About the position
This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Remote Compliance Officer. In this role, you will be a key player in overseeing all compliance functions, ensuring effective communication and development of policies within the health plan. Your expertise will make a significant impact as you manage relationships with state regulators and navigate complex audit processes. This position provides an opportunity to directly influence the compliance landscape while working flexible hours in a remote setting.
Responsibilities
• Oversee the accurate and timely submission of all CMS Medicare SNP requirements.
• Serve as senior leadership and single point of contact in all State compliance meetings and interactions.
• Manage direct correspondence and daily interaction with all state regulators.
• Serve as senior leadership in all Department of Insurance and HHSC audit processes.
• Manage all facets of the audit and communications.
• Lead the Enterprise Risk Management process in collaboration with corporate ERM and Executive Management.
• Conduct internal compliance audits, create corrective action plans, and collaborate with department managers.
• Oversee compliance management for all health plan material subcontractors.
• Perform other duties as assigned.
• Comply with all policies and standards.
Requirements
• Bachelor’s degree in a related field or equivalent experience; Master's degree preferred.
• 7+ years of compliance program management and contract experience with State Medicaid programs.
• 5-7 years of experience with health care regulatory agencies in developing compliance and fraud programs.
• 5+ years’ experience overseeing the implementation of contract requirements.
Benefits
• Competitive pay range of $148,000.00 - $274,200.00 per year.
• Comprehensive benefits package including health insurance and 401K.
• Stock purchase plans and tuition reimbursement.
• Paid time off plus holidays.
• Flexible work options: remote, hybrid, field, or office work schedules.
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Apply Now