Senior Compliance and Vendor Management Oversight Specialist
Core
Leads integrity and governance of corporate ethics and compliance programs, overseeing regulatory compliance for government-sponsored healthcare programs and vendor contracts.
Role type
Senior compliance and vendor management specialist
Builds
Contract lifecycle management, regulatory reporting, and vendor oversight for Medicaid and Marketplace programs
Domain
Healthcare / Government-sponsored health programs / Regulatory compliance
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Managed care, health insurance, legal and regulatory frameworks, contract lifecycle management, audit and assessment, regulatory reporting, process improvement
Preferred skills
Project oversight, state and federal law interpretation, state Medicaid compliance, HealthCare Compliance (CHC)
Technologies
None stated
Responsibilities
Collaborate with internal teams and external vendors to promote contract compliance; oversee contract lifecycle from drafting to finalization; conduct reviews, audits, and assessments of vendor relationships; drive process improvements with business owners; communicate regulatory updates impacting Medicaid and Marketplace filings; develop written reports on oversight findings and recommendations; route compliance concerns for investigation and resolution.
Seniority
Senior, hands-on IC