Manager, Medicare Advantage Compliance - Remote

Overview

The Manager, Medicare Advantage Compliance will play a crucial role in ensuring compliance within Peak Health’s Compliance Department, focusing on vendor governance and operational practices.

In Short

• Implement and manage First-tier, Downstream, and Related Entities (FDRs) vendor governance.
• Ensure compliance controls align with risk management best practices.
• Collaborate with key stakeholders across various departments.
• Drive development of policies, procedures, and compliance programming.
• Utilize regulatory experience to identify and mitigate risks.
• Lead internal compliance programs and projects.
• Monitor and evaluate compliance policies and internal controls.
• Support compliance audits and regulatory inquiries.
• Train and develop compliance staff members.
• Work in a fast-paced, evolving environment.

Requirements

• Bachelor’s Degree in healthcare administration or related field.
• Four years of experience in healthcare compliance.
• Two years of experience in FDR compliance.
• Advanced degree or equivalent work experience preferred.
• Certified in Healthcare Compliance (CHC) preferred.
• Strong communication skills.
• Ability to work independently and collaboratively.
• Experience in vendor management is a plus.
• Ability to handle confidential information.
• Proficient in Microsoft Office applications.

Benefits

• Competitive salary.
• Opportunities for professional development.
• Supportive work environment.
• Health benefits.
• Flexible work arrangements.