5 дней назад
Healthcare Compliance Manager (Medicare)
107 000 - 126 000$
Мэтч & Сопровод
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Описание вакансии
Текст:
TL;DR
Healthcare Compliance Manager (Medicare): Building and operating Noom’s healthcare compliance program across Medicare billing, audits, risk assessments, policies, vendor oversight, and regulatory inquiries with an accent on fraud-and-abuse controls, nondiscrimination accommodations, and corrective action tracking. Focus on designing audit plans, monitoring CMS requirements, resolving compliance findings, and coordinating responses with Legal, Clinical, Finance, and Sales teams.
Location: Princeton, New Jersey, United States; hybrid schedule with 2 days per week on-site
Base salary: $107,000–$126,000 per year
Company
is a digital health company combining personalized care, medication, behavioral science, content, coaching, community, and clinical services to help people build healthier habits.
What you will do
- Build and manage the Medicare compliance program, including billing monitoring, compliance inquiries, formal audits, and required training.
- Design and execute audit plans, track findings through corrective action plans, and report remediation status to stakeholders.
- Conduct enterprise compliance risk assessments and convert results into risk-based monitoring and audit plans.
- Screen employees, contractors, and vendors against OIG, SAM, and other federal exclusion lists.
- Monitor nondiscrimination accommodation requests, delegated vendors, FDRs, contracts, licenses, policies, and government filings.
- Coordinate responses to CMS and other regulator inquiries or audits while supporting Legal, Clinical, Finance, Sales, and Strategy teams.
Requirements
- 4–6 years of general healthcare or corporate compliance experience.
- Experience designing and running audit processes, including audit planning and execution.
- Knowledge of healthcare fraud and abuse laws, including the Anti-Kickback Statute and False Claims Act, and the elements of an effective compliance program.
- Project management skills and the ability to independently manage work from scoping through execution.
- Comfort with contract monitoring, license tracking, government filings, and other paralegal-adjacent work; no paralegal license is required.
- Bachelor’s degree in Healthcare Administration, Business, Legal Studies, or a related field.
Nice to have
- Medicare or CMS exposure.
- CHC credential or paralegal certificate.
- Experience with HIPAA, ADA and nondiscrimination accommodations, OIG exclusion-list screening, program integrity, or delegated vendor and FDR oversight.
Culture & Benefits
- Ground-floor opportunity to build a healthcare compliance program from the ground up.
- Broad, high-visibility scope across Medicare, corporate, and healthcare compliance.
- 401(k) with company match, stock awards, and performance-based bonus.
- Paid holidays, generous time off, Summer Fridays, and a company-wide Summer Break week.
- Medical, dental, vision, and life insurance, including a premium-free medical plan option, plus paid parental leave.
Hiring process
- The process includes multiple phone, Zoom, and in-person interviews, followed by references.
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