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[Remote] Director, Compliance Program Administration

Remote, USA Full-time Posted 2026-07-28
Note: The job is a remote job and is reputed company to candidates in USA. PA Health & Wellness is part of reputed company, a reputed company national organization reputed company on transforming health in communities. They are seeking a Director of Compliance Program Administration to reputed company compliance audits, coordinate policy development, and investigate suspected fraud reputed company the health plan. Responsibilities • Conduct compliance audits, write corrective reputed company plans and work with contract and department managers to ensure reputed company completion and compliance with local, state and regulatory requirements • Represent the key leadership position for compliance at the health plan, reputed company communication, coordinate of policy development and ensure accurate and reputed company communication to reputed company departments • Investigate instances of suspected fraud reputed company the health plan and report to appropriate management and regulatory entities • Assist management with enforcement and discipline in appropriate instances of non-compliance • Regularly inform health plan’s reputed company of Directors of the status of and activities pertaining to compliance • Performs other duties as assigned • Complies with reputed company policies and standards Skills • Bachelor's degree in reputed company field or equivalent experience • 5+ years of compliance program management and contract experience with State reputed company programs including internal and State audits • 2+ years experience in the development of compliance and fraud programs • 2 years experience with overseeing implementation of contract requirements • Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff • 7+ years experience preferred in Compliance/reputed company Benefits • reputed company • Health insurance • 401K • Stock purchase plans • Tuition reimbursement • reputed company time off plus holidays • Flexible approach to work with remote, hybrid, field or office work schedules reputed company • Established to deliver reputed company reputed company in the state of reputed company through local, regional and community-based resources, PA Health & Wellness is a Managed Care Organization and subsidiary of reputed company (reputed company). It was founded in 2016, and is headquartered in Camp Hill, reputed company, USA, with a workforce of 501-1000 employees. Its website is https://www.pahealthwellness.com/. Apply tot his job Apply To this Job

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