Senior Compliance Manager

• Design, implement, and maintain a comprehensive compliance program that meets state and federal requirements, including Medicaid, Medicare, and HIPAA regulations.
• Develop and continuously update policies and procedures to reflect regulatory changes.
• Create a compliance framework, integrating training, documentation, monitoring, and enforcement mechanisms.
• Oversee and support compliance activities across multiple states, identifying and addressing differences in federal, state, and local regulatory requirements.
• Monitor changes in state-specific laws, regulations, and agency guidance; assess operational impact and coordinate timely implementation.

• Develop and execute internal audit plans to assess compliance with applicable regulations.
• Proactively identify compliance risks, conduct assessments, and recommend effective corrective actions.
• Lead the management and oversight of Corrective Action Plans (CAPs) to address identified gaps and ensure timely resolution.

• Ensure company-wide adherence to HIPAA privacy and security standards related to Protected Health Information (PHI).
• Monitor activities to identify potential violations, initiate investigations, and enforce corrective actions where necessary.
• Collaborate with IT and operations teams to ensure compliance with PERS-related healthcare systems and technology.

• Provide ongoing training for employees at all levels, ensuring understanding of compliance policies, ethical standards, and regulatory updates.
• Serve as a subject matter expert, educating internal stakeholders—including executive leadership—on Medicaid, Medicare, and HIPAA requirements.

• Lead compliance-driven projects, ensuring regulatory requirements are integrated into product launches, IT implementations, and organizational processes.
• Partner with legal, operations, and IT teams to ensure compliance across new initiatives and contracts.
• Foster clear communication of compliance requirements and objectives across all departments.
• Develop and maintain policies, procedures, controls, and documentation for employee background screening and fingerprinting processes.

• Maintain comprehensive compliance documentation, including policies, audit results, risk assessments, and corrective action plans.
• Prepare regular compliance reports for executive leadership, detailing activities, findings, and progress.

• Bachelor’s degree in healthcare administration, Business, Law, or a related field (Master’s degree or relevant certifications like CHC, CCEP, a plus).
• Minimum of 7 years of experience in healthcare compliance, with a focus on Medicaid, Medicare, and HIPAA regulations.
• Demonstrated experience in auditing, monitoring, and risk management within a healthcare environment.
• Demonstrated experience managing compliance requirements across multiple states, including interpreting state-specific regulations and translating them into operational policies and procedures.

• Strong understanding of state and federal Medicaid/Medicare programs, HIPAA regulations, and healthcare compliance enforcement.
• Experience with personal emergency response systems (PERS) and healthcare IT compliance.
• Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint) and compliance software tools.
• Exceptional project management skills, with the ability to manage multiple initiatives simultaneously.
• Excellent verbal and written communication skills, with the ability to educate and influence stakeholders at all organizational levels.
• Strong analytical skills with the ability to assess complex regulations and identify actionable solutions.
• Working knowledge of employee background-screening requirements, including criminal background checks, fingerprinting, consent and disclosure requirements, and appropriate handling of screening results.

• High ethical standards, confidentiality, and a strong commitment to compliance integrity.

• High ethical standards, confidentiality, and a strong commitment to compliance integrity.
• Proactive problem-solving mindset and ability to work independently under tight deadlines.
• Thrives in a dynamic, fast-paced environment with a focus on delivering results

• Health Care Plan (Medical, Dental & Vision)
• Paid Time Off (Vacation, Sick Time Off & Holidays)
• Company Paid Short Term Disability and Life Insurance
• Retirement Plan (401k) with Company Match