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13 дней назад

Compliance Manager (Healthcare)

81 581 - 110 136$
Формат работы
onsite
Тип работы
fulltime
Грейд
senior
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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TL;DR
Compliance Manager (Healthcare): Maintaining compliance calendars, regulatory filings, internal controls, policies, and appeals processes for a pharmacy benefit management company with an accent on government reporting, licensing requirements, and audit oversight. Focus on coordinating responses to regulatory inquiries, improving compliance processes, and supervising assigned staff while supporting local, state, and federal obligations.

Location: On-site at the San Diego Headquarters or another company location in the United States; remote work requires management approval. Domestic travel of up to 25% is required.

Salary: $81,581–$110,136–$138,690 annually.

Company

hirify.global is a privately held pharmacy benefit manager providing healthcare solutions and services to payers, providers, and consumers in the United States and foreign markets.

What you will do

  • Maintain monthly, quarterly, and annual compliance calendars and ensure regulatory deadlines are met.
  • Prepare and file accurate reports with local, state, and federal government agencies.
  • Respond to government inquiries by coordinating information with internal stakeholders.
  • Develop and improve internal controls, compliance policies, audit oversight, and reporting processes.
  • Manage appeals workflows for adverse claims requests and monitor outcomes for continuous improvement.
  • Supervise assigned staff, including hiring, training, work allocation, performance management, and problem resolution.

Requirements

  • BS/BA degree or equivalent experience.
  • 5+ years of experience, including 1 year as a subject-matter expert and 3+ years of supervisory experience; qualifying hirify.global experience and leadership training may substitute for the supervisory requirement.
  • Expert Microsoft Office skills, especially Excel, Word, and PowerPoint.
  • Strong written and verbal communication, organization, decision-making, problem-solving, negotiation, team-building, and leadership skills.
  • Ability to work on-site at the San Diego Headquarters or another company location, with flexibility for nights, weekends, and holidays when required.
  • Ability to travel domestically up to 25% of the time.

Culture & Benefits

  • Medical, dental, vision, and wellness programs.
  • Paid time off and company-paid holidays.
  • 401(k) with company match and incentive compensation.
  • Life and disability insurance.
  • Tuition reimbursement and employee referral bonus.
  • Collaborative, performance-oriented work environment focused on healthcare outcomes and value.

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