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5 дней назад

Healthcare Compliance Manager (Medicare)

107 000 - 126 000$
Формат работы
hybrid
Тип работы
fulltime
Грейд
senior
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify RU Global, списка компаний с восточно-европейскими корнями
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Описание вакансии

Текст:
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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

hirify.global 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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