1 день назад
Senior Compliance and Vendor Management Oversight Specialist (Healthcare)
70 100 - 126 200$
Мэтч & Сопровод
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Описание вакансии
Текст:
TL;DR
Senior Compliance and Vendor Management Oversight Specialist (Healthcare): Leading compliance governance, vendor oversight, and contract lifecycle monitoring for government-sponsored healthcare programs with an accent on regulatory analysis, audits, and program integrity. Focus on interpreting Medicaid and Marketplace regulations, documenting findings, coordinating subcontractor approvals, and driving corrective actions with internal teams and vendors.
Location: Remote from anywhere in the Continental United States
Salary: $70,100–$126,200 per year
Company
connects people with healthcare services and supports government-sponsored healthcare programs, including Medicaid and Marketplace programs.
What you will do
- Lead corporate ethics, compliance, and vendor oversight activities for government-sponsored healthcare programs.
- Manage the contract lifecycle from drafting through finalization while identifying and mitigating compliance risks.
- Conduct vendor reviews, audits, and assessments to evaluate adherence to contractual and regulatory requirements.
- Coordinate regulatory updates affecting Medicaid and Marketplace filings with market and product compliance officers.
- Prepare subcontractor files, regulatory notifications, approvals, and supporting documentation.
- Document monitoring findings and recommendations, and route compliance concerns for investigation and resolution.
Requirements
- Bachelor’s degree in a related field or equivalent experience.
- 4+ years of experience in managed care or health insurance, with knowledge of relevant legal and regulatory frameworks.
- Experience reading, analyzing, and interpreting state and federal laws, rules, and regulations.
- Experience with state Medicaid or government-sponsored healthcare compliance.
- Must be able to work remotely from within the Continental United States.
Nice to have
- Master’s degree or Juris Doctor degree.
- 2+ years of project oversight experience with the ability to drive implementation and influence stakeholders.
- Certified in Healthcare Compliance (CHC).
Culture & Benefits
- Health insurance and comprehensive employee benefits.
- 401(k) and stock purchase plans.
- Tuition reimbursement.
- Paid time off and holidays.
- Flexible work approaches, including remote, hybrid, field, and office schedules where applicable.
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