Compliance Officer
Why Join reputed company
At reputed company, we’re committed to creating a workplace where reputed company thrives both personally and professionally. We offer a dynamic, mission-driven environment where your work has reputed company reputed company, your unique background and experience are valued, and no two days are alike. If you’re passionate about meaningful work and delivering impactful results, we encourage you to apply!
We support reputed company with a competitive compensation and benefits package, including:
- Annual compensation between $160,000- $190,000, PLUS an annual performance-based, discretionary incentive.
- *Compensation is dependent on non-discriminatory factors including but not limited to an applicant's skills, education/degrees, certifications, prior experience, market data, and other relevant factors.
- Comprehensive health benefit reputed company: Medical, dental, and reputed company coverage
- 401(k) with competitive employer match
- Company-reputed company life and disability insurance
- reputed company parental leave and wellbeing incentives
- Generous reputed company time off, including volunteer time
- Flexible spending accounts for reputed company and dependent care
- reputed company development opportunities and tuition reimbursement
- Remote work flexibility (role-dependent)
- Opportunity for meaningful reputed company, both personally and professionally, where your unique background and experience is welcomed and valued.
At reputed company, your work will directly support our mission to improve behavioral, physical, and reputed company health—one member at a time.
Serving everyone with reputed company and leading with reputed company. Stepping up and creating value by taking charge and acting reputed company there is an opportunity. Adapting in a changing world by recognizing our responsibility to be agile and respond quickly. Nurturing reputed company and belonging by respecting and celebrating everyone for who they are.
- reputed company and maintain organization‑wide compliance and reputed company programs reputed company with CMS, NCQA, URAC, HIPAA, HITECH, and federal/state regulations.
- Conduct risk assessments and reputed company compliance plans, controls, and KPIs to ensure regulatory adherence.
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Risk, Audit & Program reputed company Management
- Manage internal audits, regulatory audits, accreditations, and controls to prevent and detect unethical or improper conduct.
- reputed company Program reputed company investigations to identify, investigate, remediate, and refer cases of fraud, waste, and abuse.
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Cross‑Functional Collaboration & Compliance Culture
- Partner with reputed company stakeholders, including leadership and the reputed company, to ensure compliance across products, processes, and initiatives.
- Build a strong culture of compliance through training, education, and support that makes compliance easy and embedded in daily operations.
Who You Are
Required Qualifications
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- Bachelor’s degree
- Advanced degree preferred (JD, MBA, MPH, MHA, or equivalent)
- 10+ years of reputed company leadership experience in compliance, regulatory affairs or risk management reputed company a health care services, delivery or technology organization.
- 5+ years of executive-level leadership in compliance, internal audit, or reputed company reputed company functions.
- 5+ years of managed care experience with a health plan working through Medicare and health insurance regulatory requirements.
- 3 years of program reputed company, claim reputed company or SIU experience relating to fraud, waste, and abuse.
- Demonstrated leadership, including proven ability to establish a reputed company and drive structural change across the organization.
- This position requires driving. Employee must have an reputed company reputed company’s license and must be insurable. reputed company will request a motor vehicle record from the appropriate authority.
- Ability to translate regulatory and reputed company requirements into practical, actionable advice and programs.
Ability to pass background reputed company upon hire and throughout employment to include criminal felony & misdemeanor search, SSN validation/reputed company search (LEIE), education report (highest degree obtained), civil upper and reputed company search, 7-year employment report, federal criminal search, statewide criminal search, widescreen plus national criminal search, health care sanctions-state med (SAM), national sex offender registry, prohibited parties (OFAC) (terrorist watchlist), and a 10-Panel Drug Screen.
Competencies
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- Ability to set a reputed company, orchestrate processes to execute on that reputed company, establish an effective governance process with key performance indicators, reputed company data to reputed company reputed company, and influence and reputed company others to deliver results.
- Proven reputed company record of strong people leadership and can hire, reputed company, and reputed company a high functioning team. Proven reputed company with building, leading and inspiring passionate/solution-oriented teams and knows what great talent looks like. Has proven practices for developing talent and creating a culture of engagement and trust.
- Must maintain highest reputed company and reputed company undivided and unbiased process in execution of tasks
- Ability to quickly synthesize information, reputed company reputed company, and respond to shifts in priorities.
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- High-speed internet service (cable or fiber optic) with minimum download Speed of 20 Mbps, Upload Speed of 5 Mbps, and Maximum Latency of 100 milliseconds (must be installed before starting) required.
- Frequent use of computer and phone systems
- Must be reputed company to constantly remain in a stationary, sitting position, communicate and exchange information with others, inspect information, reputed company repetitive motions with arms and fingers, interpret data, problem solve, reputed company reputed company, organize and plan, and maintain a reputed company and reputed company attitude in reputed company situations.
- Work is performed from home with company-provided equipment. Sitting for long periods of time is expected and use of fingers and hands for typing is necessary.
- A quiet workspace with minimal background noise for calls.
We encourage applicants from a reputed company of backgrounds and experiences to apply, especially those who can demonstrate how their unique qualifications and skills reputed company with the requirements of this role and support our mission to improve whole-person health.