Manager Government Program Compliance, Risk Adjustment

881

Base: $92,700.00 - $167,500.00; bonus: subject to ...
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Bachelor's degree required
Five years healthcare compliance experience
One year leadership supervisory experience
** HCSC is seeking a Manager for Government Program Compliance and Risk Adjustment to oversee regulatory compliance related to Medicare and Medicaid. The ideal candidate will have significant experience in healthcare compliance and risk management, along with strong leadership and communication skills. **

Job Summary

  • This role is responsible for evaluating Government Program regulations and assessing the risk they present to HCSC government contracts.
  • The position ensures organizational adherence to federal, state, and local laws while developing policies and managing risk to prevent legal penalties.
  • HCSC offers a robust total rewards package including health benefits, 401(k) savings plan, pension plan, and paid parental leave.

Matching Summary

Match Score: 75

** HCSC is seeking a Manager for Government Program Compliance and Risk Adjustment to oversee regulatory compliance related to Medicare and Medicaid. The ideal candidate will have significant experience in healthcare compliance and risk management, along with strong leadership and communication skills. **

Salary

Base: $92,700.00 - $167,500.00; Bonus: Subject to annual incentive bonus plan; Benefits: Health, wellness, 401(k), pension, paid time off, tuition reimbursement

Skills & Requirements

Must-have

  • Bachelor's degree required
  • Five years healthcare compliance experience
  • One year leadership supervisory experience
  • Experience with Medicare and Medicaid regulations
  • Strong critical thinking and risk assessment skills

Nice-to-have

  • Master's degree preferred
  • Knowledge of Medicare Advantage Part D
  • Government programs operational experience
  • Ability to influence processes to achieve results
  • Excellent verbal and written communication skills

Key Requirements

  • Bachelor's Degree
  • 5 years healthcare compliance OR 9 years health plan/regulatory experience
  • 1 year leadership/supervisory experience
  • PC proficiency in MS Teams, Word, PowerPoint, Excel, Workday

Work Rights

Not specified

Tailored Resume

Cover Letter