Senior Manager, Enterprise Compliance Corrections
Core
Lead a team responsible for remediation and reporting activities to resolve non-compliance with Medicaid, Medicare, Marketplace, and Commercial regulatory requirements.
Role type
Senior Manager, Enterprise Compliance Corrections
Builds
Corrective action plans and compliance remediation reports for healthcare payers
Domain
Healthcare / Insurance / Regulatory Compliance
Deliverable
client delivery
Required skills
Team leadership, compliance program management, regulatory assessment, stakeholder communication, strategic improvement identification, federal/state agency interaction
Preferred skills
Healthcare environment compliance experience, Medicaid/Medicare/Commercial Managed Care expertise, Juris Doctor (JD)
Technologies
N/A
Responsibilities
Lead and manage the assessment and prioritization of non-compliance issues; Oversee the execution and continuous improvement of the Corrections Compliance program; Provide regular updates on program performance to senior management; Recruit, supervise, and develop team members; Identify and recommend strategic improvements; Respond to inquiries from internal stakeholders; Offer expert guidance on non-compliance issues; Influence management to enhance performance; Serve as the designated point of contact in the absence of the Senior Director
Seniority
Senior, hands-on IC with management responsibilities