Manager, Business Standards and Oversight - Remote

Overview

The Manager of Business Standards and Oversight plays a crucial role in ensuring compliance with regulatory and accreditation standards within the healthcare sector, particularly in the areas of Utilization Management and Care Management.

In Short

• Remote position with a focus on regulatory and contract management.
• Oversee documentation processes for compliance with NCQA and other standards.
• Manage a team of associates responsible for documentation oversight.
• Support operational teams with audit readiness and documentation quality.
• Coordinate with various departments to ensure compliance and training.
• Conduct internal and external audits and prepare for external reviews.
• Provide performance reports to leadership on compliance metrics.
• Lead special projects and initiatives as needed.
• 5+ years of relevant experience required.
• Bachelor's degree in a healthcare-related field preferred.

Requirements

• 5+ years of experience in regulatory, audit, or healthcare delivery.
• Previous leadership experience in managing staff.
• Clinical licensure preferred for policy management roles.
• Strong understanding of healthcare compliance standards.
• Ability to manage multiple projects and deadlines.
• Excellent communication and interpersonal skills.
• Experience with audit processes and documentation oversight.
• Proficiency in performance management and quality review.
• Ability to work collaboratively across departments.
• Strong analytical and problem-solving skills.

Benefits

• Competitive salary and comprehensive benefits package.
• Health insurance, 401K, and stock purchase plans.
• Tuition reimbursement and paid time off.
• Flexible work schedule options including remote work.
• Commitment to diversity and equal opportunity employment.
• Support for candidates with disabilities in the application process.
• Access to high-quality healthcare programs.
• Opportunities for professional growth and development.
• Incentives based on performance and job-related factors.
• Supportive work environment focused on employee well-being.