>Wellness Programs:</strong>Access to company-wide wellness challenges, BurnAlong memberships, gym discounts, and other health and wellness resources.</li><li>
<strong>Employee Assistance Program:</strong>Resources to support mental health, personal well-being, and work-life balance.</li><li>
<strong>Education Assistance:</strong>Tuition reimbursement for eligible educational expenses and opportunities for continued professional development.</li><li>
<strong>Flexible Work Arrangements:</strong>Remote or hybrid work options may be available, depending on the position's requirements.</li><li>
<strong>Inclusive Work Environment:</strong>A workplace that values diverse perspectives, equal opportunity, collaboration, and professional growth.</li><li>
<strong>Meaningful Professional Impact:</strong>The opportunity to influence regulatory strategy, improve organizational readiness, and support compliant healthcare operations.</li>