Risk Partner (Healthcare Compliance)

Location: Working from home in Pennsylvania, United States

Company

hirify.global operates in the health insurance and managed care sector.

What you will do

• Implement, execute, and maintain compliance and risk management programs for assigned business entities.
• Advise business leaders and senior management on regulatory requirements, risks, mitigation strategies, and management responsibilities.
• Coordinate risk assessments, audit plans, monitoring activities, reporting obligations, training, investigations, and corrective action plans.
• Serve as the primary contact for business risks, compliance, privacy, and security needs while partnering with Legal, Risk Operations, and Internal Investigations.
• Prepare reports for senior management and the Board of Directors and represent assigned entities in risk and compliance committees.
• Liaise with external regulators and enforcement bodies according to established legal and communication protocols.

Requirements

• Bachelor’s degree in business, finance, health administration, public health, public administration, legal, accounting, or a related field, or equivalent experience and education.
• At least 5 years of experience in compliance, privacy, government affairs, healthcare operations, risk, audit, or legal functions.
• At least 3 years of leadership or management experience.
• Knowledge of managed care, Medicare, federal and state regulations, insurance, compliance planning, privacy, security, and audit methodologies.
• In-depth knowledge of HIPAA and the ability to perform privacy risk assessments.
• Strong written, oral, presentation, analytical, cross-functional leadership, and confidential information-handling skills.

Nice to have

• Master’s degree in a relevant field.
• Seven years of experience in compliance, privacy, government affairs, healthcare operations, risk, audit, or legal functions.
• Three years of experience in healthcare compliance or privacy.
• CPA, CIA, CFE, CHC, or CCEP certification.

Culture & Benefits

• Office-based position with working-from-home arrangements in Pennsylvania.
• Travel requirement of 0%–25%.
• Regular opportunities to teach and train others.
• Work involves confidential customer information and requires adherence to HIPAA, information security policies, and the Code of Business Conduct.