The Lead Compliance Program Manager will develop and manage significant regulatory audits and initiatives for federal and state regulations across Medicare, Medicaid, and Commercial lines of business
Job Summary
The Lead Compliance Program Manager will develop and manage significant regulatory audits and initiatives for federal and state regulations across Medicare, Medicaid, and Commercial lines of business.
This role requires collaborating with leadership and regulators to define timely responses that demonstrate the organization's compliance with laws and standards while performing risk analysis to recommend changes.
Point32Health offers a competitive total rewards package including medical, dental, vision, retirement plans, paid time off, and tuition programs for its colleagues.
Matching Summary
The Lead Compliance Program Manager will develop and manage significant regulatory audits and initiatives for federal and state regulations across Medicare, Medicaid, and Commercial lines of business.
Salary
Base: $108,842.63 - $163,263.95; Bonus/Equity: Variable pay eligible; Benefits: Comprehensive medical, dental, vision, retirement, PTO, life insurance, tuition program
Skills & Requirements
Must-have
8+ years regulatory compliance experience
Medicare Medicaid commercial compliance
Manage complex federal state audits
Risk analysis and remediation planning
Cross-functional leadership and negotiation
Nice-to-have
Advanced degree or relevant certifications
Experience in not-for-profit health sector
Strong presentation and communication skills
Ability to thrive in matrix environment
Proactive change management champion
Key Requirements
Bachelor's degree in business, law, or related field
Minimum 8 years of regulatory compliance experience
3-5 years specific Medicare/Medicaid/Commercial experience
Demonstrated knowledge of government healthcare regulations